不同教育方法在提高医学学生综合临床能力方面的有效性:系统性审查和元分析
Liping Zhang1, Fang He1, Lingyun Wei1
1Department of Gynaecology and Obstetrics, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Taiyuan, China.
Evaluation & the health professions
|January 20, 2026
概括
与传统讲座相比,以学生为中心的教学策略显著提高了医学学生的知识和临床技能. 基于模拟的方法,特别是传统的模拟,显示出技能获取的最大好处.
科学领域:
- 医学教育 医学教育
- 健康 专业 教育 卫生 专业 教育
- 教学研究教学研究
背景情况:
- 传统的讲座往往无法弥合医疗专业教育中的生物医学知识和临床表现之间的差距.
- 越来越需要积极的,以学生为中心的教学策略来提高学习成果.
研究的目的:
- 系统地审查和元分析五种以学生为中心的教育方法的比较有效性.
- 评估它们对医学学生知识获取和临床技能表现的影响.
主要方法:
- 对21项受控试验的系统综述和随机效应元分析 (1,028项干预,961名对照参与者).
- 评估的结果包括基于知识 (考试) 和基于技能 (临床评估).
- 干预分为:基于案例的,传统的模拟,VR/视频模拟,人工智能引导的辅导和翻转/基于结果的格式.
主要成果:
- 以学生为中心的方法显示出显著的聚合效应:Hedges的g=1.40对知识和3.11对技能.
- 基于模拟的方法,包括传统和VR/视频模拟,在技能方面取得了最大的收益.
- 敏感性分析证实了研究结果的稳定性,尽管存在很高的异质性.
结论:
- 以学生为中心的策略,特别是模拟,在知识和临床技能方面明显优于讲座.
- 传统的模拟对技能获取产生了最大的影响,这对课程设计至关重要.
- 教师应该根据学习目标和背景整合这些策略.
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