教育研究:拥抱未知 - - 引入临床不确定性到神经病学实习课程中
Aleksandra Safonova1, Ashley Paul1, Doris G Leung1
1Neurology, Johns Hopkins University, Baltimore, MD.
Neurology. Education
|June 13, 2025
概括
神经学实习课程提高了医学学生在处理临床不确定性和与患者沟通方面的信心. 这种培训是可行的,有价值的解决神经学教育的一个关键差距.
科学领域:
- 医学教育 医学教育
- 神经学 神经学
- 临床实践 临床实践
背景情况:
- 神经学培训往往缺乏对管理临床不确定性的关注.
- 临床实践中的不确定性与临床医师倦怠和不良医疗保健结果有关.
- 解决不确定性对于有效的神经学教育和患者护理至关重要.
研究的目的:
- 在神经病学工作期间通过基于案例的学习引入诊断不确定性概念.
- 评估这项培训对医学学生对临床不确定性的看法的影响.
- 为了比较学生的信心和准备在干预之前和之后.
主要方法:
- 在神经病学实习开始时,实施了关于不确定性的60分钟的基于案例的学习课程.
- 第二年,第三年和第四年的医学学生参加了这次演习.
- 进行了课程前和课程后调查,评估临床实践不确定性领域 (CPUDs).
主要成果:
- 88名医学学生参与了这项研究,显示了对不确定的情况的准备能力在统计学上显著增加.
- 学生们报告说,在干预后向患者传达不确定性的信心增加了.
- 大多数被调查的学生发现,以不确定性为重点的课程是有益的.
结论:
- 一个标准化的神经学课程解决不确定性是可行的和有益的.
- 这种培训可以提高学生导航和沟通临床不确定性的能力.
- 需要进行进一步的研究,以更长的后续和多种方法进行进一步的研究.
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