医学学生在使用谷歌搜索时的诊断准确性和自信之间的关系:一种混合方法研究
Yasutaka Yanagita1, Kosuke Ishizuka2, Daiki Yokokawa1
1Department of General Medicine, Chiba University Hospital, Chiba, Japan.
PloS one
|September 19, 2025
概括
使用谷歌搜索显著提高了医学学生的诊断准确性和信心. 教师应该教学生如何批判性地分析来自临床决策支持系统 (CDSS) 的信息,以获得最佳的医疗培训.
科学领域:
- 医学教育 医学教育
- 临床推理 临床推理
- 医疗信息学 医疗信息学
背景情况:
- 由于医疗信息的增加,医生对临床决策支持系统 (CDSS) 的熟练程度至关重要.
- 关于CDSS的研究往往侧重于准确性,对其对临床推理和输出评估的影响不太清楚.
- 谷歌虽然不是传统的CDSS,但在帮助医生获取信息和做出诊断决策方面已经显示出潜力.
研究的目的:
- 评估谷歌搜索的使用是否提高了医学生的诊断准确性和信心.
- 评估如何解释搜索结果影响学生的诊断信心.
主要方法:
- 48名医学五年级学生接受了10种临床情景.
- 学生提供了初步诊断和信心水平,然后通过谷歌搜索重新评估.
- 混合方法方法结合了诊断准确性和信心的定量分析和重点小组访谈的定性内容分析.
主要成果:
- 在使用谷歌搜索后,正确诊断从63.6%增加到76.2% (P < .001).
- 学生的信心水平从4.9上升到5.9在7点的利克特等级 (P <.001).
- 定性分析揭示了对影响信心的诊断过程的洞察力.
结论:
- 谷歌搜索可以提高医学生的诊断技能和信心.
- 这些发现支持谷歌搜索作为临床推理和医学教育的宝贵工具.
- 教师必须教学关键信息分析,以便在培训未来医生时有效地整合CDSS.
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