medical education

医学教育
  • 文章类型: Journal Article
    产妇健康管理一直是人们关注和考虑的领域,考虑到它的复杂性和多学科性,有必要为医护人员提供有效的培训。
    为了评估多学科体验式培训模式对知识的影响,态度,以及医护人员在孕产妇健康管理中的实践。
    我们进行了一种新颖的教育模式,基于知识的多学科孕产妇健康体验式培训,态度与实践(MMHET)结合了理论知识,实用技能,以人为本的人文关怀,提供全面的离线教育计划,由围绕知识图构建的在线教材支持。测试前和测试后的调查被用来评估参与者知识的变化,态度,和实践。
    从2023年5月到7月,共有322名参与者参加了课程,只有一小部分人参加了体验式培训。对于所有主题,绝大多数参与者赞同该课程,态度内容的参与者表示他们同意的比例最高。在工作年限不同的群体中,在>20岁组的参与者中,最高比例的人强烈支持该课程。
    初步研究结果表明,MMHET模型是受欢迎且可行的,展示其加强孕产妇健康管理教育的潜力。
    UNASSIGNED: Maternity health management has always been the area of concern and considering, and considering its complexity and multidisciplinary, it is necessary to provide effective training for healthcare workers.
    UNASSIGNED: To evaluate the impact of a multidisciplinary experiential training model on the knowledge, attitude, and practice of healthcare workers in maternity health management.
    UNASSIGNED: We conducted a novel educational model, Multidisciplinary Maternity Health Experiential Training based on Knowledge, Attitude and Practice (MMHET), which combined theoretical knowledge, practical skills, and human-centred humanistic care, offering a comprehensive offline education program supported by online teaching materials structured around knowledge graphs. Pre- and post-test surveys were used to assess the changes in participants\' knowledge, attitudes, and practices.
    UNASSIGNED: From May to July 2023, a total of 322 participants attended the course, and only a small percentage had participated in experiential training. For all topics, the vast majority of participants endorsed the course, and the attitude content had the highest percentage of participants who said they agreed. Among the groups with different years of working life, the highest percentage of participants in the >20 years group strongly endorsed the course.
    UNASSIGNED: The preliminary findings indicate that the MMHET model is well-received and feasible, demonstrating its potential to enhance maternity health management education.
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  • 文章类型: Journal Article
    目的/背景混合学习是近年来医学教育界普遍采用的教学模式。许多研究表明,混合式学习模式优于传统的教学模式。尽管如此,指出混合教学方法提供的具体优势是具有挑战性的,因为多种因素影响它们的有效性。这项研究旨在通过评估其质量来调查已发表的关于医学教育中混合学习的随机对照试验(RCT)结论的可靠性。并为今后相关研究提供建议。方法两名调查人员搜索PUBMED和EMBASE,并评估了2010年1月1日至2021年12月31日发布的与医学混合学习相关的RCT。每份报告的总体质量分析基于2010年综合报告试验标准(CONSORT)声明,采用28分的总体质量评分。我们还进行了多变量评估,包括出版年份,审判的区域,journal,影响因子,样本量,和主要结果。结果最终选择与医学混合学习密切相关的22个RCT进行研究。结果表明,一半的研究未能明确描述2010年CONSORT声明中至少34%的项目。医学混合学习是一种新兴的教学模式,95.45%的RCT自2010年以来发布。然而,我们认为至关重要的许多问题在选定的RCT中没有得到令人满意的解决。结论尽管2010年CONSORT声明发布于十多年前,RCT的质量仍不令人满意。在许多RCT中,一些重要项目没有充分报告,如样本量,盲法,和隐瞒。我们鼓励专注于混合学习在医学教育中的影响的研究人员在设计和进行相关研究时将指南纳入2010年CONSORT声明中。研究人员,审稿人,和编辑还需要共同努力,根据2010年CONSORT声明的要求,提高相关RCT的质量。
    Aims/Background Blended learning has been a commonly adopted teaching mode in the medical education community in recent years. Many studies have shown that the blended learning mode is superior to the traditional teaching mode. Nonetheless, pinpointing the specific advantages provided by blended teaching methods is challenging, since multiple elements influence their effectiveness. This study aimed to investigate the reliability of the conclusions of published randomised controlled trials (RCTs) on blended learning in medical education by assessing their quality, and to provide suggestions for future related studies. Methods Two investigators searched PUBMED and EMBASE, and assessed RCTs related to medical blended learning published from January 1, 2010 to December 31, 2021. The analysis of the overall quality of each report was based on the 2010 consolidated standard of reporting trials (CONSORT) Statement applying a 28-point overall quality score. We also conducted a multivariate assessment including year of publication, region of the trial, journal, impact factor, sample size, and the primary outcome. Results A total of 22 RCTs closely relevant to medical blended learning were eventually selected for study. The results demonstrated that half of the studies failed to explicitly describe at least 34% of the items in the 2010 CONSORT Statement. Medical blended learning is an emerging new teaching mode, with 95.45% of RCTs published since 2010. However, many issues that we consider crucial were not satisfactorily addressed in the selected RCTs. Conclusion Although the 2010 CONSORT Statement was published more than a decade ago, the quality of RCTs remains unsatisfactory. Some important items were inadequately reported in many RCTs such as sample size, blinding, and concealment. We encourage researchers who focus on the effects of blended learning in medical education to incorporate the guidelines in the 2010 CONSORT Statement when designing and conducting relevant research. Researchers, reviewers, and editors also need to work together to improve the quality of relevant RCTs in accordance with the requirements of the 2010 CONSORT Statement.
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  • 文章类型: Journal Article
    在过去的十年里,在教育部门,人们对倒置课堂教学(ICT)及其各种形式的兴趣日益浓厚。生理学是连接基础医学和临床医学的核心课程,和生理学中的ICT在全球范围内都有不同程度的零星实践。然而,学生和教师对生理学信息通信技术的反应和反馈是多种多样的,并且难以客观和定量地评估将修改后的ICT模型集成到生理学课程的常规教学实践中的有效性。
    本研究旨在通过对相关文献的文献计量可视化分析,探讨ICT在基础医学教育中的应用现状和发展方向。
    使用CiteSpace对2000年至2023年之间发表的与ICT相关的生理学文献进行了文献计量分析,一个文献计量可视化工具,基于WebofScience数据库。此外,进行了深入的审查,以总结ICT在全球生理学课程中的应用,以及研究热点和发展趋势的确定。
    本文献计量分析共纳入42项研究,2013年标志着该领域的开始。在附属医院工作的大学工作人员和医生代表了这一领域的核心作者,与几个研究团队形成合作关系并发展研究网络。ICT在生理学中的发展可以分为几个阶段:引入阶段(2013-2014年),广泛实践阶段(2015-2019年),和改性成长阶段(2020-2023年)。GopalanC是5种被引用出版物中引用数量最高的作者,自2016年以来发表了14篇相关论文,从2019年到2022年大幅增长。作者合作在这个领域通常是有限的,大多数学术工作都是在独立的团队中进行的,最少的跨团队沟通。来自美国的作者发表的与生理学中的ICT相关的论文数量最多(共18篇,占论文总数的43%以上),它们的中间中心地位为0.24,表明在国内和国际上都有很强的联系。中国作家排名第二,在该领域发表8篇论文,尽管它们的中介中心性仅为0.02,表明国际影响力有限,总体研究质量较低。ICT在生理学研究中的主题是多方面的,涵盖主动学习,自主学习,学生表现,教学效果,混合式教学,和其他人。
    此文献计量分析和文献综述提供了对历史的全面概述,发展过程,以及生理学信息通信技术领域的未来发展方向。这些发现有助于加强国际间的学术交流与合作,同时通过构建学术团体,共同培养新兴医学人才,促进生理学信息通信技术的多样化和有效性。
    UNASSIGNED: Over the last decade, there has been growing interest in inverted classroom teaching (ICT) and its various forms within the education sector. Physiology is a core course that bridges basic and clinical medicine, and ICT in physiology has been sporadically practiced to different extents globally. However, students\' and teachers\' responses and feedback to ICT in physiology are diverse, and the effectiveness of a modified ICT model integrated into regular teaching practice in physiology courses is difficult to assess objectively and quantitatively.
    UNASSIGNED: This study aimed to explore the current status and development direction of ICT in physiology in basic medical education using bibliometric visual analysis of the related literature.
    UNASSIGNED: A bibliometric analysis of the ICT-related literature in physiology published between 2000 and 2023 was performed using CiteSpace, a bibliometric visualization tool, based on the Web of Science database. Moreover, an in-depth review was performed to summarize the application of ICT in physiology courses worldwide, along with identification of research hot spots and development trends.
    UNASSIGNED: A total of 42 studies were included for this bibliometric analysis, with the year 2013 marking the commencement of the field. University staff and doctors working at affiliated hospitals represent the core authors of this field, with several research teams forming cooperative relationships and developing research networks. The development of ICT in physiology could be divided into several stages: the introduction stage (2013-2014), extensive practice stage (2015-2019), and modification and growth stage (2020-2023). Gopalan C is the author with the highest citation count of 5 cited publications and has published 14 relevant papers since 2016, with a significant surge from 2019 to 2022. Author collaboration is generally limited in this field, and most academic work has been conducted in independent teams, with minimal cross-team communication. Authors from the United States published the highest number of papers related to ICT in physiology (18 in total, accounting for over 43% of the total papers), and their intermediary centrality was 0.24, indicating strong connections both within the country and internationally. Chinese authors ranked second, publishing 8 papers in the field, although their intermediary centrality was only 0.02, suggesting limited international influence and lower overall research quality. The topics of ICT in physiology research have been multifaceted, covering active learning, autonomous learning, student performance, teaching effect, blended teaching, and others.
    UNASSIGNED: This bibliometric analysis and literature review provides a comprehensive overview of the history, development process, and future direction of the field of ICT in physiology. These findings can help to strengthen academic exchange and cooperation internationally, while promoting the diversification and effectiveness of ICT in physiology through building academic communities to jointly train emerging medical talents.
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  • 文章类型: Journal Article
    北京协和医学院(PUMC)于2018年启动“44”临床医学试点课程,招收来自顶尖大学的非医学背景学生,与国家医学人才培养政策保持一致,以培养多样化和渴望的医学学习者。在2023年PUMC“4+4”临床医学试点项目第一堂课毕业之际,我们回顾了试点项目中的教学改革,并对学生进行了系统的调查和访谈,院系,和飞行员班的管理人员。本文报道了PUMC试点班级在招生和课程设置方面所采取的措施,并展示了试点班在学生学术背景结构方面的成就,知识获取和技能学习,科研能力,和课程评估。结果表明,试点班满足了国家对“医学+X”人才培养模式的需求。更具体地说,具有不同的学术背景,试点班毕业生的学术水平与八年制医学教育毕业生相当,他们的科研能力令人满意。PUMC的试点计划将优化课程设置,加强师资队伍建设,学习资源,和教学设施,改革学术评价方法,从而深化医学教育改革,完善“4+4”医学博士课程作为一种新型的医学教育模式。
    Peking Union Medical College (PUMC) launched the \"4+4\" Clinical Medicine Pilot Class in 2018, admitting students with non-medical backgrounds from top universities, aligning with national medical talent training policies to foster diverse and eager learners in medicine. On the occasion of the graduation of the first class of the \"4+4\" clinical medical pilot program at PUMC in 2023, we reviewed the teaching reform in the pilot program and carried out a systematic survey and interviews with students, faculties, and management staff of the pilot class. This article reports on the measures taken by the pilot class at PUMC in enrollment and curriculum setting, and demonstrates the achievements of the pilot class in terms of student academic background structure, knowledge acquisition and skill learning, scientific research ability, and course evaluation. The results indicated that the pilot class had met the national demand for the \"medicine + x\" talent training model. More specifically, with a diverse academic backgrounds, the pilot class graduates had academic levels comparable to the eight-year medical education graduates, and their scientific research abilities were satisfactory. The pilot program at PUMC will optimize the curriculum setting, strengthen the construction of faculty, learning resources, and teaching facilities, reform the academic evaluation methods, thus deepening the reform of medical education and improving the \"4+4\" MD program as a novel medical education model.
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  • 文章类型: Journal Article
    背景:基于过程的教学是一种新的教育模式。SPARK病例数据库是一个免费的医学影像病例数据库。本文旨在探讨基于SPARK病例数据库的过程式教学在肌肉骨骼系统放射学实践教学中的应用。
    方法:纳入117名三年级医学生。他们被分成A组,B,C和D根据课程安排。A组和B组同时参加实验课,A是实验组,B为对照组。C组和D组同时参加实验课,C是实验组,D为对照组。实验组使用SPARK病例数据库,对照组采用传统教学模式进行学习。四组学生分别在理论课结束后进行测试,在实验课之前,实验课之后,和一周后的实验课比较结果。最后,所有学生都使用SPARK案例数据库进行研究,并在实验课后一个月进行了测试,以比较它们的差异。
    结果:A组和B组理论课后的分数为(100.0±25.4),(101.0±23.8)(t=-0.160,P>0.05),C组和D组为(94.7±23.7),(92.1±18.6)(t=0.467,P>0.05)。A组和B组实验班前后和实验班后一周得分分别为(84.1±17.4),(72.1±21.3)(t=2.363,P<0.05),(107.6±14.3),(102.1±18.0)(t=1.292,P>0.05),(89.7±24.3),(66.6±23.2)(t=3.706,P<0.05)。C组和D组评分分别为(94.0±17.3)分,(72.8±25.5)(t=3.755,P<0.05),(107.3±20.3),(93.1±20.9)(t=2.652,P<0.05),(100.3±19.7),(77.2±24.0)(t=4.039,P<0.05)。A组和B组实验班后一个月的成绩为(86.6±28.8),(84.5±24.0)(t=0.297,P>0.05),C组和D组为(95.7±20.3),(91.7±23.0)(t=0.699,P>0.05)。
    结论:基于SPARK病例数据库的过程式教学可以提高学生肌肉骨骼系统的放射学实践能力。
    BACKGROUND: Process-based teaching is a new education model. SPARK case database is a free medical imaging case database. This manuscript aimed to explore the application of the process-based teaching based on SPARK case database in the practice teaching of radiology in the musculoskeletal system.
    METHODS: 117 third year medical students were included. They were divided into Group A, B, C and D according to the curriculum arrangement. Group A and B attended the experimental class at the same time, A was the experimental group, B was the control group. Group C and D attended experimental classes at the same time, C was the experimental group, D was the control group. The experimental group used SPARK case database, while the control group used traditional teaching model for learning. The four groups of students were respectively tested after the theoretical class, before the experimental class, after the experimental class, and one week after the experimental class to compare the results. Finally, all students used SPARK case database to study, and were tested one month after the experimental class to compare their differences.
    RESULTS: The scores after the theoretical class of Group A and B were (100.0 ± 25.4), (101.0 ± 23.8)(t=-0.160, P > 0.05), Group C and D were (94.7 ± 23.7), (92.1 ± 18.6)(t = 0.467, P > 0.05). The scores of Group A and B before and after the experimental class and one week after the experimental class were respectively (84.1 ± 17.4), (72.1 ± 21.3)(t = 2.363, P < 0.05), (107.6 ± 14.3), (102.1 ± 18.0)(t = 1.292, P > 0.05), (89.7 ± 24.3), (66.6 ± 23.2)(t = 3.706, P < 0.05). The scores of Group C and D were (94.0 ± 17.3), (72.8 ± 25.5)(t = 3.755, P < 0.05), (107.3 ± 20.3), (93.1 ± 20.9)(t = 2.652, P < 0.05), (100.3 ± 19.7), (77.2 ± 24.0)(t = 4.039, P < 0.05). The scores of Group A and B for one month after the experimental class were (86.6 ± 28.8), (84.5 ± 24.0)(t = 0.297, P > 0.05), and Group C and D were (95.7 ± 20.3), (91.7 ± 23.0)(t = 0.699, P > 0.05).
    CONCLUSIONS: The process-based teaching based on SPARK case database could improve the radiology practice ability of the musculoskeletal system of students.
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  • 文章类型: Journal Article
    ChatGPT作为一个多方面的AI聊天机器人,在医学上具有潜在的应用,已经引起了人们的关注。尽管在临床管理和患者教育等领域有有趣的初步发现,在全面了解ChatGPT能力的机会和局限性方面,仍然存在很大的知识差距,尤其是在医学考试和教育方面。从Amboss题库中提取了总共n=2,729个USMLE步骤1练习题。排除352个基于图像的问题后,总共2,377个基于文本的问题被进一步分类并手动输入到ChatGPT中,并记录了它的反应。ChatGPT的整体性能进行了分析,基于问题的难度,类别,以及关于特定信号单词和短语的内容。ChatGPT在从Amboss在线题库获得的n=2,377USMLE步骤1准备问题的总数中,总体准确率为55.8%。它证明了问题难度和性能之间的显着负相关,rs=-0.306;p<0.001,在不同级别的问题难度中保持与人类用户同伴组相当的准确性。值得注意的是,ChatGPT在血清学相关问题中表现优于(61.1%与53.8%;p=0.005),但与ECG相关的内容(42.9%vs.55.6%;p=0.021)。ChatGPT在病理生理学相关问题茎中取得了统计学上显着的较差表现。(信号短语=“什么是最可能/可能的原因”)。ChatGPT在各种问题类别和难度级别上表现一致。这些发现强调需要进一步调查以探索ChatGPT在医学检查和教育中的潜力和局限性。
    ChatGPT has garnered attention as a multifaceted AI chatbot with potential applications in medicine. Despite intriguing preliminary findings in areas such as clinical management and patient education, there remains a substantial knowledge gap in comprehensively understanding the chances and limitations of ChatGPT\'s capabilities, especially in medical test-taking and education. A total of n = 2,729 USMLE Step 1 practice questions were extracted from the Amboss question bank. After excluding 352 image-based questions, a total of 2,377 text-based questions were further categorized and entered manually into ChatGPT, and its responses were recorded. ChatGPT\'s overall performance was analyzed based on question difficulty, category, and content with regards to specific signal words and phrases. ChatGPT achieved an overall accuracy rate of 55.8% in a total number of n = 2,377 USMLE Step 1 preparation questions obtained from the Amboss online question bank. It demonstrated a significant inverse correlation between question difficulty and performance with rs = -0.306; p < 0.001, maintaining comparable accuracy to the human user peer group across different levels of question difficulty. Notably, ChatGPT outperformed in serology-related questions (61.1% vs. 53.8%; p = 0.005) but struggled with ECG-related content (42.9% vs. 55.6%; p = 0.021). ChatGPT achieved statistically significant worse performances in pathophysiology-related question stems. (Signal phrase = \"what is the most likely/probable cause\"). ChatGPT performed consistent across various question categories and difficulty levels. These findings emphasize the need for further investigations to explore the potential and limitations of ChatGPT in medical examination and education.
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  • 文章类型: Journal Article
    目的:探讨基于网络平台的团队式学习(TBL)在外科腹部急诊教学中的应用及效果。
    方法:纳入我校5年制临床医学专业的80名四年级医学生。随机分为两组:对照组(n=40)采用在线大班教学法,实验组(n=40)采用在线TBL教学法。通过问卷调查收集实验组的主观评价和两组的客观测试结果,评价基于网络的TBL教学效果。
    结果:在线TBL受到大多数学生的好评。80%以上的人觉得教学方法很有趣,超过90%的人对在线TBL学习能力的提高给予了高度评价。实验组在客观测试中得分明显高于对照组(p<0.05)。
    结论:基于网络的TBL是大多数学生的首选。TBL课程更有利于医学生的学习和参与,并具有更好的学习成果。
    OBJECTIVE: To explore the application and effect of team-based learning (TBL) based on network platform in teaching surgical abdominal emergency.
    METHODS: A total of 80 fourth-year medical students from our university\'s 5-year clinical medicine program were enrolled. They were randomly assigned to two groups: the control group (n = 40) used the online large class teaching method and the experimental group (n = 40) used the online TBL. The teaching effect of web-based TBL was evaluated by collecting the subjective evaluation of the experimental group and the objective test results of both groups through a questionnaire.
    RESULTS: Online TBL was well-received by most students. More than 80% of them found the teaching method interesting, and more than 90% of them gave a high rating to the improvement of their learning ability with online TBL. The experimental group scored significantly higher than the control group in the objective tests (p < 0.05).
    CONCLUSIONS: The network-based TBL is preferred by most students. TBL curricula are more conducive to medical student learning and engagement and have better learning outcomes.
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