Debate

辩论
  • 文章类型: Journal Article
    目的:评估辩论活动对药学专业学生对公共卫生和卫生政策主题知识的影响。
    方法:在所需的公共卫生和卫生政策课程中,有46名P2学生使用林肯-道格拉斯口头辩论形式对美国人的全民医疗保险进行了辩论。人口统计数据,包括年龄和性别,被收集。通过与活动目标相关的主题嵌入式测验评估了普遍医疗保健原则的知识(前/后)。在辩论之前和之后,使用12项Likert量表(1-强烈反对通过5-强烈同意)和开放式问题评估了学生对辩论的教育价值的看法。使用SPSSv25和Atlas进行描述性统计和主题分析。分别为ti版本9。进行Wilcoxont检验以比较知识前和知识后分数。使用0.05的α水平。
    结果:42名学生完成了感知调查,产生96%的响应率。平均年龄24±4岁,主要是女性(63%)。大多数人没有辩论经验(80.4%)。辩论后,知识从66.5%±13.4提高到80.7%±12(p<0.001),共增长14.2%。公开回答表明,学生觉得他们对其他医疗保健系统的整体知识有所增加,他们发展了文献综述和沟通技巧。
    结论:辩论活动增强了学生对有争议的公共卫生问题的知识和评估,这在他们的药学教育和职业生涯中将是有用的。学生们认为辩论丰富了他们的学习。
    OBJECTIVE: To evaluate the impact of a debate activity on pharmacy students\' knowledge of public health and health policy topics.
    METHODS: Forty-six second-year pharmacy students in a required public health and health policy course debated universal healthcare coverage for Americans using the Lincoln-Douglas oral debate format. Demographic data, including age and gender, were collected. Knowledge (before/after) of universal healthcare principles was assessed via a rubric-embedded quiz related to the activity objectives. The students\' perceptions of the educational value of the debate were assessed before and after the debate using a 12-item Likert scale (1 = strongly disagree through 5 = strongly agree) and open-ended questions. Descriptive statistics and thematic analysis were conducted using SPSS v25 and Atlas.ti version 9, respectively. Wilcoxon t tests were conducted to compare preknowledge and postknowledge scores. An α level of 0.05 was utilized.
    RESULTS: Forty-two students completed the perceptions survey, yielding a 96 % response rate. The mean age was 24 ± 4 years and primarily female (63 %). Most students had no previous experience with debates (80.4 %) and there was a statistically significant improvement in knowledge after the debate from 66.5 % ± 13.4 % to 80.7 % ± 12 % , for a total increase of 14.2 %. Open responses indicated that students believed their overall knowledge about other healthcare systems increased and they developed literature review and communications skills.
    CONCLUSIONS: The debate activity enhanced the students\' knowledge and assessment of controversial public health issues that will be useful during their pharmacy education and careers. The students perceived that the debates enriched their learning.
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  • 文章类型: Journal Article
    背景/目的:为了评估聊天生成预训练变换器(ChatGPT)的性能,开放人工智能训练的大型语言模型。材料和方法:本研究有三个主要步骤来评估ChatGPT在泌尿外科领域的有效性。第一步涉及我们机构专家的35个问题,他们在他们的领域至少有10年的经验。将ChatGPT版本的回答与泌尿科居民对相同问题的回答进行了定性比较。第二步评估ChatGPT版本在回答当前辩论主题时的可靠性。第三步是评估ChatGPT版本在门诊和住院期间向患者提供医疗建议和指示的可靠性。结果:第一步,版本4为35个问题中的25个提供了正确答案,而版本3.5仅提供了19个(71.4%vs54%)。据观察,在我们诊所接受教育的最后一年的居民也提供了25个正确答案的平均值,4年的居民提供了19.3个正确答案的平均值。第二步涉及评估两种版本对泌尿科辩论情况的反应,发现这两个版本都提供了变量和不适当的结果。在最后一步,根据专家评分,两种版本在向患者提供建议和指导方面的成功率相似.结论:研究第一步中35个问题的两个版本之间的差异被认为是由于ChatGPT的文献和数据综合能力的提高。使用ChatGPT版本以快速和安全的答案告知非医疗保健提供者的问题可能是一种合乎逻辑的方法,但不应用作诊断工具或在不同的治疗方式中做出选择。
    Background/Aim: To evaluate the performance of Chat Generative Pre-trained Transformer (ChatGPT), a large language model trained by Open artificial intelligence. Materials and Methods: This study has three main steps to evaluate the effectiveness of ChatGPT in the urologic field. The first step involved 35 questions from our institution\'s experts, who have at least 10 years of experience in their fields. The responses of ChatGPT versions were qualitatively compared with the responses of urology residents to the same questions. The second step assesses the reliability of ChatGPT versions in answering current debate topics. The third step was to assess the reliability of ChatGPT versions in providing medical recommendations and directives to patients\' commonly asked questions during the outpatient and inpatient clinic. Results: In the first step, version 4 provided correct answers to 25 questions out of 35 while version 3.5 provided only 19 (71.4% vs 54%). It was observed that residents in their last year of education in our clinic also provided a mean of 25 correct answers, and 4th year residents provided a mean of 19.3 correct responses. The second step involved evaluating the response of both versions to debate situations in urology, and it was found that both versions provided variable and inappropriate results. In the last step, both versions had a similar success rate in providing recommendations and guidance to patients based on expert ratings. Conclusion: The difference between the two versions of the 35 questions in the first step of the study was thought to be due to the improvement of ChatGPT\'s literature and data synthesis abilities. It may be a logical approach to use ChatGPT versions to inform the nonhealth care providers\' questions with quick and safe answers but should not be used to as a diagnostic tool or make a choice among different treatment modalities.
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  • 文章类型: Journal Article
    期刊俱乐部一直是科学界的主食,促进对最近出版物的讨论。然而,大量的生物医学信息对文献选择提出了挑战。本文概述了期刊俱乐部的类型及其在培训潜在同行审稿人方面的功效,提高沟通技巧,和批判性思维。起源于19世纪,期刊俱乐部已经从传统的面对面会议发展到虚拟或混合形式,COVID-19大流行加速了。面对面的互动提供了个人联系,而虚拟活动确保更广泛的参与和可访问性。组织期刊俱乐部需要努力,但它有几个好处,包括推广新出版物和为有意义的讨论提供平台。虚拟CardioRNAJ-club经验体现了成功的多学科合作,促进国际联系和鼓舞人心的新研究。期刊俱乐部仍然是学术研究的重要组成部分,为高级研究人员提供最新发展,培养下一代科学家。随着千禧一代和Z世代的研究人员加入科学领域,期刊俱乐部继续发展成为不断变化的科学环境中教育和协作学习的沃土。
    Journal clubs have been a staple in scientific communities, facilitating discussions on recent publications. However, the overwhelming volume of biomedical information poses a challenge in literature selection. This article provides an overview of journal club types and their efficacy in training potential peer reviewers, enhancing communication skills, and critical thinking. Originating in the 19th century, journal clubs have evolved from traditional in-person meetings to virtual or hybrid formats, accelerated by the COVID-19 pandemic. Face-to-face interactions offer personal connections, while virtual events ensure wider participation and accessibility. Organizing journal clubs demands effort, but it has several benefits, including promoting new publications and providing a platform for meaningful discussions. The virtual CardioRNA J-club experience exemplifies successful multidisciplinary collaboration, fostering international connections and inspiring new research. Journal clubs remain a vital component of academic research, equipping senior researchers with the latest developments and nurturing the next generation of scientists. As millennial and Gen Z researchers join the scientific field, journal clubs continue to evolve as a fertile ground for education and collaborative learning in an ever-changing scientific landscape.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    背景:尽管模拟器技术取得了进步,活的麻醉动物继续被用作医疗专业人员的人类患者模拟器,以实践手术创伤管理技术。本文介绍了召集对模拟有专业兴趣的个人工作组的过程,以讨论活体动物的使用,并考虑将来是否以及如何替换它们。
    方法:由参加SESAM2023年会议的研讨会的自愿参加者组成了一个工作组。关于该主题的迭代讨论用于产生总结工作组意见的声明。工作组确定,由于在存在出血的情况下存在准确且反应灵敏的生理机能,因此将活体动物用作人类患者模拟器,真实的组织触感和学习者由于与动物的互动而经历的情绪反应。他们无法就更换问题达成共识,确定当前没有单个模型能够提供活体动物模型可以提供的所有学习方面。就技术发展和教学变革提出了一些建议。
    结论:在手术模拟中替换活体动物并不简单,但应该是一种愿望,如果可能的话。对于正在进行的创伤外科模拟模型的开发,重要的是要结合知识,医疗利益相关者和教育工作者的技能和观点,学术研究人员和行业专家生产替代方案,以使用活体动物模拟器。
    BACKGROUND: Despite advances in simulator technology, live anaesthetised animals continue to be used as human patient simulators for medical professionals to practice techniques in the management of surgical trauma. This article describes the process of convening a working group of individuals with a professional interest in simulation to discuss the use of live animals and consider if and how they can be replaced in the future.
    METHODS: A working group was formed of voluntary attendees to a workshop held at the SESAM 2023 conference. Iterative discussions reflecting on the topic were used to produce statements summarising the working group\'s opinions. The working group determined that live animals are used as human patient simulators due to the presence of accurate and responsive physiology in the presence of bleeding, realistic tissue tactility and an emotional response experienced by the learner due to interaction with the animal. They were unable to reach a consensus on replacement, determining that there is currently no single model which is able to provide all the learning aspects which a live animal model can provide. Several suggestions were made regarding development of technologies and pedagogical change.
    CONCLUSIONS: Replacement of live animals in surgical simulation is not straightforward but should be an aspiration, if possible. For the ongoing development of trauma surgical simulation models, it is important to combine the knowledge, skills and perspectives of medical stakeholders and educators, academic researchers and industry experts in producing alternative options to the use of live animal simulators.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    简介:生物医学科学远程学习课程在就业时提供学习的灵活性。在此类课程中,异步和自学方法很常见,并且学生之间的互动往往受到限制。本研究的目的是建立学习型社区,培养参与在线团队合作的信心,并通过远程小组活动培养对包括数字能力在内的可转移技能的欣赏。材料和方法:两组学生(n=20/n=21)参加了IBMS认可的MSc远程学习课程的微生物学模块。由4-5名学生组成的小组制作了与当前全球感染相关问题有关的数字输出,即,任务1,幻灯片甲板的生产,哪些同龄人可以用作学习资源和作业2,在PowerPoint辩论中配音,和信息图,投票评估和同行/自我评分。学生还使用书面格式和FlipGrid视频录制准备了反思。对所有学生的反映进行了定性的内容分析。学生完成了一项作业前和作业后调查,重点是发展生物医学领域的可转移技能。结果:完成小组作业后,学生的技能和信心得到提高,从问卷前和问卷后的回答中可以明显看出,即,拥有数字技能和数字创造能力(29%对83%),申请需要数字技能的工作(54%对89%),谈论在工作面试中使用数字媒体的例子(21%v78%)和在分配任务中展示创造力(33%v90%)。与滑梯甲板活动相比,在辩论中更普遍地表现出批判性思维(p=0.001)。发展数字技能的重要性,在完成小组活动后更高(p=0.03)。学生反映了小组活动与知识获取相关的价值(85%,86%),学院(70%,71%),数字技能发展(80%,90%),活动令人愉快的事实(70%,67%)和同伴互动和支持的发展(50%,67%)分别与任务1和2有关。讨论:越来越多的数字技术被用于医疗保健领域,导致更新的HCPC水平标准。这项研究强调,虚拟小组活动促进了支持性学习社区的建立和可转移技能的发展,包括在生物医学科学工作场所应用的数字能力。
    Introduction: Biomedical Science distance learning courses offer flexibility in study while in employment. Asynchronous and self-learning approaches are common within such courses and often student-student interaction is limited. The aims of this study were to establish learning communities, develop confidence in participating in online teamwork and foster an appreciation of transferable skills including digital capabilities through remote group activities. Materials and Methods: Two cohorts of students (n = 20/n = 21) were enrolled in a microbiology module of an IBMS accredited MSc distance learning course. Groups of 4-5 students produced a digital output relating to current global infection-related issues, namely, assignment 1, production of a slide deck, which peers could use as learning resources and assignment 2, a voiceover PowerPoint debate, and infographic, voting assessment and peer/self-marking. Students also prepared reflections using written format and a FlipGrid video-recording. A qualitative content analysis was conducted on reflections from all students. Students completed a pre- and post-assignment survey focused on the development of transferable skills for the biomedical sector. Results: Students\' skills and confidence increased following completion of the group assignment, as evident from the pre- and post-questionnaire responses, namely, possession of digital skills and digital creation abilities (29% v 83%), applying for jobs which require digital skills (54% v 89%), talking about examples of using digital media during job interviews (21% v 78%) and demonstration of creativity during assignment tasks (33% v 90%). Critical thinking was more commonly demonstrated during the debate in comparison to the slide deck activity (p = 0.001). The importance of developing digital skills, was higher following completion of the group activities (p = 0.03). Students reflected on the value of the group activities in relation to knowledge acquisition (85%, 86%), collegiality (70%, 71%), digital skills development (80%, 90%), the fact that the activities were enjoyable (70%, 67%) and the development of peer interaction and support (50%, 67%) in relation to assignment 1 and 2, respectively. Discussion: Increasingly digital technologies are being used in the healthcare sector resulting in updated HCPC Standards of Proficiency. This study highlights that virtual group activities promote the establishment of supportive learning communities and the development of transferable skills including digital capabilities for application within the biomedical science workplace.
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  • 文章类型: Journal Article
    2009年,埃及通过了《精神病患者护理法》,“一项基于权利的立法旨在使该国的精神卫生系统-否则由资源缺口和长期资金不足定义-更接近全球护理标准。然而,新法案激起了埃及精神病学家之间的分歧。And,在2011年起义之后,关于2009年法律的辩论与关于新埃及的现在和未来的辩论交织在一起。根据开罗的实地研究,这篇文章提供了一个人种学分析,该精神健康法案的制定和随后的辩论,因为他们在2011-2012年展开.展示了这些关于精神病学权力的辩论核心的不同观点,患者权利,和法律适合社会,这篇文章强调了全球南方国家精神病学改革的挑战。它还认为,在革命动荡的背景下,关于精神病改革的辩论成为政治反思的场所,并提供了一种想象国家未来的语言。本文还强调了政治转型时期辩论精神病改革的时间性的中心地位。
    In 2009, Egypt adopted the \"Law for the Care of Mental Patients,\" a rights-based legislation intended to bring the country\'s mental health system-otherwise defined by resource gaps and chronic underfunding-closer to global standards of care. Yet, the new act stirred dissension among Egyptian psychiatrists. And, in the immediate aftermath of the 2011 uprising, debates about the 2009 law became intertwined with debates about the present and future of the \'new Egypt.\' Based on field research in Cairo, this article provides an ethnographic analysis of the making of this mental health act and of the ensuing debates as they unfolded in 2011-2012. Showing the diverging perspectives at the core of these debates on psychiatric power, patient rights, and the law\'s fit in society, the article highlights the challenges of psychiatric reform in a country of the Global South. It also argues that in a context of revolutionary upheaval, debates about psychiatric reform become a site for political reflection and provide a language for imagining the future of the nation. The article also highlights the centrality of temporality in debating psychiatric reform in times of political transformation.
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  • 文章类型: Editorial
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