上午报告中的学习者层面的具体考虑:范围审查
Justin Q Wang1,2, Wilson X Wang3, Jaclyn Morales4
1Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
概括
晨报 (MR) 需要更新. 这次审查发现,虽然MR的内容和结构广泛使用,但往往不适合不同居民级别,缺乏现代学习理论和评估方法.
科学领域:
- 医学教育研究 医学教育研究
- 研究生医学培训研究生医学培训
- 内部医学教育教育 内部医学教育
背景情况:
- 晨报 (MR) 是美国内科住院教育的基石,也被其他专业所采用.
- 现有的文献缺乏详细的洞察力,了解学习者层面对MR内容,结构和结果的具体考虑.
- 这项研究解决了对MR在研究生医学教育当前状态的全面理解的需要.
研究的目的:
- 进行范围审查,以描述学习者级别特定的早晨报告 (MR) 内容,结构,差距和结果的当前知识.
- 确定实习生与高级住院医生之间的MR会议如何不同.
- 突出MR设计和实施中需要改进的领域.
主要方法:
- 在3个数据库中进行了系统的搜索,寻找研究生医学教育中关于MR的同行评审文章.
- 包括的研究重点是针对居民的基于案例的学习,具体说明参与者组成 (实习生与高级居民).
- 用内容分析提取和分析数据,以确定与MR内容,结构和结果相关的主题.
主要成果:
- 在2,287篇文章中,36篇符合纳入标准,其中大多数涉及实习生 (64%) 或高级 (89%) 会议.
- 实习生课程重点是基础技能和适应能力,而高级课程则强调先进的病例和基于证据的医学.
- 发现了显著的差距,包括对成人学习理论的有限使用,最小的促进者发展和不充分的结果评估.
结论:
- 尽管长期使用,但MR的教育设计已经停滞不前,与成人学习原则和严格的评估不太符合.
- 迫切需要进行研究,以学习者特定的设计,现代的学习理论和验证的结果措施来重新评估MR.
- 更新MR对于满足医疗学员不断变化的教育需求至关重要.
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