Curriculum

课程
  • 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
    关于物理和康复医学的感知提供了有关识别残疾和管理其对日常生活活动的影响的意识的信息;但是,关于该领域的误解继续存在于学生和医生之间。这项研究旨在描述临床文员和实习生对康复医学在患者管理中的实践和作用的看法。
    这是一项描述性横断面研究。UP医学院学习单元6和7的学生回答了先前研究中改编的在线调查表,并参加了在线焦点小组讨论。定性数据用于推断医学生对该专业的看法。受访者个人资料的影响,他们的知识背景和从属关系,态度和感知使用单向方差分析(α=0.05)。使用主题分析对定性数据进行分析。
    学习单元6和7的学生被发现在专业方面具有广泛的知识水平。学生们把专业与整体护理联系在一起,生活质量,跨学科合作,和管理案件的多样性。在以下方面的感知之间没有发现统计学上的显着差异:1)学习单元6和7,2)先前与专业接触或未接触过的人,3)在以下方面的联合医学和非联合医学本科课程:a)对知识的信心(p=0.489),b)熟悉管理的条件(p=0.93)和c)对专业的兴趣(p=0.693)。器官系统综合(OSI)课程,促进概念的横向和纵向整合,提供了与物理相关的基本概念的广泛理解。学生的回答表明对物理和康复医学持积极态度,以他们对了解更多关于专业的兴趣水平来衡量。最常见的看法是,该专业是多学科和整体的。然而,受访者对康复团队角色的看法有限.
    学习单元6级和7级学生对物理和康复医学专业的实践和范围有广泛的了解。未来的研究可以包括其他所有年份的医学生,包括UPCM的学习单元3、4和5,观察他们对整个医学院专业的看法的发展。
    UNASSIGNED: Perception about Physical and Rehabilitation Medicine provides information about awareness on identifying disabilities and managing their impact on activities of daily living; however, misconceptions about the field continue to exist among both students and physicians. This study aims to describe the perceptions of clinical clerks and interns towards the practice and role of Rehabilitation Medicine in management of patients.
    UNASSIGNED: This is a descriptive cross-sectional study. Students from the Learning Unit 6 and 7 of UP College of Medicine answered adapted online survey forms from a previous study and participated in online focus group discussions. Qualitative data were used to infer the perception of medical students towards the specialty. The effect of the respondent\'s profile, background and affiliation on their knowledge, attitudes and perceptions were analyzed using One-Way ANOVA (α = 0.05). Qualitative data were analyzed using thematic analysis.
    UNASSIGNED: Learning Unit 6 and 7 students were found to have a perceived broad level of knowledge with regards the specialty. The students associated the specialty with focus on holistic care, quality of life, interdisciplinary collaboration, and diversity of cases managed. No statistically significant differences were found between the perception among: 1) Learning Unit 6 and 7, 2) those with or without a previous encounter with the specialty, 3) allied medical and non-allied medical undergraduate courses in terms of: a) confidence in the knowledge (p = 0.489), b) familiarity with conditions managed (p = 0.93) and c) interest towards the specialty (p = 0.693). The Organ System Integrated (OSI) curriculum, which promotes horizontal and vertical integration of concepts, provided a wide understanding of the basic concepts related to physiatry. The students\' responses suggest a positive attitude towards Physical and Rehabilitation Medicine, as measured in their level of interest about knowing more regarding the specialty. Most common perceptions were that the specialty was multidisciplinary and holistic. However, the respondents\' perceptions regarding the roles of the Rehabilitation team were limited.
    UNASSIGNED: Learning unit level 6 and 7 students had a broad understanding of the practice and scope of the Physical and Rehabilitation Medicine specialty. Future researches can include other medical students in all year levels, including Learning Units 3, 4 and 5 of UPCM, to observe the development of their perceptions about the specialty throughout medical school.
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  • 文章类型: Journal Article
    AlphaFold2是一种基于人工智能的程序,旨在预测蛋白质的3D结构,仅在原子分辨率下给出其氨基酸序列。由于AlphaFold2可以生成3D结构预测的准确性和效率,以及其在生化研究各个方面的广泛采用,应考虑将蛋白质结构预测技术纳入本科生物化学课程。开发了将AlphaFold2引入高级生物化学实验室教室的模块。该模块的重点是让学生预测来自MPOX22全球爆发病毒分离株基因组的蛋白质结构,当时还没有阐明结构。这项研究的目的是确定模块对学生的影响,并开发一个框架,将AlphaFold2引入本科课程,以便生物化学课程的讲师,不管他们在生物信息学的背景,可以将模块适应他们的教室。
    AlphaFold2 is an Artificial Intelligence-based program developed to predict the 3D structure of proteins given only their amino acid sequence at atomic resolution. Due to the accuracy and efficiency at which AlphaFold2 can generate 3D structure predictions and its widespread adoption into various aspects of biochemical research, the technique of protein structure prediction should be considered for incorporation into the undergraduate biochemistry curriculum. A module for introducing AlphaFold2 into a senior-level biochemistry laboratory classroom was developed. The module\'s focus was to have students predict the structures of proteins from the MPOX 22 global outbreak virus isolate genome, which had no structures elucidated at that time. The goal of this study was to both determine the impact the module had on students and to develop a framework for introducing AlphaFold2 into the undergraduate curriculum so that instructors for biochemistry courses, regardless of their background in bioinformatics, could adapt the module into their classrooms.
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  • 文章类型: Journal Article
    背景:颞下颌疾病诊断标准(DC/TMD)是本科牙科课程的一部分。如今,在线教学在牙科中也变得很普遍。
    目的:比较本科生对传统学习和在线学习的DC/TMD轴I的自我评估能力和满意度,并评估在线教学的可能收益。
    方法:2018年三年级本科牙科学生(传统学习,第1组,n=43/50)和2019年(在线学习,第2组,n=34/50)在奥卢大学,芬兰以10分量表评估了他们对学习DC/TMD临床检查和诊断的自我评估能力和满意度。此外,参加在线课程的人回答了两个开放式问题;第2组(n=50)和2019年和2020年来自东芬兰大学的另一组(n=75,第3组).共有105/125名学生(84%)做出了回应。内容分析用于开放式响应。
    结果:在线课程报告了在测量方面的自我评估能力显着提高(p=0.004),确定转诊疼痛(p=0.043)和诊断说明(p=0.017),以及更高的测量自我评估满意度(p=0.046).根据内容分析,在线教学的基本收获是高效学习,视频和练习,以及对自己时间表的可调性。
    结论:在线学习课程可以被认为是传统学习DC/TMD协议的良好选择。
    BACKGROUND: The Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) is part of the undergraduate dental curriculum. Online teaching has nowadays become common also in dentistry.
    OBJECTIVE: To compare undergraduate students\' self-assessed ability and satisfaction with learning DC/TMD Axis I between traditional and online learning and to evaluate the possible gains of online teaching.
    METHODS: Third-year undergraduate dental students in 2018 (traditional learning, Group 1, n = 43/50) and in 2019 (online learning, Group 2, n = 34/50) at the University of Oulu, Finland evaluated their self-assessed ability and satisfaction with learning DC/TMD clinical examination and diagnostics on a 10-point scale. Additionally, those participating in online courses answered to two open-ended questions; Group 2 (n = 50) and another group from the University of Eastern Finland in 2019 and 2020 (n = 75, Group 3). Total of 105/125 students (84%) responded. Content analysis was used to open-ended responses.
    RESULTS: The online course reported significantly higher self-assessed ability in measurements (p = 0.004), identifying referred pain (p = 0.043) and statement for the diagnostics (p = 0.017) and also higher self-assessed satisfaction in measurements (p = 0.046). According to the content analysis, essential gains of online teaching were efficient learning, videos and exercises, and adjustability to own timetable.
    CONCLUSIONS: The online learning course can be considered as a good option for traditional learning of the DC/TMD protocol.
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    文章类型: Journal Article
    土著社区控制的医疗保健组织及时提供,持续,和文化上安全的护理。然而,他们的专业知识往往被排除在卫生专业教育之外。这限制了知识和协议向未来从业人员的转让,这些从业人员能够塑造能够实现土著人民健康权并减少健康和社会不平等的医疗保健系统和做法。在澳大利亚,尽管国家政府承诺改变课程,服务,以及与土著健康有关的系统,大学等卫生保健培训组织的土著工作人员通常很少,很少有吸引土著专家的战略。本文的作者是Bunya项目的一部分,由土著领导的参与行动研究工作,旨在通过与土著社区控制的组织建立伙伴关系,支持非土著大学工作人员和课程开发。我们对土著人进行了24次访谈,以确定对医疗保健课程的建议。出现了三个主题:(1)土著控制的卫生组织的角色建模和领导;(2)卫生专业人员的具体学习;(3)在实践中实现人权。访谈还强调,卫生专业人员需要超越临床护理,以及教职员工和学生的知识发展,技能,以及关于客户自决的行动,以促进客户在其医疗保健各个方面的权利。卫生专业人员的批判性自我反省是文化安全所必需的基本个人技能。
    Indigenous community-controlled health care organizations provide timely, sustained, and culturally safe care. However, their expertise is often excluded from health professional education. This limits the transfer of knowledges and protocols to future practitioners-those positioned to shape health care systems and practices that could achieve the health rights of Indigenous people and reduce health and social inequities. In Australia, despite national government commitments to transforming curricula, services, and systems related to Indigenous health, health care training organizations such as universities generally have low numbers of Indigenous staff and few strategies to engage Indigenous experts. The authors of this paper are part of the Bunya Project, an Indigenous-led participatory action research effort designed to support non-Indigenous university staff and curriculum development through partnerships with Indigenous community-controlled organizations. We conducted 24 interviews with Indigenous individuals to ascertain recommendations for health care curricula. Three themes emerged: (1) role-modeling and leadership of Indigenous-controlled health organizations; (2) specific learnings for health professionals; and (3) achieving human rights in practice. Interviews also highlighted the need for health professionals\' extension beyond clinical caregiving, and staff and students\' development of knowledge, skills, and actions regarding client self-determination in order to promote clients\' rights across all aspects of their health care. Critical self-reflection by health professionals is a foundational individual-level skill necessary for cultural safety.
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  • 文章类型: Journal Article
    许多青少年暑期项目都侧重于身体健康,营养健康,心理健康,或教育。很少,然而,将所有这些元素集成到一个程序中。营养和运动学转化健康(THINK)计划提供了一个综合的营养和运动科学课程,与社会情感学习(SEL)和STEM教育相结合,以增强青少年的健康行为。这项研究的目的是确定思维计划是否可以提高身体素质,营养习惯,SEL,和STEM教育,为期6周的夏季课程,为期3年。来自南迈阿密的参与者参加了THINK(n=108,58名男性,50名女性,12.03+0.56年)。身体健康评估,积极青年发展清单(PYDI),学生对STEM调查的态度,在基线和测试后记录青少年饮食习惯清单(ADFH).评估所有因变量的平均值和标准误差值。使用配对样本t检验(SPSS版本27)来确定变化。心肺功能的改善(p<0.001),功率(p<0.006),柔韧性(p<0.001),敏捷性(p<0.001),肌肉耐力(p<0.001),瘦体重(p<0.001),ADFH(p<0.001),和PYDI(p=0.038)被发现。综合的夏季健身计划可以改善身体素质,营养习惯,和SEL在短短六周内。
    Numerous youth summer programs focus upon physical fitness, nutritional health, psychological well-being, or education. Few, however, have integrated all of these elements into a single program. The Translational Health in Nutrition and Kinesiology (THINK) program provides an integrative nutrition and exercise science curriculum that is interfaced with social emotional learning (SEL) and STEM education to enhance healthy behaviors in youth. The purpose of this study was to determine whether the THINK program could improve physical fitness, nutrition habits, SEL, and STEM education in a 6-week summer program covering a 3-year period. Participants from South Miami were enrolled in THINK (n = 108, 58 males, 50 females, 12.03 + 0.56 years). Physical fitness assessments, the Positive Youth Development Inventory (PYDI), the Students\' Attitude Towards STEM Survey, and the Adolescent Food Habits Checklist (ADFH) were recorded at baseline and post-testing. Means and standard error values were evaluated for all dependent variables. Paired samples t-tests (SPSS version 27) were used to determine changes. Improvements in cardiorespiratory fitness (p < 0.001), power (p < 0.006), flexibility (p < 0.001), agility (p < 0.001), muscular endurance (p < 0.001), lean body mass (p < 0.001), ADFH (p < 0.001), and PYDI (p = 0.038) were found. An integrative summer fitness program can result in improvements in physical fitness, nutrition habits, and SEL in as little as six weeks.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    在加拿大和使用合作(合作)教育模式的课程中,对学生在药学课程中的表现与进入实践里程碑之间的关联的研究受到限制。合作社使学生在直接的患者护理角色和药剂师的非传统角色中获得各种机会,比如政策,倡导,保险,研究,和制药业。这项研究的目的是分析学生成绩与滑铁卢大学(UW)药学博士(PharmD)合作计划中获得的评估之间的关联以及进入实践里程碑的成功率,包括加拿大药房考试委员会(PEBC)药剂师资格考试和最后一年临床轮换的表现。课程的成绩和评价,合作工作条件,临床轮换,和PEBC检查数据来自三个毕业队列。进行多元回归分析以探索学生评估与PEBC药剂师资格考试和临床轮换表现之间的关联。保持所有其他变量不变,解剖学/生理学成绩与PEBC药剂师资格考试成绩呈负相关,而其中一门专业实践课程的成绩与同一考试呈正相关。在基于问题的学习顶点治疗学课程中成绩较高的学生,在他们的第一个合作工作任期内,在直接患者护理合作工作期间,在临床轮换中得分更高。合作表现在预测PEBC表现方面并不显著。然而,免费的描述性分析强调,合作社评分为好或低的学生更有可能失败课程,中点评估,客观结构化临床检查(OSCEs),和PEBC措施。确定了最后一年临床轮换和PEBC药剂师资格考试表现的多个预测因子。该预测模型可用于识别表现不佳的学生,并促进早期干预和补救计划,同时也通知课程修订。
    Research on associations between student performance in pharmacy programs and entry-to-practice milestones has been limited in Canada and in programs using a co-operative (co-op) education model. Co-op exposes students to a variety of opportunities both within direct patient care roles and in non-traditional roles for pharmacists, such as policy, advocacy, insurance, research, and the pharmaceutical industry. The purpose of this research is to analyze associations between student grades and evaluations achieved in the University of Waterloo (UW) Doctor of Pharmacy (PharmD) co-op program and success rates on entry-to-practice milestones, including the Pharmacy Examining Board of Canada (PEBC) Pharmacist Qualifying Examination and performance on final-year clinical rotations. Grades and evaluations from courses, co-op work terms, clinical rotations, and PEBC exam data from three graduating cohorts were obtained. A multiple regression analysis was performed to explore associations between student evaluations and PEBC Pharmacist Qualifying Examination and clinical rotation performance. Holding all other variables constant, grades in anatomy/physiology were negatively correlated with scores on the PEBC Pharmacist Qualifying Examination, while grades in one of the professional practice courses showed a positive relationship with the same examination. Students with higher grades in a problem-based learning capstone therapeutics course, in their first co-op work term, and in the direct patient care co-op work term tended to score higher on clinical rotations. Co-op performance was not significant in predicting PEBC performance. However, complimentary descriptive analysis underscored that students with a co-op rating of good or below were more likely to fail courses, midpoint evaluations, Objective Structured Clinical Examinations (OSCEs), and PEBC measures. Multiple predictors of performance on final-year clinical rotations and the PEBC Pharmacist Qualifying Examination were identified. This predictive model may be utilized to identify students at risk of underperforming and to facilitate early intervention and remediation programs, while also informing curricular revision.
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  • 文章类型: Journal Article
    考虑到最近的地震和COVID-19大流行,备灾已成为尼泊尔公共卫生议程的最前沿。加强发展中的卫生系统,许多举措正在社会的不同层面实施,以建立弹性,其中之一是通过培训和教育。第一次国际备灾和管理会议在Dhulikhel召开,2023年12月1日至3日,尼泊尔。它汇集了国际教学人员,以帮助为140多名尼泊尔医疗保健专业人员提供有关灾难准备和管理的各种主题的教学和模拟课程。本文重点介绍了灾难领导和沟通会议的基于桌面练习的纵向研讨会部分,由美国的教师提供。它深入研究了教育计划和课程,交货方式,尼泊尔组织者和美国主持人的反思,并为此类未来会议提供建议,和适应其他设置。
    Considering recent earthquakes and the COVID-19 pandemic, disaster preparedness has come to the forefront of the public health agenda in Nepal. To strengthen the developing health system, many initiatives are being implemented at different levels of society to build resiliency, one of which is through training and education. The first International Conference on Disaster Preparedness and Management convened in Dhulikhel, Nepal on December 1-3, 2023. It brought together international teaching faculty to help deliver didactic and simulation-based sessions on various topics pertaining to disaster preparedness and management for over 140 Nepali healthcare professionals. This paper focuses on the tabletop exercise-based longitudinal workshop portion of the conference on disaster leadership and communication, delivered by United States-based faculty. It delves into the educational program and curriculum, delivery method, Nepali organizer and US facilitator reflections, and provides recommendations for such future conferences, and adaptation to other settings.
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  • 文章类型: Journal Article
    背景:医学生和医生在临床实践中面临各种挑战。其中一些挑战与道德问题有关。因此,在德国和其他许多国家,分别教学道德建设道德能力已成为医学课程的组成部分。迄今为止,关于医学生道德能力的证据很少。
    方法:在2019/20(T0)冬季学期的第一(队列1)和第五学期(队列2)中,对一所德国医学院的医学生进行自我管理调查。这两个队列在冬季学期2020/21(T1)一年后收到了相同的问卷。评估是用林德的道德能力测试进行的。我们进行了方便抽样。我们用描述性统计和C分数作为道德能力的衡量标准来分析数据(更高的分数=更高的能力,≥30分=高能力)。
    结果:共有613名学生参加了研究(响应率67.5%,n=288,具有两个时间点的数据)。69.6%的参与者是女性,平均年龄为21.3岁.T0(第一和第五学期)两个队列的平均C评分为32.5±18.0,T1(第三和第七学期)为30.4±17.9。总的来说,6.6%(T0)和6.7%(T1)的受访者表现出一些但很低的道德能力。3.3%(T0)和3.0%(T1)没有表现出道德能力。此外,没有医疗保健系统经验的学生得分高出3.0分。
    结论:特别需要改进对道德能力的评估以及有效的干预措施,以支持那些被确定为表现出很少道德能力的学生。
    BACKGROUND: Medical students and doctors face various challenges in clinical practice. Some of these challenges are related to ethical issues. Therefore, teaching ethics respectively building moral competences has become an integral part of the medical curriculum in Germany and many other countries. To date, there is little evidence on moral competence of medical students.
    METHODS: Self-administered survey among medical students from one German medical school in the first (cohort 1) and fifth semester (cohort 2) in the winter term 2019/20 (T0). Both cohorts received the same questionnaire one year later in winter term 2020/21 (T1). Assessment was performed with Lind\'s Moral Competence Test. We performed convenience sampling. We analyzed the data with descriptive statistics and C-Scores as a measure of moral competence (higher scores = higher competence, ≥ 30 points = high competence).
    RESULTS: A total of 613 students participated in the study (response rate 67.5%, n = 288 with data on both time points). 69.6% of the participants were female, the mean age was 21.3 years. Mean C-Score for both cohorts for T0 (first and fifth semester) is 32.5 ± 18.0 and for T1 (third and seventh semester) is 30.4 ± 17.9. Overall, 6.6% (T0) and 6.7% (T1) of respondents showed some but very low moral competence. 3.3% (T0) and 3.0% (T1) showed no moral competence. Additionally, students without prior experience in the healthcare system scored 3.0 points higher.
    CONCLUSIONS: Improvement of assessment of moral competence as well effective interventions are particular needed for supporting those students which have been identified to demonstrate little moral competences.
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