在职前基于问题的学习课程中使用概念映射将健康和疾病过程的社会决定因素联系起来:试点研究
Kellie Mullany1, Barbara Masi2, Jaya G Yodh1
1Carle Illinois College of Medicine, Department of Biomedical and Translational Sciences, University of Illinois Urbana-Champaign, Urbana, IL, USA.
Academic pathology
|June 9, 2025
概括
将健康的社会决定因素 (SDOH) 整合到医学教育中,可以提高临床问题解决能力. 使用概念映射与SDOH知情病例的学生开发了更加以患者为中心的治疗计划.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 临床推理 临床推理
背景情况:
- 健康的社会决定因素 (SDOH) 对患者护理和疾病管理至关重要.
- 将SDOH纳入医学课程面临障碍,包括缺乏对教学方法的共识.
- 需要有效的教学策略来为未来的医生提供SDOH知识.
研究的目的:
- 通过概念映射,研究将SDOH纳入职务前基于问题的学习 (PBL) 的影响.
- 评估对学生临床问题解决过程的影响.
- 将SDOH信息的临床推理与传统方法进行比较.
主要方法:
- 14名预职医学生被随机分为实验组 (SDOH信息的PBL与概念映射) 和对照组.
- 干预涉及SDOH探针的病例,以将决定因素与疾病和治疗计划联系起来.
- 使用定量 (曼-惠特尼U测试) 和定性 (专题分析) 方法分析了概念图和反思.
主要成果:
- 与对照组相比,实验组在概念图上得分明显高.
- 定性分析显示,各组之间存在不同的临床推理方法.
- 实验组表现出一种以SDOH为基础,以患者为中心的方法,而对照组主要关注临床方面.
结论:
- 将SDOH与概念映射集成到PBL中,可以提高临床问题解决能力.
- 这种教育干预促进了更全面的,以患者为中心的治疗规划方法.
- 概念映射是医疗教育中SDOH教学的有效工具.
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