居民辅导:一条通往登机准备的道路
Jamie L Geringer1,2, Cara Hojnoski1, Mary C Luckasen1
1Department of Medicine, Brooke Army Medical Center, San Antonio, Texas, USA.
The clinical teacher
|October 28, 2025
概括
个性化辅导显著改善了高风险医疗住院人员的培训内考试 (ITE) 成绩. 这种有针对性的方法提高了考试准备能力,促进了自我调节的学习,这表明在医学教育中具有更广泛的适用性.
科学领域:
- 医学教育 医学教育
- 内部医学培训培训 内部医学培训
背景情况:
- 董事会考试对于评估医疗住院医生的能力至关重要.
- 培训中的考试 (ITE) 识别了有失败董事会认证风险的居民.
- 董事会通过率的下降需要改进的补救策略.
研究的目的:
- 为了提高内部医学专业人员的董事会考试成绩.
- 评估结构化辅导干预对居民绩效的影响.
- 为处于风险的学员确定有效的补救方法.
主要方法:
- 在ITE的第35百分位以下的居民接受了强制性的每两个月一次的指导.
- 辅导涉及高绩效的高级住院人员和教师,专注于"教导老师"和问题审查.
- 干预前后的ITE分数和董事会通过率被分析,以及实习生和教练调查.
主要成果:
- 平均ITE分数从57%上升到66%,百分比分数从第24位上升到第37位.
- 实习生报告说,考试准备和信心显著改善.
- 教练在识别有困难的学习者方面获得了信心,尽管在他们的角色中感觉不那么成功.
结论:
- 个性化指导是有效的修复风险居民和促进自我调节的学习.
- 这项干预措施显示了ITE分数的显著改善,为加强医学教育提供了一个模型.
- 个性化辅导可以在各种培训水平和学术环境中广泛实施.
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