Undergraduate education

本科教育
  • 文章类型: Journal Article
    获得独立的研究经验是一个持续的障碍,扼杀了来自生态学不同背景的学生的招聘和保留,进化,和行为生物学。实地经验的好处并不公平地提供给历史上被排斥和缩小的学生。在这篇文章中,我们总结的证据表明,基于课程的本科研究经验(CURE)提供了一种解决方案,以确保公平获得生命科学领域的独立研究经验。我们从自己在生态学中教授CURE的经验中汲取经验,进化,和行为生物学,并为我们在行为生态学(CURE-BxEco)中有效且大部分无材料的CURE提供完整的课程。我们主张更多地获得和综合CURE的好处,以促进教育的包容性。这种创新的教学实践的扩散有利于科学,因为这些课堂方法对于招募和留住历史上被排斥和缩小的学生至关重要,他们在研究中提供了不同的观点。
    Access to independent research experiences is a persistent barrier that stifles the recruitment and retention of students from diverse backgrounds in ecology, evolution, and behavioral biology. The benefits of field experiences are not equitably available to historically excluded and minoritized students. In this article, we summarize evidence that indicates course-based undergraduate research experiences (CUREs) provide a solution to ensure equitable access to independent research experiences in the life sciences. We draw from our own experiences of teaching CUREs in ecology, evolution, and behavioral biology and provide the complete curriculum for our effective and largely materials-free CURE in behavioral ecology (CURE-BxEco). We advocate for greater access to and synthesize the benefits of CUREs to promote inclusivity in education. The proliferation of such innovative pedagogical practices benefits science because these classroom methods are critical in recruiting and retaining historically excluded and minoritized students, who offer diverse perspectives in research.
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  • 文章类型: Journal Article
    背景:尽管神经科病房查房是日本最重要的医学教育活动之一,他们有几个问题。患者可能会发现反复接受神经学检查不愉快,特别是在几个学生面前。只有前排的学生才能密切观察考试结果;而且,在COVID-19大流行期间,学生被禁止与患者完全接触。一种可能的解决方案是使用商业视频会议系统。然而,日本患者不愿通过互联网将他们的医疗信息或录像带发送到医院外。
    目的:该研究旨在确认使用内部网络会议系统进行远程教学的可行性,在该系统中患者的个人数据得到安全保护。这项研究还探讨了使用远程回合以及面对面参与是否会增强学习。
    方法:我们使用开源应用程序创建了一个内部视频会议系统。要进行视频查房,教授在主持例行的面对面巡视时戴着无线麦克风,主治医生携带了连接到网络会议的平板设备,允许学生在另一个房间里观看直播。总的来说,在2021年至2022年之间进入为期1周的神经病学轮换的5年学生中,有112人被指示参加1小时的面对面和远程回合。向学生发放问卷,以评估他们的满意度和远程查房的教育效果。
    结果:远程病房查房很容易进行,不会干扰现场查房,也没有病人的抱怨。每种考试技巧都由另一名老师向参加会议室远程查房的学生讲解。特征性的神经学发现,如足底反射(巴宾斯基符号),通常只有近距离观察者在现场巡视时才能看到,所有学生都可以在放大下看到。经验后调查(82/112,73%的响应率)显示,参与者满意度的平均得分为3.94(SD0.83;优秀5和差1)。没有参与者得分1。观察到6个代表性的神经系统异常发现(Babinski体征,反射亢进,小脑共济失调,非自愿运动,肌肉无力,和感觉检查异常)与仅当面查房相比增加了22%(18/82,范围13-24)。当自我评估学习价值时,43%(35/82)的学生回答说,远程查房与面对面查房一样有价值,而32%(26/82)的人更喜欢远程回合。
    结论:使用安全的内部网络会议系统进行的神经内科查房直播提供了额外的学习体验,而无需担心患者信息泄露。这项举措可以在进入临床书记员之前增强神经病学学习。
    BACKGROUND: Although neurology department ward rounds are among the most important medical education exercises in Japan, they have several issues. Patients may find it unpleasant to undergo repeated neurological tests, especially when in the presence of several students. Only the front row of students can closely observe the examination findings; moreover, students were prohibited from contacting patients altogether during the COVID-19 pandemic. One possible solution is to use commercial videoconferencing systems. However, Japanese patients are reluctant to have their medical information or video footage of them sent outside of the hospital via the internet.
    OBJECTIVE: The study aimed to confirm the feasibility of conducting remote teaching rounds using an in-house web conferencing system in which the patients\' personal data are securely protected. This study also explored whether using remote rounds alongside face-to-face participation would enhance learning.
    METHODS: We created an on-premises videoconferencing system using an open-source app. To perform video ward rounds, the professor wore a wireless microphone while leading routine in-person rounds and the attending physician carried a tablet device linked to a web conference, allowing students in another room to watch the rounds on a live stream. In total, 112 of 5th-year students who entered their 1-week neurology rotation between 2021 and 2022 were instructed to participate in 1-hour in-person and remote rounds. Students were given questionnaires to evaluate their satisfaction and the educational effects of the remote rounds.
    RESULTS: The remote ward rounds were conducted easily with no interference with the in-person rounds, nor any complaints from the patients. Each examination technique was explained by another teacher to the students who participated in remote rounds in the conference room. Characteristic neurological findings, such as plantar reflexes (Babinski sign), which are usually seen only by close observers during in-person rounds, could be visualized under magnification by all students. The postexperience survey (82/112, 73% response rate) showed that the mean score of participants\' satisfaction was 3.94 (SD 0.83; excellent 5 and poor 1). No participant scoring 1 was noted. The proportion of students who observed 6 representative abnormal neurological findings (Babinski sign, hyperreflexia, cerebellar ataxia, involuntary movement, muscular weakness, and abnormality in sensory examination) increased by 22% (18/82, range 13-24) compared to in-person rounds alone. When self-rating the learning value, 43% (35/82) of the students answered that remote rounds are equally as valuable as in-person rounds, while 32% (26/82) preferred remote rounds.
    CONCLUSIONS: Live-streaming of neurology ward rounds using a secure in-house web conferencing system provides additional learning experience without concerns regarding leakage of patient information. This initiative could enhance neurology learning before entering a clinical clerkship.
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  • 文章类型: Journal Article
    背景:定点护理超声(POCUS)在各种临床环境中迅速获得重视。随着它的使用越来越广泛,越来越需要在医学教育中进行全面的超声培训,以确保未来的医疗保健专业人员精通这一基本诊断工具。
    目的:这项研究是波恩大学首次尝试将超声课程和超声设备的使用无缝整合到最后一年医学生的常规活动中,并评估这些设备的使用情况。
    方法:共有40名学生在他们的实际一年中被提供了一个hendhold超声设备,为期四个月。在此期间,他们被邀请参加八个可选的超声课程,在这些课程中,他们获取图像,并使用专门开发的评级系统对这些图像进行评级。在永恒结束时,学生们能够参加关于设备使用情况的自愿调查。
    结果:参加可选的超声课程获得了好评,介绍和FAST模块绘制的参与者数量最多(29)。在学生获得的超声图像中,那些获得最高评级的肺部,23分中有18.82分(标准差±4.30分),而主动脉和腔静脉图像得分最低,平均16.62(SD±1.55)点。所有图像的总体平均得分为17.47(SD±2.74)。只有21名学生回答了调查。在参与的学生中,67%的人在临时期间独立使用该设备四次或更少。
    结论:该研究旨在通过提高学生在实际年度的超声技能来提高BI-POCUS课程。然而,设备使用率低于预期,大多数学生每月只使用一次或更少。这引起了人们对努力和资源的合理性的担忧。未来的举措将侧重于技术改进,更好的登录数据提供,密切监测使用情况和进展,强调在医学教育中需要实用的超声培训。
    BACKGROUND: Point-of-care ultrasound (POCUS) is rapidly gaining prominence in various clinical settings. As its use becomes more widespread, there is a growing need for comprehensive ultrasound training in medical education to ensure that future healthcare professionals are proficient in this essential diagnostic tool.
    OBJECTIVE: This study is the first attempt by the University of Bonn to seamlessly integrate ultrasound courses and the use of ultrasound devices into the regular activities of final year medical students and to evaluate the usage of these devices.
    METHODS: A total of forty students in their practical year were provided with a hendheld ultrasound device for a period of four months. During this time, they were invited to take part in eight optional ultrasound courses in which they acquired images and those images were rated using a specially developed rating system. At the end of the tertial, students were able to take part in a voluntary survey on the use of the equipment.
    RESULTS: Participation in the optional ultrasound courses was well received, with the Introduction and FAST module drawing the largest number of participants (29). Among the ultrasound images acquired by students, those of the lungs obtaining the highest rating, with 18.82 (SD ± 4.30) points out of 23 points, while the aorta and vena cava images scored lowest, with an average of 16.62 (SD ± 1.55) points. The overall mean score for all images was 17.47 (SD ± 2.74). Only 21 students responded to the survey. Of the participating students, 67% used the device independently four times or fewer during the tertial.
    CONCLUSIONS: The study aimed to enhance the BI-POCUS curriculum by improving students\' ultrasound skills during their practical year. However, device usage was lower than expected, with most students using it only once a month or less. This raises concerns about the justification of the effort and resources. Future initiatives will focus on technical improvements, better login data provision, and closer monitoring of usage and progress, emphasizing the need for practical ultrasound training in medical education.
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  • 文章类型: Journal Article
    UNASSIGNED: Surgical undergraduate training takes place in a male-dominated work environment that struggles with recruitment problems. Experiences of cultural and sex/gender-specific barriers of women in surgery have been reported worldwide. Overall, the experiences that students have in coping with the emotional impact of surgery as a profession are thought to be crucial to their subsequent career choices. We investigated whether students\' self-reported experiences differed by sex/gender in terms of frequency and content, and whether they were related to their career aspirations.
    UNASSIGNED: In Germany, the final year represents the last part of the undergraduate medical study program. At the Mannheim Medical Faculty, a 12-week surgical training is mandatory. After completing their surgical training, the students were asked about their experiences and their later career aspirations. These experiences were analysed using quantitative content analysis. The relationship between the quality of experience and career aspirations as well as sex/gender differences were statistically measured.
    UNASSIGNED: In the 475 questionnaires analysed (response rate 52%), the number of positive and negative mentions does not differ by sex/gender. However, male students feel more actively involved and female students feel poorly briefed and think that supervisors are less interested in their training. A significant influence on career aspirations was found in the performance category for female and male students, and in the supervision category for female students.
    UNASSIGNED: The positive experiences that students gain while performing surgical activities have an impact on their subsequent career choices. In particular, a good settling-in period and encouragement to actively participate could help to attract more women to surgery.
    UNASSIGNED: Die chirurgische Ausbildung findet in einem männlich dominierten Arbeitsumfeld statt, das mit Rekrutierungsproblemen konfrontiert ist. Weltweit wird über kulturelle und geschlechtsspezifische Barrieren für Frauen in der Chirurgie berichtet. Generell wird davon ausgegangen, dass die Erfahrungen, die Studierende bei der Bewältigung der emotionalen Anforderungen im Fachbereich Chirurgie machen, entscheidend für ihre spätere Berufswahl sind. Wir untersuchten, ob sich die selbstberichteten Erfahrungen der Studierenden in diesem Bereich in Bezug auf Häufigkeit und Inhalt geschlechtsspezifisch unterscheiden und ob ein Zusammenhang mit den späteren Berufswünschen besteht.
    UNASSIGNED: In Deutschland stellt das Praktische Jahr den letzten Abschnitt des Medizinstudiums dar. An der Medizinischen Fakultät Mannheim ist ein 12-wöchiger klinisch-praktischer Einsatz im Fachbereich Chirurgie obligatorisch. Die Studierenden wurden am Ende dieses Einsatzes über ihre Erlebnisse und ihre späteren Berufswünsche befragt. Die berichteten Erlebnisse wurden mittels quantitativer Inhaltsanalyse ausgewertet. Der Zusammenhang zwischen der Qualität der Erfahrungen und den Berufswünschen sowie die geschlechtsspezifischen Unterschiede wurden statistisch geprüft.
    UNASSIGNED: 475 Fragebögen wurden ausgewertet (Rücklaufquote 52%). Die Anzahl der positiven und negativen Nennungen unterscheidet sich zwischen den männlichen und weiblichen Studierenden nicht. Studenten berichten jedoch häufiger, aktiv eingebunden worden zu sein und Studentinnen fühlen sich weniger gut eingearbeitet und meinen eher, dass die Betreuungsperson nicht an ihrer Ausbildung interessiert ist. Ein signifikanter Einfluss auf die Berufswünsche wurde in der Kategorie Praktisches Arbeiten für weibliche und männliche und in der Kategorie Supervision nur für weibliche Studierende festgestellt.
    UNASSIGNED: Die angenehmen Erfahrungen, die Studierende bei der Ausübung chirurgischer Tätigkeiten im Praktischen Jahr machen, wirken sich positiv auf ihre spätere Berufswahl in der Chirurgie aus. Insbesondere eine gute Einführungsphase und die Ermutigung zur aktiven Teilnahme könnten dazu beitragen, mehr Frauen für die Chirurgie zu gewinnen.
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  • 文章类型: Journal Article
    在过去的几十年中,中国的本科医学教育已从以教育者为中心的学习转变为自我导向的学习(SDL)。精心设计的公众参与活动可以使SDL和授权医学生开创公共卫生和患者安全教育。在这项研究中,我们的目标是通过实施公众参与模式来创新神经系统教育,该模式使学生能够通过教授公众来了解神经系统。我们的目标是在本科阶段对神经系统产生更大的兴趣,激发学生追求神经病学事业的热情,最终,促进健康。在本科课程第二年的神经系统模块中,学生可以选择参与公众参与模式。参与者的任务是创建以知识为重点的教育视频,态度,以及与神经系统疾病及其并发症的预防和管理相关的行为。在学期结束时,通过大学的官方频道向公众开放了这些视频。共有117名学生(占所有学生的67.24%)选择参加公众参与模式。女学生和本学期平均成绩较高的学生更有可能参加。该模型得到了参与者的强烈积极反馈,因为学生发现公共参与任务有助于学习神经系统模块以及提高他们的公共参与技能。尽管时间和精力消耗,参与公共参与任务不会影响学生的考试成绩。公众参与任务是神经系统课程的创新模式,有可能融入更广泛的本科课程。它使医学生能够开拓公共卫生和患者安全教育。
    Undergraduate medical education in China has shifted from educator-centered learning to self-directed learning (SDL) over the past few decades. Careful design of public engagement activities can enable SDL and empower medical students to pioneer public health and patient safety education. In this study, we aimed to innovate nervous system education by implementing a public engagement model that empowers students to learn about the nervous system by teaching the public. Our goal was to generate greater interest in the nervous system at the undergraduate stage, inspire students\' enthusiasm to pursue a career in neurology, and ultimately, contribute to health promotion. During the nervous system module of the second year of the undergraduate curriculum, students were given the option to participate in the public engagement model. Participants were tasked with the creation of educational videos focusing on knowledge, attitudes, and behaviors associated with the prevention and management of neurological diseases and their complications. The videos were made accessible to the general public through the university\'s official channel at the end of the semester. A total of 117 students (67.24% of all students) chose to participate in the public engagement model. Female students and those with higher Grade Point Averages in the present semester were more likely to participate. The model received strong positive feedback from participants, as students found the public engagement task helpful in learning about the nervous system module as well as in enhancing their public engagement skills. Despite the time and effort consumption, participating in the public engagement task did not affect students\' exam scores. The public engagement task is an innovative model in the nervous system curriculum and has the potential to be integrated into a broader range of undergraduate courses. It empowers medical students to pioneer public health and patient safety education.
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  • 文章类型: Journal Article
    加强本科教育和研究在老龄化,以消除健康差异(ENGAGED)计划利用广泛的,威克森林大学医学院及其合作机构在衰老领域建立了多学科研究,威克森林大学和温斯顿-塞勒姆州立大学。ENGAGED计划旨在为生物医学科学中代表性不足的本科生提供参与衰老和健康差异教育和研究培训的机会。自2019年8月以来,Engaged提供了73个学年实习和46个夏季实习,从2023年秋季开始的另外8个实习。共有61名学生(67%为女性,64%的非洲裔美国人,21%的西班牙裔)参加了参与计划,反映了49%的人参加了一个以上的会议或节目。迄今为止,参与培训的学员中有38人已经毕业(100%拥有科学,技术,工程,或数学学位),84%的人正在生物医学科学工作或攻读高级学位。鉴于独特的优势,现有基础设施,以及合作机构之间的长期合作,参与计划通过为对生物医学研究职业感兴趣的训练有素的代表性不足的学生创建管道,帮助推进老龄化和健康差异研究的多样性。
    The Enhancing Undergraduate Education and Research in Aging to Eliminate Health Disparities (ENGAGED) program takes advantage of the broad, multidisciplinary research established in the area of aging at Wake Forest University School of Medicine and its partner institutions, Wake Forest University and Winston-Salem State University. The ENGAGED program is designed to provide undergraduate students who are underrepresented in the biomedical sciences an opportunity to participate in educational and research training in aging and health disparities. Funded since August 2019, ENGAGED has provided 73 academic year internships and 46 summer internships, with another 8 internships starting in Fall 2023. A total of 61 students (67% female, 64% African American, 21% Hispanic) have participated in the ENGAGED program, reflecting the fact that 49% participate in more than one session or program offering. To date, 38 of the ENGAGED trainees have graduated (100% with a science, technology, engineering, or math degree), 84% of whom are working or pursuing advanced degrees in the biomedical sciences. Given the unique strengths, existing infrastructure, and long-standing collaborations among the partner institutions, the ENGAGED program is helping advance diversity in aging and health disparities research by creating a pipeline for well-trained underrepresented students interested in biomedical research careers.
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  • 文章类型: Journal Article
    背景:磁共振成像(MRI)教育在本科放射技术课程中至关重要。传统方法,如讲座和观察,不足以增强学生的理解。需要专门用于MRI学习的教育工具来提高学生的知识和理解。
    目的:通过智能手机开发MRI学习应用程序,并评估学生对应用的满意度及其作为放射技术学生的自学工具的有效性。
    方法:MRI学习应用程序是使用Thunkable平台开发的,涵盖MRI理论,设备,脉冲序列,参数,MRI安全性,和文物。招募了73名放射技术本科生,并将其分为应用程序用户(n=37)和非用户(n=36)。测试前和测试后,包括20道多项选择题,被创建并用于评估应用程序的有效性。然后使用学生t检验对测试前和测试后的分数进行分析和比较。最后,使用5分Likert量表的问卷评估用户对MRI学习应用的满意度.
    结果:app-users组的测试前和测试后的平均分数分别为12.65±3.24和13.95±3.41,非使用者组分别为12.94±2.99和13.94±2.74。使用MRI学习应用程序后,平均测试后评分显着增加(P=0.01)。然而,两组的前后测试平均得分无显著差异.所有参与者对申请都表示高度满意(4.32±0.11分)。
    结论:开发的用于MRI学习的智能手机应用程序具有增强学生知识的潜力。调查结果表明,用户的满意度很高。因此,MRI学习应用程序可以作为放射技术学生寻求加深对MRI相关科目理解的替代工具。
    BACKGROUND: Magnetic resonance imaging (MRI) education is crucial in the undergraduate radiological technology curriculum. Traditional approaches, such as lectures and observation, are insufficient for enhancing student understanding. Educational tools dedicated to MRI learning are needed to improve students\' knowledge and comprehension.
    OBJECTIVE: To develop an application for MRI learning via smartphones, and to assess students\' satisfaction with the application and its effectiveness as a self-learning tool for radiological technology students.
    METHODS: The MRI learning application was developed using the Thunkable platform, covering MRI theory, equipment, pulse sequences, parameters, MRI safety, and artifacts. Seventy-three undergraduate radiological technology students were recruited and divided into app-users (n = 37) and non-users (n = 36). Pre- and post-tests, comprising 20 multiple-choice questions, were created and utilized to assess the effectiveness of the application. Pre- and post-test scores were then analyzed and compared between the two groups using a student\'s t-test. Finally, user satisfaction with the MRI learning application was assessed using a questionnaire with a five-point Likert scale.
    RESULTS: The mean pre-test and post-test scores for the app-users group were 12.65 ± 3.24 and 13.95 ± 3.41, respectively, while those for the non-users group were 12.94 ± 2.99 and 13.94 ± 2.74, respectively. The mean post-test score was significantly increased after using the MRI learning application (P = 0.01). However, there was no significant difference in the mean scores of the pre- and post-tests between the two groups. All participants expressed a high level of satisfaction with the application (4.32 ± 0.11 points).
    CONCLUSIONS: The developed smartphone application for MRI learning has the potential to enhance students\' knowledge. The survey results indicated a high level of satisfaction among users. Thus, the MRI learning application could serve as an alternative tool for radiological technology students seeking to deepen their understanding of MRI-related subjects.
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  • 文章类型: Journal Article
    本科入门人体解剖学和人体生理学课程可以作为特定学科或综合解剖学和生理学(A&P)序列教授。一所机构进行了课程修订,以将课程方法从特定学科的人体解剖学和人体生理学更改为综合的A&PI和II序列,允许探索情境学习在学术成就和内容保留方面的潜在作用的独特机会。中介和适度分析用于评估讲座考试,实验室实践考试,以及不同课程方法之间的解剖学内容保留。与参加独立人体解剖学课程的学生相比,综合A&PI课程方法的本科生在讲座评估中的表现明显更好,并且在年底具有更高的解剖内容保留率。人类生理学和A&PII(序列中的第二个课程)之间的讲座考试平均值,以及解剖学实验室的实践考试,在特定学科和综合课程方法之间没有显着差异。结果表明,情境学习-为解剖结构提供生理背景-增加了解剖内容的保留和整体学业成绩。
    Undergraduate introductory human anatomy and human physiology courses are either taught as discipline-specific or integrated anatomy and physiology (A&P) sequences. An institution underwent a curricular revision to change the course approach from discipline-specific Human Anatomy and Human Physiology to an integrated A&P I and II sequence, allowing the unique opportunity to explore the potential role of contextual learning in academic achievement and content retention. Mediation and moderation analysis was used to evaluate lecture examinations, laboratory practical examinations, and anatomical content retention between the different course approaches. Undergraduate students in the integrated A&P I course approach performed significantly better on lecture assessments and had a higher anatomy content retention rate at the end of the year than students enrolled in the standalone Human Anatomy course. The lecture examination averages between Human Physiology and A&P II (the second course in the sequence), as well as the anatomy laboratory practical examinations, were not significantly different between discipline-specific and integrated course approaches. The results suggest contextual learning-providing physiological context to anatomical structures-increases the anatomical content retention and academic achievement overall.
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  • 文章类型: Journal Article
    德国牙科学校经常使用多项选择考试。然而,缺少有关使用的项目类型和应用的评分方法的详细信息。
    这项研究旨在深入了解当前多项选择项目的使用情况(即,问题)在德国本科牙科培训计划的总结性考试中。
    一份关于所用评估方法的纸质10项问卷,多项选择项类型,并设计了应用评分方法。经过试点测试的问卷于2023年2月邮寄给德国所有30所牙科学校的研究院长和手术/恢复性牙科系主任。使用Fisher精确检验进行统计学分析(P<.05)。
    反应率达90%(27/30牙科学校)。所有受访者的牙科学校都使用多项选择考试进行总结性评估。70%(19/27)的牙科学校以电子方式进行考试。几乎所有牙科学校都使用单选A型项目(24/27,89%),在大约一半的牙科学校中,项目数量最多(13/27,48%)。更多的项目类型(例如,传统的多选项目,多重True-False,和Pick-N)仅被较少的牙科学校使用(≤67%,27所牙科学校中多达18所)。对于多选项目类型,应用的评分方法差异很大(即,授予[中间]部分信贷和部分信贷要求)。可能进行电子考试的牙科学校使用多个选择项目的频率略高(14/19,74%vs4/8,50%)。然而,差异无统计学意义(P=.38).牙科学校单独使用项目或作为关键特征问题,包括临床病例方案,然后是许多侧重于关键治疗步骤的项目(15/27,56%)。没有一所学校使用替代测试方法(例如,答案-直到-正确)。大约一半的牙科学校(15/27,56%)建立了正式的项目审查程序。
    德国牙科学校的总结性评估方法差异很大。尤其是,在多项选择多项选择项的使用和评分方面发现了很大的差异.
    UNASSIGNED: Multiple-choice examinations are frequently used in German dental schools. However, details regarding the used item types and applied scoring methods are lacking.
    UNASSIGNED: This study aims to gain insight into the current use of multiple-choice items (ie, questions) in summative examinations in German undergraduate dental training programs.
    UNASSIGNED: A paper-based 10-item questionnaire regarding the used assessment methods, multiple-choice item types, and applied scoring methods was designed. The pilot-tested questionnaire was mailed to the deans of studies and to the heads of the Department of Operative/Restorative Dentistry at all 30 dental schools in Germany in February 2023. Statistical analysis was performed using the Fisher exact test (P<.05).
    UNASSIGNED: The response rate amounted to 90% (27/30 dental schools). All respondent dental schools used multiple-choice examinations for summative assessments. Examinations were delivered electronically by 70% (19/27) of the dental schools. Almost all dental schools used single-choice Type A items (24/27, 89%), which accounted for the largest number of items in approximately half of the dental schools (13/27, 48%). Further item types (eg, conventional multiple-select items, Multiple-True-False, and Pick-N) were only used by fewer dental schools (≤67%, up to 18 out of 27 dental schools). For the multiple-select item types, the applied scoring methods varied considerably (ie, awarding [intermediate] partial credit and requirements for partial credit). Dental schools with the possibility of electronic examinations used multiple-select items slightly more often (14/19, 74% vs 4/8, 50%). However, this difference was statistically not significant (P=.38). Dental schools used items either individually or as key feature problems consisting of a clinical case scenario followed by a number of items focusing on critical treatment steps (15/27, 56%). Not a single school used alternative testing methods (eg, answer-until-correct). A formal item review process was established at about half of the dental schools (15/27, 56%).
    UNASSIGNED: Summative assessment methods among German dental schools vary widely. Especially, a large variability regarding the use and scoring of multiple-select multiple-choice items was found.
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  • 文章类型: Journal Article
    目的:从澳大利亚护士教育领导者的角度,探讨如何评估护理本科生的护理计算能力和药物计算。
    方法:定性研究。
    方法:在2022年11月至2023年1月之间对17名护士教育负责人进行了半结构化访谈。Braun和Clarke的六个阶段的主题分析被用来分析数据。
    结果:确定了五个关键主题:(i)对保持公众安全的高期望,(ii)多样化的评估格式,(iii)管理评估完整性的不同方式,(iv)评估条件不符合临床环境和(v)支持挣扎的学生。
    结论:护士教育领导者设定了高标准,要求学生在算术和药物计算评估方面达到100%,从而维护护理声誉和患者安全。然而,学生们努力满足这一期望。实施了多种评估格式,与临床实践相反的一些检查条件。目前,澳大利亚没有基准或独立的注册考试点,因此,问题是每个大学都有不同的标准来判断学生的能力。深入了解这些评估是如何进行的,这为建立基于证据的评估模型或基准提供了机会。
    临床实践中的剂量错误威胁着患者的安全和护理行业的声誉。在全球范围内,本科生和注册护士的计算准确率不足。这项研究突出了一个重大的教育问题,在标准化方法没有明确的教学依据的情况下,进行算术评估的方式差异很大。这种评估将建立一个国家标准,为质量保证做出贡献,护理专业的发展,提高病人的安全。
    OBJECTIVE: To explore how undergraduate nursing students are assessed on nursing numeracy and medication calculations from the perspective of Australian nurse education leaders.
    METHODS: A qualitative study.
    METHODS: Semi-structured interviews were conducted with 17 nurse education leaders between November 2022 and January 2023. Braun and Clarke\'s six phases of thematic analysis were used to analyse the data.
    RESULTS: Five key themes were identified: (i) high expectations to keep the public safe, (ii) diverse assessment formats, (iii) different ways of managing assessment integrity, (iv) assessment conditions incongruent to the clinical setting and (v) supporting struggling students.
    CONCLUSIONS: Nurse education leaders set high standards requiring students to achieve 100% in numeracy and medication calculation assessments, thus maintaining the reputation of nursing and patient safety. However, students struggled to meet this expectation. Diverse assessment formats were implemented, with some examination conditions contrary to clinical practice. Currently, there is no benchmark or independent point of registration examination in Australia, hence the problem is each university had a different standard to judge students\' competence. Gaining insight into how these assessments are conducted provides an opportunity to work towards an evidence-based model or benchmark for the assessment of numeracy.
    UNASSIGNED: Dosage errors in clinical practice threaten patient safety and the reputation of the nursing profession. The accuracy rate of calculations by undergraduate and registered nurses is deficient worldwide. This research highlights a major educational issue, that being the wide variation in how numeracy assessments are conducted with no clear pedagogical rationale for a standardised method. Such assessments would establish a national standard, contributing to quality assurance, the development of the nursing profession and improve patient safety.
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