医学学生参加面对面教学课程的变化:系统性审查
Palaniappan Ganesh Nagappan1,2, Sapphire Rou Xi Tan2,3, Shazia Absar2,3
1School of Clinical Medicine, University of Cambridge, Cambridge, UK pgn25@cam.ac.uk.
BMJ open
|May 19, 2025
概括
尽管有事报道称,COVID-19后医学院就读率下降,但这一系统性审查没有发现任何一致的变化. 需要进一步的研究来了解出勤率的趋势及其对医学教育成果的影响.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 教育心理学教育心理学
背景情况:
- 由于COVID-19大流行,医疗教育需要转向在线学习,这影响了传统的教学方法.
- 随着限制的放松,全球范围内已经注意到医疗学校就读人数的感知下降,这一趋势早于大流行.
- 现有的文献反映了这些变化,但缺乏全面的系统审查.
研究的目的:
- 系统地审查和分析有关医学学生出勤率变化的文献.
- 调查出勤率趋势对医学学生教育成果的影响.
- 识别与出席率变化有关的任何记录的原因或策略.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 在2023年9月,主要数据库 (Medline,Embase,Scopus,Web of Science,英国教育指数,ERIC) 进行了搜索.
- 数据提取和偏差风险评估由两名独立审稿人进行,并对调查结果进行了叙事综合.
主要成果:
- 分析包括了12篇论文.
- 在八项测量随时间推移出席率的研究中,只有一个显示出显著下降,一个显著增加;其他研究缺乏统计学意义.
- 大多数研究表明,出席率和教育成果之间存在正相关性,但对出席率变化原因或有效缓解策略的探索有限.
结论:
- 虽然事证据表明COVID-19后出现了下降,但本次审查发现,在包括的研究中,医学学生出席率没有持续的变化.
- 在审查的研究中存在显著的异质性,限制了最终的结论.
- 进一步的研究是必不可少的,以澄清出席趋势及其对医学教育的确切影响.
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