Clinical shadowing

临床阴影
  • 文章类型: Journal Article
    许多生物医学工程学位课程对本科生来说缺乏实质性的沉浸式临床经验,创建对临床沉浸计划的需求,这些计划有助于强调当前临床需求的培训目标(BeckerinEurJEngEduc31:261-272,2006;Davis等人。在JEngEduc91:211-221,2002;Dym等人。在JEngEduc94:103-120,2005)。沉浸式临床经验有可能弥合生物医学工程课程中临床和非临床学习目标之间的差距。与印第安纳大学健康卫理公会医院合作,我们创造了,执行,并评估了普渡大学生物医学工程本科生为期两周的心血管临床沉浸计划。截至2022年8月,该计划自2014年以来已经运行了11次,迄今为止有60名参与者。将学生暴露在重症和非重症监护环境中,促进与医疗专业人员的互动,并鼓励探索创新技术,以直接与患者互动的方式培训临床医生。所讨论的各种心血管主题和观察到的临床环境为学生提供了独特的,非常有益的学习机会。类似计划持续成功和增长的关键包括:招募多元化的团队,行政人员/临床医生的支持,资助的学生实习生职位,并仔细考虑责任/风险管理。未来考虑的领域包括,精简预定事件的顺序,确定提供课程学分是否对学生有利,并跟踪参与后的职业轨迹。
    Many biomedical engineering degree programs lack substantial immersive clinical experiences for undergraduate students, creating a need for clinical immersion programs that contribute to training objectives that emphasize current clinical needs (Becker in Eur J Eng Educ 31:261-272, 2006; Davis et al. in J Eng Educ 91:211-221, 2002; Dym et al. in J Eng Educ 94:103-120, 2005). Immersive clinical experiences have the potential to bridge the gap between clinical and non-clinical learning objectives in biomedical engineering curriculum. In collaboration with Indiana University Health Methodist Hospital, we have created, executed, and evaluated a two-week cardiovascular clinical immersion program for biomedical engineering undergraduate students at Purdue University. As of August 2022, this program has run 11 times since 2014 with 60 participants to date, exposing students to intensive and non-intensive care environments, facilitating interactions with medical professionals, and encouraging exploration of innovative technologies shaping the training of clinicians with direct patient interaction. The variety of cardiovascular topics discussed and clinical settings observed has provided students with a unique, highly beneficial learning opportunity. Keys to the continued success and growth of similar programs include: recruiting a diverse team, support from administrative staff/clinicians, a funded student intern position, and careful consideration of liability/risk management. Areas of future consideration include, streamlining the order of scheduled events, determining if offering course credit would be beneficial to students, and tracking career trajectories after participations.
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  • 文章类型: Journal Article
    目的:这项混合方法研究旨在通过一个学术牙科机构的临床阴影计划(CSP)调查教职员工对早期临床暴露的看法。
    方法:在获得伦理批准后,本研究设计整合了使用定量和定性方法的并行数据收集.对于定量数据,已将经过验证的仪器(Likert量表)分发给所有关于CSP的基础和临床科学教员.对基础和临床科学教师进行了定性半结构化访谈,以探索他们对CSP的看法。完成了定量数据的描述性统计,并对转录访谈进行了主题分析。
    结果:来自基础和临床科学的教职员工参加了这项混合方法研究,97%(n=74)的参与者在定量,12个参与者在定性。大多数教师(67%;n=44)强烈同意CSP帮助博士前学生将基础科学知识应用于临床实践。所有基础科学受访者(n=10;100%)和许多临床科学教师(60%;n=35)强烈同意CSP需要基础和临床科学教育者之间的协调(p=0.042)。一些教师建议对该计划的教育工作者进行培训,并定期对该计划的有效性进行定期学生评估。
    结论:当前的研究报告了教师对所提出的整合方法的积极看法。此外,管理者可以提供促进基础和临床科学教育者之间协调的机会,以加强现有的CSP框架。
    OBJECTIVE: This mixed methods study aims to investigate faculty members\' perceptions of early clinical exposure through clinical shadowing program (CSP) at one academic dental institution.
    METHODS: After ethical approval was received, concurrent data collection using quantitative and qualitative methods was integrated for this study design. For the quantitative data, a validated instrument (Likert scale) was distributed to all basic and clinical science faculty members regarding the CSP. Qualitative semi-structured interviews of basic and clinical science faculty members were conducted to explore their perceptions of the CSP. Descriptive statistics were completed for the quantitative data, and thematic analysis was carried out for the transcribed interviews.
    RESULTS: Faculty members from basic and clinical sciences participated in this mixed methods study, 97% (n = 74) participants in the quantitative and 12 participants in the qualitative. The majority of faculty (67%; n = 44) strongly agreed that CSP helps predoctoral students in the application of basic science knowledge to clinical practice. All basic science respondents (n = 10; 100%) and many clinical science faculty (60%; n = 35) strongly agreed that CSP requires coordination between basic and clinical science educators (p = 0.042). Some faculty suggested the inclusion of training for educators on the program and regular periodic student assessments of the program\'s effectiveness.
    CONCLUSIONS: The current study reported positive faculty perception toward the proposed method of integration. Furthermore, opportunities to foster coordination between basic and clinical science educators may be provided by administrators to strengthen the existing CSP framework.
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