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基于模拟的掌握学习对头骨神经进行物理检查 技能获取
Monica M Herron1,2,3, Elaine R Cohen1,2,3, William C McGaghie1,2,3
1Monica M. Herron, MPAS, PA-C, is an assistant professor in the Physician Assistant Program, Department of Medical Education at Northwestern University Feinberg School of Medicine, Chicago, Illinois.
概括
基于模拟的掌握学习 (SBML) 显著提高了医生助理 (PA) 学生的神经检查技能,其中97%的人取得了掌握. 与传统培训相比,这种方法确保了高水平和持久的留守.
科学领域:
- 医学教育 医学教育
- 医生助理培训 医生助理培训
- 临床技能评估 临床技能评估
背景情况:
- 医学毕业生核心临床技能的变化是一个长期存在的问题.
- 基于模拟的掌握学习 (SBML) 提供了一种结构化的方法,以确保学习者一致的熟练程度.
- 这项研究引入了一种新的SBML应用程序,用于在医生助理 (PA) 教育中进行头骨神经检查.
研究的目的:
- 实施和评估SBML用于教学和评估PA学生的神经体检技能.
- 将SBML的有效性与这些技能的传统培训方法进行比较.
- 评估SBML对学生自我效能的影响.
主要方法:
- 一个严格的SBML干预,包括预测,目标设定,有反的故意练习和后测试.
- 学生重新培训和重新测试,直到达到最低合格标准 (MPS).
- 在干预之前和之后,在6周内进行保留测试,并测量学生的自我效能.
主要成果:
- 最初,0%的PA学生满足了MPS;干预后,97.1%通过了初始测试,100%实现了掌握.
- 在6周后,91%的人保留了掌握水平的技能.
- 在SBML队列显著优于历史队列 (96.15%对75.54%;P<.001),学生自我效能得到改善.
结论:
- 通过SBML,PA学生能够在头骨神经检查技能方面获得高能力和信心.
- 与传统方法相比,SBML方法证明了有效和持久的技能保留.
- SBML是临床技能培训的有效教育策略,确保高水平和学习者满意度.
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