一个医学学生课程关于功能医学障碍的课程
Mohsin F Butt1,2, Daniele Scotto1, Christopher G S Gilmartin1
1NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK.
The clinical teacher
|June 26, 2025
概括
一个新的医学院课程提高了学生在管理功能性医学障碍 (FMDs) 的知识和信心. 该课程还积极改变了人们的态度,减少了与口病相关的耻辱感.
科学领域:
- 医学教育 医学教育
- 精神病体医学是一种精神病体医学.
- 临床技能培训 临床技能培训
背景情况:
- 功能性医疗障碍 (FMDs) 呈现出标准测试无法解释的身体症状,往往导致医学生等医疗保健专业人员的负面看法.
- 解决这些负面看法和改善理解对于有效的患者护理至关重要.
研究的目的:
- 为一年级医学学生开发和评估一门关于口病的教育课程.
- 评估课程对学生关于口病的知识,态度和信心的影响.
主要方法:
- 一个多学科的团队提供了为期六周的课程,结合了教学教学,辅导和模拟的患者接触.
- 经过验证的问卷评估了与易怒肠综合征 (IBS) 相关的知识,态度和信心.
- 客观结构化临床检查 (OSCE) 评估了学生的病史记录和诊断沟通技能,与模拟的IBS和纤维肌痛患者进行了模拟.
主要成果:
- 学生对口病的知识有显著的改善 (88.89%的课程后对比57.50%的课程前,p < 0.001).
- 在所有评估领域 (病理生理学,症状,调查,沟通;p < 0.001) 中,学生的信心增加.
- 对口病的态度在91.7%的问题上显示出统计学上显著的改善,100%的学生通过了欧安组织.
结论:
- 将一个专门的口病课程纳入医学院课程中,有效地提高了学生的知识和信心.
- 这些教育干预措施有望减少与功能性医疗障碍相关的耻辱感.
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