超越动机:应用一种行为模型来促进新居民的自主学习
Pedro Morales-Ramirez1, Henry Mishek2, Arhita Dasgupta2
1is an Associate Professor and Residency Program Director, Department of Obstetrics and Gynecology, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri, USA.
Journal of graduate medical education
|August 20, 2025
概括
基于Fogg行为模型的干预改善了在培训中的考试成绩和第一年OB / GYN居民的自主学习 (SDL) 参与度. 这种方法通过专注于提示和能力,而不仅仅是动机,增强了学习习惯.
科学领域:
- 医学教育 医学教育
- 行为科学 行为科学
- 住院培训 培训 住院培训
背景情况:
- 过渡到住院给医疗专业人员带来了自主学习 (SDL) 的挑战.
- 临床职责往往阻碍了一致的学习习惯,使得单独的动机不足以有效的SDL.
- 福格行为模型 (FBM) 强调了动机,提示和能力在行为中的作用.
研究的目的:
- 评估一项基于FBM的干预措施是否能提高一年级妇产科医生住院生在培训中检查 (ITE) 的得分.
- 评估干预对该群体自主学习 (SDL) 参与的影响.
主要方法:
- 这是一项准实验性研究,从2016年到2021年,涉及48名第一年妇产科医生住院的住院生 (24项干预,24项对照).
- 两个小组都接受了结构化的SDL,分配了主题和进度跟踪.
- 干预小组还接受了关于FBM原则的研讨会:通过习惯堆叠和任务分类来创建提示和增强能力.
主要成果:
- 干预组居民获得了显著更高的ITE分数 (206比194,P=.006).
- 干预组显示SDL参与度增加,记录了更多的每周研究会 (4.8对3.2,P=.02).
- 干预组中观察到分配阅读主题的完成率更高 (87%对62%,P=.01).
结论:
- 一个基于FBM的干预有效地改善了第一年产科医生住院的ITE分数.
- 该干预措施显著提高了自我指导的学习参与度,包括学习会话的频率和阅读完成.
- 强调提示和能力,以及动机,对于提高居民学习和绩效至关重要.
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