探索医学本科生高准确度模拟中临床推理的障碍:一种现象学研究
Leah Williams1, Anastasia Trebacz, Michael Atkinson
1From University of Sunderland School of Medicine, Sunderland, United Kingdom.
概括
医学学生在高保真模拟 (HFS) 培训中临床推理 (CR) 的障碍包括信息合成和元认知方面的问题. 模拟设计和环境也带来了挑战,影响了CR开发.
科学领域:
- 医学教育 医学教育
- 临床推理培训 临床推理培训
- 基于模拟的学习
背景情况:
- 将临床推理 (CR) 整合到医学课程中是必不可少的.
- 高保真模拟 (HFS) 为显式CR教学提供了一种独特的教学方法.
- 在HFS设置中对CR的障碍需要全面了解.
研究的目的:
- 识别和描述医学学生在高保真模拟 (HFS) 过程中遇到的临床推理 (CR) 的障碍.
- 为加强CR培训提供HFS课程的设计和优化信息.
主要方法:
- 针对医学四年级学生的有目的抽样.
- 在2023年4月至5月期间进行的半结构化视频会议采访.
- 反思性,数据驱动的,诱导性的主题分析,直到主题和 (14次采访).
主要成果:
- 与学生相关的障碍:信息合成 (知识差距,解释发现) 和元认知 (程序刚性,压力,认知偏见) 的困难.
- 与模拟相关的障碍:案例设计问题 (复杂性,认知过载) 和环境限制 (不充分的预告,技术,辅导员依赖).
- 这些发现突出了已知的CR障碍 (例如,认知偏见) 和HFS特定的挑战 (例如,技术限制).
结论:
- 识别的障碍为HFS的CR教育提供了新的见解.
- 在设计HFS课程时,教育工作者应该考虑这些障碍.
- 优化模拟设计和学生准备对于有效的CR培训至关重要.
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