基于认知心理学进行内镜诊断的个性化教育方法:多中心随机试验
Kentaro Mochida1,2, Fumiaki Ishibashi1, Masamichi Yuzawa3
1Department of Gastroenterology, International University of Health and Welfare Ichikawa Hospital, Chiba, Japan.
PloS one
|September 17, 2025
概括
使用工作记忆 (WM) 配置文件的个性化内镜训练提高了诊断准确度. 根据个体WM主导的教育量身定制,无论是视觉空间还是口头,都提高了内镜诊断的学习.
科学领域:
- 医学教育 医学教育
- 胃肠病学 胃肠病学
- 认知心理学 认知心理学
背景情况:
- 内镜诊断的学习曲线是可变的,缺乏最佳的教育策略.
- 工作记忆 (WM) 容量影响信息处理和学习.
- 个性化WM档案可以优化内镜训练.
研究的目的:
- 调查通过个人工作记忆 (WM) 配置文件优化的教育方法是否可以提高内镜诊断的学习.
- 为了比较接受WM匹配与未匹配教育的学员之间的诊断准确性.
主要方法:
- 为内镜医生建立了一个标准的WM概况.
- 被训练的人被评估为视觉空间或口头WM主导.
- 参与者被随机分配到WM匹配或不匹配的教育组,以诊断结肠直肠多.
主要成果:
- 与不匹配组 (53.9%) 相比,与WM匹配的教育组显示出明显更高的诊断准确性 (61.6%).
- 在匹配组中,非新发性病变的准确性明显更高 (68.0%对比48.4%).
- 对于腺瘤,内癌或侵袭性癌症的诊断,在两组之间没有发现显著差异.
结论:
- 基于WM资料的个性化内镜教育显著促进了学习.
- 将教育内容定制为主要的WM类型可以提高诊断准确度,特别是在非新生病变的病变中.
- 这种方法为优化内镜培训和改善患者护理提供了一个有希望的策略.
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