对比面对面和远程的体检 外部临床教学访问在一般实践中职业培训
Benjamin Mundy1, Alison Fielding1,2, Amanda Tapley1,2
1General Practice Training Research, Royal Australian College of General Practitioners, Level 1, 20 Mclntosh Drive, Mayfield West, NSW 2304, Australia.
与面对面访问相比,远程外部临床教学访问 (ECTV) 减少了体检观察和讨论. 混合模式可以在GP培训中平衡效率和教育质量.
科学领域:
- 医学教育 医学教育
- 一般实践培训一般实践培训
- 基于工作场所的评估
背景情况:
- 外部临床教学访问 (ECTV) 是澳大利亚GP培训中的关键形成性评估.
- 在COVID-19大流行期间采用了远程ECTV模式,并在大流行后继续使用.
- 了解远程与面对面ECTV对评估内容的影响至关重要.
研究的目的:
- 探索ECTV内容在不同交付方式中的特征和关联.
- 为了比较身体检查的频率,远程观察和讨论与面对面ECTV的频率.
主要方法:
- 从2020-2021年开始,对GP注册人员进行了基于问卷的研究.
- 在身体检查,观察和在ECTVs期间的讨论中收集的数据.
- 使用了单变量和多变量逻辑回归分析.
主要成果:
- 分析了1100多份问卷,其中82%的访问是通过视频进行的.
- 87%的访问包括体检观察,42%包括观察和讨论.
- 远程视频访问显著降低了身体检查观察的几率 (OR:0.16).
结论:
- 远程ECTV提供了效率,但改变了评估内容,特别是身体检查观察.
- 远程和面对面ECTV内容之间存在关键差异.
- 建议采用混合ECTV模式,以保持GP培训中的教育完整性.
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