关键词: Evidence-based medicine Experiential learning Living systematic review Medical education Rheumatoid arthritis Systematic review

Mesh : Humans Arthritis, Rheumatoid Clinical Competence Crowdsourcing Education, Medical Evidence-Based Medicine Learning Problem-Based Learning Surveys and Questionnaires Systematic Reviews as Topic

来  源:   DOI:10.1016/j.jclinepi.2022.03.019

Abstract:
To understand trainee experiences of participating in a living systematic review (LSR) for rheumatoid arthritis and the potential benefits in terms of experiential evidence-based medicine (EBM) education.
We conducted a mixed-methods study with trainees who participated in the LSR and who were recruited broadly from training programs in two countries. Trainees received task-specific training and completed one or more tasks in the review: assessing article eligibility, data extraction, and quality assessment. Trainees completed a survey followed by a one-on-one interview. Data were triangulated to produce broad themes.
Twenty one trainees, most of whom had a little prior experience with systematic reviews, reported a positive overall experience. Key benefits included learning opportunities, task segmentation (ability to focus on a single task, as opposed to an entire review), working in a supportive environment, international collaboration, and incentives such as authorship or acknowledgment. Trainees reported improvement in their competency as a Scholar, Collaborator, Leader, and Medical Expert. Challenges included communication and technical difficulties and appropriate matching of tasks to trainee skillsets.
Participating in an LSR provided benefits to a wide range of trainees and may provide an opportunity for experiential EBM training, while helping LSR sustainability.
摘要:
目的:了解受训者参加类风湿性关节炎实时系统评价(LSR)的经验以及经验性循证医学(EBM)教育的潜在益处。
方法:我们对参加LSR的学员进行了一项混合方法研究,这些学员是从两个国家的培训项目中广泛招募的。受训人员接受了特定任务的培训,并在审查中完成了一项或多项任务:评估文章资格,数据提取,和质量评估。学员完成了一项调查,然后进行了一对一的面试。对数据进行了三角测量,以产生广泛的主题。
结果:21名学员,他们中的大多数人都有系统评价的经验,报告了积极的总体经验。主要好处包括学习机会,任务细分(专注于单个任务的能力,而不是整个审查),在支持性环境中工作,国际合作,以及诸如作者身份或认可之类的激励措施。学员报告说他们作为学者的能力有所提高,合作者,领导者,和医学专家。挑战包括沟通和技术困难,以及任务与受训者技能的适当匹配。
结论:参加LSR为广泛的受训者提供了好处,并可能提供体验式EBM培训的机会,同时帮助LSR可持续发展。
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