临床Clu-Dr:一个可扩展的游戏化工具,用于临床推理实践
Richard D Horniblow1, Linda Lefièvre1, Louise Hammersley2
1Department of Biomedical Sciences, School of Infection, Inflammation, and Immunology, College of Medicine and Health, University of Birmingham, Birmingham, UK.
The clinical teacher
|March 5, 2026
概括
临床Clu-Dr (CC) 是一个游戏化的工具,可以增强临床推理 (CR) 技能在临床前医学学生. 这种低资源的方法提高了参与度和信心,使CR实践具有可扩展性和可访问性.
科学领域:
- 医学教育 医学教育
- 发展临床推理 发展临床推理
- 在学习中的游戏化.
背景情况:
- 将临床推理 (CR) 纳入临床前医学课程是具有挑战性的,因为临床接触有限.
- 传统的方法,如问答或基于案例的学习,往往在参与和促进者要求方面存在局限性.
研究的目的:
- 引入临床Clu-Dr (CC),一种游戏化,低资源的工具,旨在促进临床前医学教育中的早期临床推理实践.
- 评估CC的可扩展性和有效性,当由临床和非临床教育者提供时.
主要方法:
- CC调整了Cluedo游戏格式,向学生展示了患者场景和混合格式的线索 (例如,实验室结果,成像).
- 学生在小组中工作,分析线索,制定差异诊断,并达到最终诊断,利用支架学习和认知整合的原则.
- 评估涉及78个会议的学生调查 (n=128) 和辅导员反 (n=6).
主要成果:
- 学生报告说,他们对临床推理能力的参与度和信心明显更高.
- 辅导员观察到强烈的,包容性的参与,尽管最初的挑战是适应学生主导的格式.
- 该工具展示了临床和非临床教育工作者交付的可行性.
结论:
- 临床Clu-Dr (CC) 提供了一个可扩展的解决方案,用于将临床推理实践纳入临床前医学培训.
- 游戏化方法有效地提高了学生的参与度和信心,支持了基础科学和临床科学的整合.
- 成功实施需要谨慎的线索设计和协作,但临床专业知识对促进者来说并不重要.
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