作为辅导员的研究员和医学学生:促进初学者医学学生的临床推理能力
Binbin Zheng1, Joseph M Maciuba2, Ting Dong1
1Department of Health Professions Education, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Medical teacher
|May 16, 2025
概括
接近同行教学 (NPT) 有效地在医学学生中建立了临床推理 (CR). 高年级学生模拟CR,分享策略,促进参与,通过可联系的指导提高诊断技能.
科学领域:
- 医学教育 医学教育
- 发展临床推理 发展临床推理
背景情况:
- 临床推理 (CR) 整合了分析和直观思维,对医学学生至关重要.
- 专家临床医生经常发现表达CR具有挑战性.
- 接近同行教学 (NPT) 显示了促进CR发展的前景.
研究的目的:
- 探索NPT如何帮助初级医学学生学习CR.
- 分析NPT中小组讨论的动态,以促进CR的发展.
主要方法:
- 进行了四次小组讨论,由资深医学学生领导,教师支持.
- 使用主题和滞后顺序分析 (LSA) 转录和分析讨论的视频录制.
- 识别了辅导员的言论动作,顺序模式和促进策略.
主要成果:
- 近同行导师模拟推理,为学生做好临床互动的准备,共享测试策略,并创造了一个支持性的环境.
- 导师进行的战略性质疑,将学生的诊断推理从基本到复杂的评估进行了支架.
- 导师的相关性,源于最近的学习经验,促进了学生的参与和理解.
结论:
- NPT是增强医学学生临床推理技能的宝贵方法.
- 医学院应该为NPT提供专业发展,并考虑教师联合促进,以平衡相关性和专业知识.
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