Capstone Course

顶点课程
  • 文章类型: Journal Article
    越来越多的人认识到,即将到来的实习生在UME期间从教学技能的正式培训中受益。许多医学院的顶级课程非常适合教师培训内容。迷你粉笔演讲(MCT)是一种常见的临床教学方式,需要多种教学技能。我们为我们机构的顶点课程开发了一个课程,学生在该课程中准备并交付了MCT。
    自愿翻转课堂课程几乎于2021年提供,并于2022年亲自提供。在会议之前,学生审查了有关创建有效MCT的材料,并开发和实践了自己的MCT。在90分钟的会议中,学生将他们的MCT展示给一组学生在相同或类似的未来专业,并收到他们的同龄人和主持人的反馈。
    16个专业的26%的毕业生(370个中的95个)参加了。学生在提供有效MCT的信心方面具有统计学上的显着增加(p<0.01)。在5分的李克特量表上(1=没有学习,5=大量),学生的临床知识和教学技能的平均评分分别为4.4和4.5。定性反馈强调了接收教学反馈的好处(77名受访者中的31名,40%),实践教学技能(77人中的21人,27%),并体验其他学生的MCT(77个中的13个,17%)。
    我们的MCT会议提供了一个通用的,支持学生过渡到驻地教育者角色的资源有效方法。它还为他们提供了一个机会,在低风险环境中获得关于他们教学的宝贵反馈。
    UNASSIGNED: There is increasing recognition that incoming interns benefit from formal training in teaching skills during UME. Many medical schools have capstone courses well suited for teacher-training content. Mini chalk talks (MCTs) are a common clinical teaching modality requiring a variety of teaching skills. We developed a session for our institution\'s capstone course in which students prepared and delivered MCTs.
    UNASSIGNED: The voluntary flipped classroom session was offered virtually in 2021 and in person in 2022. Before the session, students reviewed materials on creating effective MCTs and developed and practiced their own MCT. During the 90-minute session, students presented their MCT to a group of students in the same or similar future specialties and received feedback from their peers and a facilitator.
    UNASSIGNED: Twenty-six percent of graduating students (95 of 370) in 16 specialties participated. Students had a statistically significant increase in confidence delivering effective MCTs (p < .01). On a 5-point Likert scale (1 = did not learn, 5 = a great amount), students\' mean ratings of clinical knowledge and teaching skills gained from the session were 4.4 and 4.5, respectively. Qualitative feedback highlighted the benefits of receiving feedback on teaching (31 of 77 respondents, 40%), practicing teaching skills (21 of 77, 27%), and experiencing other students\' MCTs (13 of 77, 17%).
    UNASSIGNED: Our MCT session provides a versatile, resource-efficient method of supporting students in transitioning to the role of resident educators. It also offers them an opportunity to receive valuable feedback on their teaching in a low-stakes environment.
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  • 文章类型: Case Reports
    背景:本文介绍了一系列旨在为学生准备高级药学实践经验(APPE)的综合课程。创新:三个整合块散布在整个教学课程中,作为检查点,以确保学生在课程中的进步能力,而不是等到最后才确定能力。复杂的患者病例讨论和一系列高风险评估被用来加强和评估知识的累积保留,技能,和态度。研究结果:2022年考试结果显示,在第一个整合块(IB)期间未能通过高风险综合知识评估(CKA)和药学计算考试的学生群体中,随后的IBs故障率下降,指示知识缺陷的早期检测以及每个IB的考试绩效改善或未能进展到下一个IB。对同一队列的调查表明,高级药学实践经验(APPE)之前的最终整合模块有助于提高将关键知识和技能应用于实践的信心。结论:在WesternU设计和实施的一系列集成模块提供了加强知识和技能的机会,同时要求学生在课程中进步时展示核心能力的维护。
    Background: This paper describes a series of integrative courses intentionally designed to prepare students for Advanced Pharmacy Practice Experiences (APPEs) in a block system curriculum. Innovation: Three integration blocks are interspersed throughout the didactic curriculum to serve as checkpoints to ensure competency as students progress in the curriculum, rather than waiting until the end to determine competency. Complex patient case discussions and a series of high-stakes assessments are used to reinforce and evaluate cumulative retention of knowledge, skills, and attitudes. Findings: Class of 2022 exam results showed that in the cohort of students who failed the high-stakes comprehensive knowledge assessment (CKA) and pharmacy calculations exams during the first integration block (IB), failure rates decreased in subsequent IBs, indicating early detection of knowledge deficiencies and either exam performance improvement in each IB or failure to progress to the next IB. A survey of the same cohort indicated that the final integration block prior to advanced pharmacy practice experiences (APPEs) helped improve confidence in applying key knowledge and skills into practice. Conclusion: The series of integration blocks designed and implemented at WesternU provides opportunities to reinforce knowledge and skills while requiring students to demonstrate maintenance of core competency as they progress through the curriculum.
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  • 文章类型: Journal Article
    BACKGROUND: Interdisciplinary teaching provides students with multiple perspectives through instruction from faculty and students in other academic areas. Providing interdisciplinary teaching to students in nursing and interdisciplinary programs could help foster collaborations between students in nursing and students in fields such as design or engineering, which could expand students\' understanding of the skills required to develop a working prototype.
    OBJECTIVE: To evaluate whether there is an effect of interdisciplinary teaching on nursing students\' creative thinking abilities.
    METHODS: A quasi-experimental study of two experimental and one control group with a pre-test/post-test design.
    METHODS: The study was conducted between September 2018 and January 2020 in classrooms of a university of science and technology in Taiwan.
    METHODS: Nursing students (N = 191) enrolled in capstone courses participated in this study. Two groups of students were assigned to the intervention: Group 1, comprised of typical students (n = 80) or Group 2, comprised of students with teaching assistantships (n = 30). The control group (n = 81) was typical students. The intervention groups received instruction from interdisciplinary faculty in nursing and design and creativity training. The control group was taught by nursing faculty only, without creativity training.
    METHODS: The Taiwanese version of the Torrance Tests of Creative Thinking-Figural (TTCT-F) instrument assessed students\' creative thinking abilities at the beginning (pre-test) and end of the 18-week course (post-test). Differences in pre-test/post-test scores between groups were examined with analysis of covariance.
    RESULTS: Comparisons between mean total and subscale scores for TTCT-F for the two intervention groups and controls demonstrated only Group 2 students (teaching assistants) had significantly higher scores than the control group. Teaching assistants also had significantly higher scores than Group 1.
    CONCLUSIONS: Findings suggest interdisciplinary teaching benefited creative thinking abilities of nursing students holding teaching assistantships. Therefore, it may be more important to first emphasize improvements in academic performance for typical nursing students in Taiwan and then incorporate interdisciplinary teaching into nursing programs to improve creative thinking.
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  • 文章类型: Journal Article
    BACKGROUND: The final months of the fourth-year of medical school are variable in educational and clinical experience, and the effect on clinical knowledge and preparedness for residency is unclear. Specialty-specific \"bootcamps\" are a growing trend in medical education aimed at increasing clinical knowledge, procedural skills, and confidence prior to the start of residency.
    METHODS: We developed a 4-week Emergency Medicine (EM) bootcamp offered during the final month of medical school. At the conclusion of the course, participants evaluated its impact. EM residency-matched participants and non-participants were asked to self-evaluate their clinical knowledge, procedural skills and confidence 1 month into the start of residency. Program directors were surveyed to assess participants and non-participants across the same domains. A Fisher\'s exact test was performed to test whether responses between participants and non-participants were statistically different.
    RESULTS: From 2015 to 2018, 22 students participated in the bootcamp. The majority reported improved confidence, competence, and procedural skills upon completion of the course. Self-assessed confidence was significantly higher in EM-matched participants 1 month into residency compared to EM-matched non-participants (p = 0.009). Self-assessed clinical knowledge and procedural skill competency was higher in participants than non-participants but did not reach statistical significance. Program directors rated EM-matched participants higher in all domains but this difference was also not statistically significant.
    CONCLUSIONS: Participation in an EM bootcamp increases self-confidence at the start of residency among EM-matched residents. EM bootcamps and other specialty-specific courses at the end of medical school may ease the transition from student to clinician and may improve clinical knowledge and procedural skills.
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  • 文章类型: Journal Article
    Introduction Changes in medical education and health care delivery have limited the ability of fourth-year medical students to perform the role of an intern prior to graduating from medical school. To address this issue, many schools have instituted residency preparation courses (sometimes referred to as boot camps) particularly for students entering surgical fields. Courses for students entering nonprocedural fields are less common and most assess increases in self-reported confidence without providing objective evidence of a gain in knowledge or skills improvement. Materials and Methods We used a Plan, Do, Study, Act (PDSA) model to develop and pilot cycle 1 of a nonprocedural internship preparation elective in 2019. Feedback was used to refine the course and map sessions to core competencies outlined by the Accreditation Council of Graduate Medical Education (ACGME) for PDSA cycle 2. The curriculum was adapted for remote synchronous delivery due to the coronavirus pandemic in spring 2020 using a combination of didactic lectures containing embedded polls and case-based role play responses using a chat box. Students completed anonymous surveys assessing self-perceived levels of confidence, as well as an objective comprehensive assessment after course completion. Results A total of 89 students participated in the course. Pre-session confidence was lowest for transfusion medicine, handling pages from nursing while on call, and knowledge of the role of a chief resident. A statistically significant increase in median scores for self-reported knowledge or confidence was seen in all sessions. The percentage of students reporting that they were either confident or extremely confident also increased significantly after each session (p<0.001 for all). All sessions analyzed were rated as useful or extremely useful by more than half of the students, and 94% of the students scored 70% or higher on the comprehensive course assessment. Conclusions An online virtual synchronous boot camp increased students\' confidence in handling common topics encountered during residency and demonstrated an appropriate gain in knowledge using a comprehensive assessment. We were able to adapt our curriculum to a remote model and will likely keep several sessions in an online format in the future.
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  • 文章类型: Comparative Study
    Although many medical schools are adding residency preparatory courses or boot camps to their curricula, there is little published guidance for faculty tasked with designing them. We developed a workshop and accompanying boot camp course design tool kit to assist faculty in creating a pediatric boot camp course following the initial steps of Kern\'s framework for curriculum development.
    Learners participated in a 2-hour workshop incorporating short didactics, guided independent reflection, and group discussions. Workshop facilitators guided faculty through the tool kit materials including a literature overview, a needs assessment worksheet, session prioritization and schedule planning worksheets, a module design worksheet, and implementation strategies.
    Twenty-seven attendees at a national meeting of undergraduate pediatric educators participated in the workshop. Feedback was solicited via an anonymous electronic survey (41% completion rate), which indicated that attendees\' self-assessed confidence significantly increased for each component of the tool kit. For the five tool kit components surveyed, average confidence increased 26% (range: 17.5%-37.1%) after completing the workshop. All respondents also indicated that the tool kit would be moderately helpful to very helpful as a stand-alone resource for independent faculty use, corresponding to a 3.57 out of 5 weighted average for this Likert-scale question.
    We developed a pediatric boot camp course design workshop and tool kit to assist faculty in developing pediatric boot camps. Initial implementation was through a workshop, but the resource could be used individually and also adapted for use by other specialties.
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  • 文章类型: Journal Article
    We describe an advanced, inquiry driven undergraduate course in Cancer Biology that combines faculty lectures typical of undergraduate courses with literature-driven discussions typical of graduate courses. As a capstone course, one goal of this course is to integrate knowledge from previous coursework in physiology, cell and molecular biology, genetics, and chemistry, so that students acquire a state-of-the-art understanding of cancer and cancer treatment. A related goal is for students to learn, from the primary literature, how science is performed and how new scientific knowledge is used to improve cancer treatment. We report on the development of this course and the methods used to accomplish the course goals. We present the results of a 5-year survey that provides a detailed picture of the demographics of the class and demonstrates that the course results in improved understanding of both cancer biology and how science is performed. Student responses to our survey strongly support the use of original literature as a teaching tool. We suggest that incorporation of primary literature into advanced undergraduate science courses is an effective approach for improving scientific literacy. © 2019 International Union of Biochemistry and Molecular Biology, 47(4):408-416, 2019.
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  • 文章类型: Journal Article
    Objective.描述如何将药物治疗课程用于学生学习和计划课程评估。设计。从2002年到2014年,科罗拉多大学的课程中包括了13年的药物治疗课程。这个9学分的课程是高级药学实践经验(APPEs)之前的最后一门课程。学生对使用复杂的患者病例和在APPE中看到的其他活动的先前学习负责。知识的应用,技能,和批判性思维被整合在这个过程中使用专门的主动学习方法。期望学生积极参与和自主学习,从同龄人和自我评估。评估。根据2012年至2014年分析的书面和口头评估的学生表现,证明了学生学习的证据。调查和自我评估数据表明,学生在课程中学习。学生对批判性思维的信心增强,解决问题,决策,终身学习也在APPEs期间出现。学生在本课程中的表现促使对前提课程进行了更改,并指导了更新课程的开发。结论。科罗拉多大学的药物治疗课程为学生准备了严格的APPEs,提供了有助于提高先决条件课程的洞察力,是发展新课程的纽带,其中包括一个新的临床顶点课程。
    Objective. To describe how a pharmacotherapy capstone course was used for student learning and programmatic curricular assessment. Design. A pharmacotherapy capstone course was included in the University of Colorado curriculum for 13 years from 2002 through 2014. This 9-credit hour course was the last course prior to Advanced Pharmacy Practice Experiences (APPEs). Students were held accountable for prior learning using complex patient cases and other activities that are seen in APPEs. Application of knowledge, skills, and critical thinking were integrated in this course using exclusively active learning methodologies. Students were expected to actively participate and learn independently, from peers and through self-assessment. Assessment. Evidence of student learning was demonstrated based on student performance on written and verbal evaluations analyzed from 2012 to 2014. Survey and self-evaluation data indicated that students learned within the course. An increase in student confidence in critical thinking, problem-solving, decision making, and lifelong learning was also seen during APPEs. Student performance in this course prompted changes to prerequisite courses and guided development of a renewed curriculum. Conclusion. The University of Colorado pharmacotherapy capstone course prepared students for the rigor of APPEs, provided insight that facilitated improvements in prerequisite courses, and was a nexus for the development of a renewed curriculum, which includes a new clinical capstone course.
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  • 文章类型: Journal Article
    OBJECTIVE: Many medical schools have begun to offer surgical boot camps to senior medical students. The aim of the present study is to systematically review the literature and evidence surrounding medical school surgical boot camps to direct future research into the effectiveness of boot camps.
    METHODS: A systematic review was conducted, searching MEDLINE, EMBASE, PsycINFO, CINAHL, and ERIC. The review was conducted according to the PICOTS structure, with an intervention of a surgical boot camp for senior medical students entering surgical residencies.
    RESULTS: The search resulted in 5351 database hits, from which we identified 10 published studies that met the inclusion criteria. Two reviews were identified that met the PICOTS criteria but were excluded from data synthesis. Boot camps increase the confidence and competence of medical students entering their surgical internships. There is no objective assessment of the effect of boot camps on the clinical performance of interns.
    CONCLUSIONS: Despite the success of medical school surgical boot camps, no objective data exist to show that boot camps translate into improved performance during internship.
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  • 文章类型: Journal Article
    目的:使用焦点小组的定性结果描述顶点课程的发展,并使用课程前和课程后调查确定课程的影响。
    方法:使用3个利益相关者焦点小组的主题开发了名为“高级患者护理”的课程,并通过基于案例的课程进行实施。互动练习,和客观结构化临床检查(OSCEs)。进行了课程前和课程后调查,以评估学生对管理8种常见疾病的信心和知识。
    结果:在为期2年的课程实施过程中,共有169名学生参加了课前和课后调查(回应率87.6%)。平均总置信度得分从54.3(±9.2)显着增加到69.0(±8.6,p<0.001),总平均知识得分从6.3显著提高到6.9(p<0.001)。
    结论:顶点课程,由焦点小组的发现推动,并使用交互式会议和模拟实施,积极影响学生对临床实践经验和专业实践的信心和知识。
    OBJECTIVE: To describe the development of a capstone course using qualitative results of focus groups and to determine the impact of the course using a pre- and postcourse surveys.
    METHODS: A course titled Advanced Patient Care was developed using themes emerged from 3 stakeholder focus groups and implemented with case-based sessions, interactive exercises, and Objective Structured Clinical Examinations (OSCEs). Pre- and postcourse surveys were conducted to assess the students\' confidence and knowledge in managing 8 commonly-encountered conditions.
    RESULTS: During the 2-year course implementation, a total of 169 students participated in the pre- and postcourse surveys (87.6% response rate). The mean total confidence score increased significantly from 54.3 (±9.2) to 69.0 (±8.6, p < 0.001), and the total mean knowledge score increased significantly from 6.3 to 6.9 (p < 0.001).
    CONCLUSIONS: The capstone course, fueled by focus group findings and implemented using interactive sessions and simulations, positively impacted students\' confidence and knowledge for clinical practice experiences and professional practice.
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