实施一个课程来推进医学生的综合医学教育:早期的课程和下一步
Karen Koffler1, Kassandra M Bosire2, Teresa Glynn1,3
1Department of Family Medicine and Community Health, Osher Center for Integrative Health, University of Miami Miller School of Medicine, Miami, FL, USA.
Journal of medical education and curricular development
|November 24, 2025
概括
这项研究为医学学生开发了一门综合医学 (IM) 选修课,显著提高了他们的知识,技能和自我护理实践. 沉浸式课程增强了对患者护理和整体福祉的态度.
科学领域:
- 医学教育 医学教育
- 综合医学是一个整体的医学.
- 医疗保健专业发展
背景情况:
- 对整体医疗保健的日益增长的需求需要改善医生在整合医学 (IM) 的培训.
- 在IM中存在的知识差距阻碍了其在患者护理中的应用.
- 该项目解决了加强未来医生IM教育的需要.
研究的目的:
- 为医学学生开发和完善一个沉浸式的IM选修课程.
- 改善IM中的健康教育和学习.
- 增强未来医生的知识,技能和自我护理实践.
主要方法:
- 一个为期四周的沉浸式IM选修课程被交付给三组第三和第四年级医学学生 (n=18).
- 每周和选择后评估评估了态度,行为和自我报告的IM知识的变化.
- 基于学生反的描述性分析和代课程改进被采用.
主要成果:
- 学生满意度评分 (课程期望,深度,实用性) 从4到5不等 (利克尔特尺度).
- 课程后的评估显示,知识分数显著改善 (p < .01) (Hedges g > 0.8).
- 该课程对患者护理,个人生活方式和自我意识的态度产生了积极的影响.
结论:
- 一个沉浸式的IM选修课程有效地提高了医学学生的满意度,态度,行为和知识.
- 使用学生反的代课程改进是其有效性的关键.
- 这一举措是将IM纳入核心课程的一步,以弥补知识差距并促进整体患者护理.
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