一个新的微学习异步课程,以提高内部医学学员在解释心电图的信心和技能
Matthew Capustin1,2, Spencer Weintraub1,2, Ji-Cheng Hsieh1,3
1Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY, USA.
Journal of medical education and curricular development
|July 22, 2025
概括
这项研究表明,微学习课程提高了内科医生对心电图 (ECG) 解释的信心和知识,特别是在正常变异方面. 建议针对特定的心电图病理进行进一步的有针对性的培训.
科学领域:
- 医学教育 医学教育
- 心脏病学 心脏病学
- 内部医学 内部医学
背景情况:
- 电心电图 (ECG) 的解释对于临床决策至关重要,但在内科医生中通常是很弱的技能.
- 缺乏用于教学ECG解释的标准化方法,这突显了对创新的教育方法的需求.
研究的目的:
- 评估异步微学习心电图课程对内科医生实习生的有效性.
- 评估本课程对居民对ECG解释的信心和知识的影响.
主要方法:
- 一个异步的微学习课程使用每周ECG与临床 vignettes和问题实施了9个月.
- 居民通过微软Teams提交解释,随后收到反和教育珍珠.
- 课程前后的调查和测试测量了自我报告的信心和客观表现的变化.
主要成果:
- 38名居民完成了该计划,表现出信心显著增加 (P<.01) 和整体心电图解释表现 (P<.01).
- 在识别正常心电图变异时,性能显著提高 (P=.017).
- 在识别动脉节律失常,ST段变化或导电异常方面没有观察到显著的改善.
结论:
- 微学习ECG课程有效地提高了居民的信心和知识,特别是对于正常变体.
- 未来的努力应集中在解决复杂的心电图病理中的特定知识差距上.
- 建议制定一个纵向的,为期3年的课程,以确保在整个居留期间持续保留知识.
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