在一个纵向综合文职课程的住院临床经验学生的观点:一个横截面的研究
Hannah DeHoogh-Kliewer1, Carly Cooper1, Christina Lusk1
1University of South Dakota Sanford School of Medicine.
概括
混合纵向综合职务 (LIC) 模式略有改善了患者的连续性,但降低了安排满意度. 学生仍然更喜欢这种混合的LIC课程,而不是传统的区块课程.
科学领域:
- 医学教育 医学教育
- 课程开发 课程开发
- 学生体验 学生体验
背景情况:
- 纵向综合实习 (LIC) 模型与传统的区块时间表相比,增强了学生-教师-患者关系.
- 南达科他大学桑福德医学院 (SSOM) 在2014年采用了一家门诊LIC,在四个校区面临患者连续性和调度方面的挑战.
- 为了解决这些问题,在2023年实施了一种混合住院和门诊LIC.
研究的目的:
- 评估学生对患者连续性和安排的满意度,在新实施的混合住院和门诊纵向综合实习 (LIC) 模型中.
- 为了比较学生对混合LIC模型的偏好与传统的区块时间表.
主要方法:
- 对医学三年级学生进行了前后混合方法分析.
- 匿名在线调查评估了2022年12月 (混合前) 和2024年12月 (混合后) 对患者连续性和安排的满意度.
主要成果:
- 在实施混合模式后,学生对LIC计划的满意度从2022年的82%下降到2024年的64%.
- 对患者连续性的不满略有下降,从2022年的38%降至2024年的36%.
- 在混合模式中,教师连续性满意度为70%,64%的学生更喜欢混合LIC而不是传统的区块时间表.
结论:
- 在LIC课程中实施住院体验降低了安排满意度,但最低限度地改善了患者的连续性.
- 学生们更喜欢混合LIC模式,而不是传统的区块时间表,这表明课程改进的潜力.
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