一目了然地可视化多步骤决策:配对选择你自己的冒险风格模拟案例与新的映射框架
Caitlin D Hanlon1, Harry R Goldberg2, Stacy L Cooper3
1Biology Department, Quinnipiac University, 275 Mt Carmel Ave, Hamden, CT USA.
Medical science educator
|March 9, 2026
概括
选择你自己的冒险 (CYOA) 案例研究与动态映射工具相结合,有效评估医学教育中的临床推理. 这种创新方法可视化决策途径,识别模拟患者护理场景中的专家表现和不良结果.
科学领域:
- 医学教育 医学教育
- 临床推理评估评估
- 健康 职业 教育 教育 专业
背景情况:
- 在动态,现实世界的场景中评估临床推理是具有挑战性的.
- 传统的方法,如多选题,不充分模拟复杂的决策.
- 选择你自己的冒险 (CYOA) 案例研究为模拟非线性决策过程提供了一个有希望的替代方案.
研究的目的:
- 评估将CYOA风格的临床病例与评估临床推理的动态映射工具配对的有效性.
- 为了可视化儿童白血病模拟高剂量甲状腺素治疗中的用户决策模式.
- 为了比较不同用户群体和干预措施的决策行为.
主要方法:
- 开发CYOA分支叙事案例研究,模拟临床决策.
- 利用基于R的DiagrammeR软件,绘制用户决策路径的地图.
- 分析可视化决策地图以识别用户路径和行为.
主要成果:
- 决策地图有效地可视化了每个阶段的用户路径和决策行为.
- 25.9%的用户表现出专家级别的决策; 51.9%的用户做出导致不利结果的决策.
- 快速生成 (不到10秒) 的可视化和数据表,以立即获得性能洞察力.
结论:
- 将CYOA案例研究与动态映射工具相结合,为评估临床推理提供了一个细微而互动的方法.
- 这种方法为用户的性能和决策模式提供了有价值的见解.
- 该方法有可能改善医学教育和临床技能评估.
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