一个在线课程教临床推理技能:学生的观点和短期结果
Suneetha Nithyanandam1, John Stephen2, Nachiket Shankar3
1Department of Ophthalmology, St John's Medical College, Sarjapur Road, Bengaluru 560034, Karnataka, India.
The National medical journal of India
|May 20, 2025
概括
在线临床推理 (CR) 课程显著提高了医学学生的CR能力和信心. 该研究建议将这门课程早些时候纳入MBBS课程,以加强医学教育.
科学领域:
- 医学教育 医学教育
- 临床推理技能 临床推理技能
- 健康 职业 教育 教育 专业
背景情况:
- 临床推理 (CR) 技能对医疗专业人员至关重要,但在MBBS课程中没有明确教授.
- 需要评估新型教育干预措施在医学生中培养CR技能方面的有效性.
研究的目的:
- 为MBBS最后一年的学生评估在线CR课程的有效性.
- 评估课程对学生的CR能力和信心水平的影响.
主要方法:
- 一个单一组的测试前后研究,涉及57名MBBS最后一年的学生.
- 学生们参加了一门在线课程,该课程采用结构化的CR格式,包含案例场景和小组活动.
- 通过课程前和课程后的标题和问卷来评估CR技能和信心;用配对T测试和Wilcoxon签名等级测试分析数据.
主要成果:
- 与课程前分数相比,课程后CR分数显著改善 (p<0.001).
- 在结构化CR框架的所有组件中,学生的信心水平明显提高 (p<0.001).
- 结构化格式,案例讨论,小组活动和教师专业知识被确定为关键的有益方面.
结论:
- 在线CR课程有效地提高了参与MBBS学生的临床推理能力和信心.
- 这些发现支持将这门在线CR课程纳入MBBS课程的早期阶段,可能有更多的案例场景讨论.
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