case-based learning

基于案例的学习
  • 文章类型: Journal Article
    目的:作为一种实验教学方法,新兴的学习方法,包括基于问题的学习(PBL),基于案例的学习,基于团队的学习和翻转课堂(FC)已广泛应用于牙科教育。本研究旨在评估与传统的基于讲座的学习(LBL)相比,这些教学方法对牙科教育绩效的影响。
    方法:搜索于2024年4月在PubMed进行,EMBASE,WebofScience,科克伦图书馆纳入所有随机对照试验,方法学质量评估基于Cochrane系统评价手册中描述的指南,然后使用Stata14.0软件进行荟萃分析。使用标准平均差(SMD)和95%置信区间(95%CI)确定新兴教学方法和LBL在所有牙科学科中的有效性。采用元回归分析异质性来源。进行灵敏度分析以确定稳定性,和Begg的分析用于确定是否存在发表偏倚。
    结果:共纳入29项随机对照试验,包括3502名学生。结果表明,新兴的教育方法对取得较高的成绩有显著的正向影响(SMD=0.48,95%CI=0.34-0.62,P<.001)。无论是理论分数(SMD=0.52,95%CI=0.32-0.72,P<.001)还是技能分数(SMD=0.45,95%CI=0.15-0.76,P<.001)。与LBL相比,PBL(SMD=0.33,95%CI=0.01-0.65,P=.045)和FC(SMD=0.50,95%CI=0.31-0.69,P<.001)均能显著提高学生的学习成绩。
    结论:与LBL相比,新兴的教育方法(PBL,基于案例的学习,和FC)显著提高了牙科学生的学习效率。这些新兴的教育方法可以作为常规教学方法加以提倡和推广。
    结论:本研究是对新兴教学方法在牙科教育中的作用的首次荟萃分析,表明新兴教学方法对学生的发展有很大影响。
    OBJECTIVE: As an experimental teaching method, emerging learning methods including problem-based learning (PBL), case-based learning, team-based learning and flipped classroom (FC) have been widely applied in dental education. This study aims to evaluate the effect of these teaching methods on dental education performance compared to traditional lecture-based learning (LBL).
    METHODS: The search was carried out in April 2024 in PubMed, EMBASE, Web of Science, and Cochrane Library. All randomized controlled trials were included and the methodological quality assessment was based on the guidelines described in the Cochrane Handbook for Systematic Reviews, followed by a meta-analysis using Stata 14.0 software. Using standard mean deviation (SMD) and 95% confidence interval (95% CI) to determine the effectiveness of emerging teaching methods and LBL in all dental disciplines. Meta-regression was used to analyse sources of heterogeneity. Sensitivity analysis was performed to determine the stability, and Begg\'s analysis was used to determine whether there is publication bias.
    RESULTS: A total of 29 randomized controlled trials including 3502 students were included. The results indicate that emerging educational methods have a significantly positive effect on achieving higher scores (SMD = 0.48, 95% CI = 0.34-0.62, P < .001), whether it was theoretical scores (SMD = 0.52, 95% CI = 0.32-0.72, P < .001) or skill scores (SMD = 0.45, 95% CI = 0.15-0.76, P < .001). Compared to LBL, PBL (SMD = 0.33, 95% CI = 0.01-0.65, P = .045) and FC (SMD = 0.50, 95% CI = 0.31-0.69, P < .001) can both significantly improve students\' academic performance.
    CONCLUSIONS: Compared to LBL, emerging educational methods (PBL, case-based learning, and FC) have significantly improved the learning effectiveness of dental students. These emerging educational methods can be advocated and popularized as routine teaching methods.
    CONCLUSIONS: This study is the first meta-analysis of the effects of emerging teaching methods in dental education which shows great impact of emerging teaching methods on students\' development.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:发展患者,评估,情况,安全问题,背景,行动,推荐(PASS-BAR)切换培训计划,并在新护士中使用重复措施比较基于模拟(实验组)和基于病例(对照组)的计划的教育效果。
    背景:新护士没有做好准备提供明确的移交报告,因为护理学校和医疗保健机构很少为移交沟通实践提供结构化的计划或培训。
    方法:本研究采用前测-后测准实验设计,对两个非随机组进行重复测量。
    方法:本研究针对经验少于12个月的新护士,在首尔一所大学医院的临床护理教育中心进行,韩国,2022年9月至2023年4月。17名参与者被分配到实验组,17名参与者被分配到对照组。两组都接受了两种情况的讲座和练习。参与者被要求填写一份关于护理交接能力的问卷,在测试前和测试后以及培训后两周的移交绩效能力和感知的移交自我效能感。干预后测量学习满意度。
    结果:我们开发了基于模拟的学习切换程序,其中包括模拟切换性能和汇报以及基于案例的学习切换程序,其中包括讨论,切换性能和反馈。这项研究发现,在基于模拟的学习和基于案例的学习之间,PASS-BAR切换训练的教育效果没有直接差异;但是,随着时间的推移,在提高护理交接能力和交接绩效能力方面,基于模拟的学习比基于案例的学习更有效。
    结论:根据本研究的结果,使用PASS-BAR的基于模拟的切换培训计划可以增强切换能力,并帮助新护士加强沟通技巧,以了解患者和传达重要信息.
    结论:使用PASS-BAR开发基于模拟的切换培训计划有助于护士加强与同事的沟通技巧。
    OBJECTIVE: To develop a patient, assessment, situation, safety concerns, background, action, recommendation (PASS-BAR) handoff training program and compare the educational effects of the program between simulation-based (experimental group) and case-based (control group) groups using repeated measures among new nurses.
    BACKGROUND: New nurses are not well prepared to provide clear handoff reports because nursing schools and healthcare institutions rarely offer structured programs or training for handoff communication practices.
    METHODS: This study used a pretest-posttest quasi-experimental design with repeated measures with two non-randomized groups.
    METHODS: This study targeted new nurses with less than 12 months of experience and was conducted at a university hospital\'s clinical nursing education center in Seoul, South Korea, between September 2022 and April 2023. Seventeen participants were allocated to the experimental group and 17 participants to the control group. Both groups were given lectures and exercises for both scenarios. Participants were asked to complete a questionnaire on nursing handoff competency, handover performance competency and perceived self-efficacy of handoff at pre- and posttest and two weeks after training. Satisfaction with learning was measured after the intervention.
    RESULTS: We developed a simulation-based learning handoff program that includes a simulated handoff performance and debriefing and a case-based learning handoff program that includes discussion, handoff performance and feedback. This study found no immediate difference in the educational effect of PASS-BAR handoff training between simulation-based learning and case-based learning; however, over time, simulation-based learning was more effective than case-based learning in improving nursing handoff competency and handover performance competency.
    CONCLUSIONS: Based on the results of this study, a simulation-based handoff training program using PASS-BAR can enhance handoff competencies and help new nurses strengthen their communication skills to understand patients and convey important information.
    CONCLUSIONS: Developing a simulation-based handoff training program using PASS-BAR helps nurses strengthen their communication skills with colleagues.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    寻求纠正和改革反种族主义观点课程的医学院需要专门解决反黑人形式的种族主义,并向学生传授关键的领导技能,以打断种族主义的表现。我们开发了一门课程,教授临床前医学生基本的反种族主义能力,包括对医学中反黑人种族主义的认识和认识以及为患者和同事倡导的高端技能。
    在2021年和2022年,我们设计了,已实施,并评估了针对二年级医学生(N=149)的选修课程,以介绍反种族主义的能力,重点是解决反黑人问题的高级技能。我们设计了三个患者案例和一个以学生为中心的案例来说明医学中反黑人种族主义的表现,并使用这些案例来激发小组讨论,并引导学生认识和理解应对种族主义的方式。我们设计了评估前和评估后,以评估课程的有效性,并利用匿名反馈调查。
    参与者在课程的两个年份中,评估前后分数均有显着提高。匿名反馈调查显示,97%的学生认为该课程至少有些有效,定性回答揭示了五个核心主题:课程时间,案例复杂性,学习者差异化,直接指示,和获取资源。
    本课程加强了在医学中推进反种族主义所必需的领导能力。它通过考虑到医学文化中反黑人种族主义的根深蒂固的性质,解决了医学教育中的差距,并试图授权本科医学生倡导黑人识别患者和同事。
    UNASSIGNED: Medical schools seeking to correct and reform curricula towards anti-racist perspectives need to address anti-Black forms of racism specifically and teach students critical upstander skills to interrupt manifestations of racism. We developed a course to teach preclinical medical students basic anti-racism competencies including recognition and awareness of anti-Black racism in medicine and upstander skills to advocate for patients and colleagues.
    UNASSIGNED: In 2021 and 2022, we designed, implemented, and evaluated an elective course for second-year medical students (N = 149) to introduce competencies of anti-racism focusing on upstander skills for addressing anti-Blackness. We designed three patient cases and one student-centered case to illustrate manifestations of anti-Black racism in medicine and used these cases to stimulate small-group discussions and guide students toward recognizing and understanding ways of responding to racism. We designed pre- and postassessments to evaluate the effectiveness of the course and utilized anonymous feedback surveys.
    UNASSIGNED: Participants showed significant improvement in pre- to postassessment scores in both years of the course. The anonymous feedback survey showed that 97% of students rated the course at least somewhat effective, and the qualitative responses revealed five core themes: course timing, case complexity, learner differentiation, direct instruction, and access to resources.
    UNASSIGNED: This course reinforces upstander competencies necessary for advancing anti-racism in medicine. It addresses a gap in medical education by reckoning with the entrenched nature of anti-Black racism in the culture of medicine and seeks to empower undergraduate medical students to advocate for Black-identifying patients and colleagues.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    用药错误可导致重大不良事件。近50%的用药错误发生在用药过程的处方书写阶段,有效的跨专业协作和沟通是减少此过程中错误的关键。
    我们开发了一个由三部分组成的,60分钟,提供医疗的跨专业教育活动,医师助理,和药学学生有机会练习围绕处方实践的大学跨专业沟通。学习者实际上最初是作为一个大团体见面的,并在健康专业人员的协助下分为几个小组。第一部分涉及审查学习者准备的两个处方;第二部分是关于教育的讨论,角色,以及每个专业的责任;第3部分侧重于确定教师提供的示例中的处方错误。学生完成了预调查后,测量了他们对跨专业协作能力成就调查(ICCAS)领域的学习感知。
    在317名参与者中(151名骨病医生,68名医师助理硕士,和98名药学博士学生),286完成了前期调查后,90%的反应率。学生报告说,在六个ICCAS领域的所有20个问题中,有统计学意义的(p<.001)增加。
    虚拟形式允许多个机构从不同地点参与。它通过促进具有不同观点的人之间的互动来扩大学习者的经验,并允许在其他情况下无法参与的地点和计划之间进行合作。该活动向学生介绍了虚拟协作和关键的远程医疗技能,增强他们在专业环境中对虚拟互动的信心和熟悉度。
    UNASSIGNED: Medication errors can lead to significant adverse events. Nearly 50% of medication errors occur during the prescription-writing stage of the medication use process, and effective interprofessional collaboration and communication are key to reducing error in this process.
    UNASSIGNED: We developed a three-part, 60-minute, interprofessional education activity providing medical, physician assistant, and pharmacy students the opportunity to practice collegial interprofessional communication surrounding prescribing practices. Learners met virtually initially as a large group and divided into small groups facilitated by a health professional. Part 1 involved reviewing two prescriptions prepared by learners; part 2 was a discussion about the education, roles, and responsibilities of each profession; and part 3 focused on identifying prescription errors in examples provided by faculty. Students completed a post-pre survey measuring their perception of learning the Interprofessional Collaborative Competency Attainment Survey (ICCAS) areas.
    UNASSIGNED: Of 317 participants (151 doctor of osteopathy, 68 master of physician assistant studies, and 98 doctor of pharmacy students), 286 completed the post-pre survey, for a 90% response rate. Students reported statistically significant (p < .001) increases in all 20 questions spanning the six ICCAS areas.
    UNASSIGNED: The virtual format allowed multiple institutions to participate from various locations. It broadened the learners\' experience by fostering interaction among those with varied perspectives and allowed collaboration between locations and programs that otherwise could not have participated. The activity introduced students to virtual collaboration and key telehealth skills, enhancing their confidence and familiarity with virtual interactions in a professional setting.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    为了在现代医疗保健环境中取得未来的成功,健康专业的学生需要有效的跨专业教育经验,以发展他们对医疗保健团队中其他专业人员的看法。跨专业标准化患者体验(ISPE)是针对护理专业的健康专业学生的跨专业教育活动,药房,物理治疗,医学,社会工作,和职业治疗。
    ISPE涉及学生之间的合作以进行主观面试。来自六个医疗保健专业的学生分别采访了一名模拟患者,同时被其他专业的学生观察。在全面的面试过程之后,进行了结构化的教师指导的汇报会。学生完成了ISPE前后的自愿调查,并提供了有关活动的跨专业问题和反馈。描述性统计用于分析个体反应。使用卡方检验检查了按学生职业和现有职业数量划分的学生意见差异。
    连续4个学年,1,265名学生完成了ISPE,1,028人完成了ISPE前后的调查。对调查答复的分析表明,ISPE提高了学生对跨专业团队职能的认识,并增加了学生对不同医疗保健专业角色的了解。学生将ISPE评为宝贵的经验。在按职业和团体规模划分的某些衡量标准中发现了差异。
    一次ISPE对预科学生的观念产生了重大影响。ISPE是学生欣赏的跨专业教育的一种新颖有效的方法。
    UNASSIGNED: For future success in the modern health care environment, health professions students require effective interprofessional education experiences to develop their perceptions of other professionals on the health care team. The Interprofessional Standardized Patient Experience (ISPE) is an interprofessional education activity for prelicensure health professional students in nursing, pharmacy, physical therapy, medicine, social work, and occupational therapy.
    UNASSIGNED: The ISPE involved collaboration among students to conduct a subjective interview. Students from six health care professions individually interviewed a simulated patient while being observed by students from other professions. A structured faculty-guided debriefing session followed the comprehensive interview process. Students completed a voluntary pre- and post-ISPE survey with interprofessional questions and feedback on the activity. Descriptive statistics were used to analyze individual responses. Differences in student opinions by student profession and by the number of professions present were examined using chi-square tests.
    UNASSIGNED: Over 4 consecutive academic years, 1,265 students completed the ISPE, and 1,028 completed the pre- and post-ISPE surveys. Analysis of the survey responses indicated that the ISPE enhanced student awareness of the functions of an interprofessional team and increased student knowledge of the roles of different health care professions. Students rated the ISPE as a valuable experience. Differences were noted in some of the measures by profession and group size.
    UNASSIGNED: A single ISPE had a significant impact on prelicensure students\' perceptions. The ISPE is a novel and effective approach to interprofessional education that students appreciate.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    该模块教授生殖健康本科医学教育的核心知识和技能,利用交互式小组翻转课堂方法和基于案例的指导,提供正常和异常妊娠和分娩管理的指导。
    在教育会议之前提供了预先准备材料。2小时的会议是由临床教育工作者使用教师指南进行的。利用自愿调查,我们收集数据以衡量每次教育课程后妇产科学生和辅导员的满意度.
    在9个月内抓到6个职员,116名学生参加,64名学生完成了满意度调查,97%的人同意该会议有助于将知识和原则应用于常见的临床情景。大多数学生(96%)自我报告说,他们实现了会议的学习目标,利用前期工作和互动小组教学。九位临床指导员完成了调查;所有人都同意提供的材料使他们能够促进主动学习,与传统教学法相比,大多数人(89%)同意他们花更少的时间准备教授该课程。
    此交互式翻转课堂课程满足了与使用标准化材料管理怀孕和分娩有关的文员学习目标。该课程也减少了临床教育工作者的准备时间。
    UNASSIGNED: This module teaches core knowledge and skills for undergraduate medical education in reproductive health, providing instruction in the management of normal and abnormal pregnancy and labor utilizing interactive small-group flipped classroom methods and case-based instruction.
    UNASSIGNED: Advance preparation materials were provided before the education session. The 2-hour session was facilitated by clinical educators using a faculty guide. Using voluntary surveys, we collected data to measure satisfaction among obstetrics and gynecology clerkship students and facilitators following each education session.
    UNASSIGNED: Capturing six clerkships spanning 9 months, 116 students participated, and 64 students completed the satisfaction survey, with 97% agreeing that the session was helpful in applying knowledge and principles to common clinical scenarios. Most students (96%) self-reported that they achieved the session\'s learning objectives utilizing prework and interactive small-group teaching. Nine clinical instructors completed the survey; all agreed the provided materials allowed them to facilitate active learning, and the majority (89%) agreed they spent less time preparing to teach this curriculum compared to traditional didactics.
    UNASSIGNED: This interactive flipped classroom session meets clerkship learning objectives related to the management of pregnancy and labor using standardized materials. The curriculum reduced preparation time for clinical educators as well.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    骨盆瘘影响全球大量患者,在美国患病率相对较低。虚拟教育提供了一种有效的,可扩展的解决方案,以弥合这种教育差距,并导致对更常见条件的更深入的了解,如尿失禁和大便失禁。
    我们开发了两个关于直肠阴道和膀胱阴道/输尿管阴道瘘的虚拟病例,以增强医学生的暴露,知识,以及对骨盆瘘评估的信心。案件可以在大约30分钟内完成,异步,和学生自己的节奏。这些病例被纳入妇产科医师的工作。我们在接收案例的学生中进行了一项调查,以收集有关可用性的反馈,可接受性,和教育价值,这指导了后续的改进。
    40名医学生,从第一年到第三年,参加了泌尿系妇科选修课;21人(53%)完成了调查。百分之九十一的人同意或强烈同意他们对案件感到满意。所有受访者都发现该格式易于使用,适合他们的学习水平。大多数报告的病例提高了他们对骨盆瘘的非手术和手术治疗选择的信心。
    在电子学习平台上提供虚拟和交互式患者病例代表了一种创新方法,可以增加临床上对泌尿系妇科疾病的暴露。通过为医学生提供与骨盆瘘虚拟互动的机会,这些病例可以帮助弥合临床教育的差距。未来的探索对于检查知识缺陷和开发成本效益很有价值,自定进度,容易获得的教育资源,以推进医疗培训和优化患者护理。
    UNASSIGNED: Pelvic fistulas affect a significant number of patients globally, with a relatively low prevalence in the United States. Virtual education offers an effective, scalable solution to bridge this educational gap and lead to a deeper understanding of more common conditions, such as urinary and fecal incontinence.
    UNASSIGNED: We developed two virtual cases on rectovaginal and vesicovaginal/ureterovaginal fistulas to enhance medical students\' exposure, knowledge, and confidence regarding assessment of pelvic fistulas. The cases could be completed in approximately 30 minutes, asynchronously, and at students\' own pace. The cases were integrated into an OB/GYN clerkship. We conducted a survey among students receiving the cases to gather feedback on usability, acceptability, and educational value, which guided subsequent improvements.
    UNASSIGNED: Forty medical students, ranging from first to third year, participated in the urogynecology elective; 21 (53%) completed the survey. Ninety-one percent agreed or strongly agreed they were satisfied with the cases. All respondents found the format easy to use and appropriate for their level of learning. Most reported the cases improved their confidence in nonsurgical and surgical management options for pelvic fistulas.
    UNASSIGNED: Offering virtual and interactive patient cases on e-learning platforms represents an innovative approach to increasing clinical exposure to urogynecologic disorders. By providing medical students with the opportunity to interact with pelvic fistulas virtually, these cases can help bridge a gap in clinical education. Future exploration is valuable for examining knowledge deficiencies and developing cost-effective, self-paced, easily accessible educational resources to advance medical training and optimize patient care.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    没有关于健康的社会决定因素(SDoH)如何影响患者护理和健康结果的明确教育和培训,医学院未能有效地装备未来的医生为患者服务。我们创建了这个关于健康公平的研讨会,重点是SDoH,以帮助学生更有效地与不同人群沟通。
    为三年级医学生和教职员工提供了课程指南,学习目标,角色扮演小插曲,其中包含特定于职员的历史和身体检查,时间表,在以SDoH为中心的2小时会议中讨论问题。研讨会的影响是通过调查的混合方法分析来衡量的。
    根据87名参与者的调查前后结果,医学生强烈同意(1)与临床接触相比,SDoH对患者健康结果的影响更大(pre:67%,职位:87%),(2)收集有关SDoH的信息是他们的责任(pre:86%,职位:97%),(3)邻域安全是SDoH的关键之一(pre:88%,职位:97%),(4)他们了解上游干预措施的影响(pre:35%,职位:93%),(5)他们可以在每次医疗时有效地筛查所有患者的SDoH(pre:27%,职位:86%),和(6)他们可以找到初步资源,以快速帮助需要帮助的患者关于特定的SDoH(pre:26%,职位:85%)。
    这是本次研讨会的第一次迭代;挑战涉及内容的试点,时间限制,车间的组织结构设计。未来的方向包括使SDoH课程成为本科医学教育和多样化临床环境的组成部分。
    UNASSIGNED: Without explicit education and training on how social determinants of health (SDoH) impact patient care and health outcomes, medical schools are failing to effectively equip future physicians to serve their patients. We created this workshop on health equity with a focus on SDoH to help students more effectively communicate with diverse populations.
    UNASSIGNED: Third-year medical students and faculty were provided with class guides, learning objectives, role-play vignettes containing clerkship-specific history and physical exams, schedules, and discussion questions during a 2-hour session centered on SDoH. The workshop\'s impact was measured through mixed-methods analysis of surveys.
    UNASSIGNED: Based on pre- and postsurvey results from 87 participants, medical students strongly agreed that (1) SDoH factor more into a patient\'s health outcomes than the clinical encounter (pre: 67%, post: 87%), (2) it is their duty to gather information about SDoH (pre: 86%, post: 97%), (3) neighborhood safety is one of the key SDoH (pre: 88%, post: 97%), (4) they understood the impact of upstream interventions (pre: 35%, post: 93%), (5) they could efficiently screen all patients for SDoH at every medical encounter (pre: 27%, post: 86%), and (6) they could find preliminary resources to quickly assist patients in need of help regarding particular SDoH (pre: 26%, post: 85%).
    UNASSIGNED: This was the first iteration of this workshop; challenges involved piloting the content, time restraints, and organizational structure of the workshop design. Future directions include making SDoH curricula an integral part of undergraduate medical education and diverse clinical environments.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    患者遇到被认为具有挑战性的情况很常见,并且会导致患者健康结果欠佳和提供者倦怠。针对这些遭遇的创伤知情护理(TIC)方法至关重要,因为与挑战性患者遭遇相关的许多特征可以与创伤暴露史相关联。
    我们的团队创建并交付了一个1小时的同步虚拟会话,旨在增强提供者对TIC原理及其在具有挑战性的青少年遭遇中的应用的了解。参与者都是在城市学术中心从事儿科初级保健的教职员工,包括医生,执业护士,心理学家,和社会工作者。内容植根于成人学习原则,并包括以案例为基础的学习为基础的教学组成部分,并促进了小组讨论和反思的机会。我们使用配对的会前和会后对提供者知识的自我评估,信心,以及使用Likert量表和自由文本问题的与TIC相关的实践。使用描述性统计和配对t检验来确定会话对这些指标的影响。
    在24项配对调查中,参与者感知知识有统计学显著的增加(p≤.001),信心,和实践,100%的参与者在一个或多个这些领域中具有统计学上的显着改善。在内容相关性和交付方面,也有强烈的李克特规模和自由文本回应。
    我们证明,简短的会议可以改善儿科提供者对TIC原则应用于挑战青少年遭遇的感知知识以及对他们将这些应用于实践的能力的信心。
    UNASSIGNED: Patient encounters perceived to be challenging are common and contribute to both suboptimal patient health outcomes and provider burnout. A trauma-informed care (TIC) approach to these encounters is critical, as many of the characteristics associated with challenging patient encounters can be linked to a history of trauma exposure.
    UNASSIGNED: Our team created and delivered a 1-hour synchronous virtual session intended to bolster provider knowledge of TIC principles and their application to challenging adolescent encounters. Participants were all faculty and staff engaged in pediatric primary care at an urban academic center, including physicians, nurse practitioners, psychologists, and social workers. The content was rooted in adult learning principles and included didactic components anchored to case-based learning with facilitated group discussions and opportunities for reflection. We used paired pre- and postsession self-assessments of provider knowledge, confidence, and practice related to TIC using Likert-scale and free-text questions. Descriptive statistics and a paired t test were used to determine the impact of the session on these metrics.
    UNASSIGNED: In 24 paired surveys, there were statistically significant increases (p ≤ .001) in participant perceived knowledge, confidence, and practice, with 100% of participants having a statistically significant improvement in one or more of these domains. There were also strongly positive Likert-scale and free-text responses regarding content relevance and delivery.
    UNASSIGNED: We demonstrate that a brief session can create improvement in pediatric providers\' perceived knowledge about the application of TIC principles to challenging adolescent encounters as well as confidence in their ability to put these into practice.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    医学课程隐含地教导种族具有生物学基础。临床轮换强化了这种误解,因为基于种族的算法用于指导临床决策。本模块旨在揭露临床算法中种族的谬误,以估计的肾小球滤过率(eGFR)方程为例。
    我们在与肾脏病学家协商后创建了一个60分钟的模块。格式是互动的,基于案例的演示,带有说教部分。一名三年级的医学生为医学生提供了便利。评估包括使用5点Likert量表进行的前/后调查,以评估有关将种族用作生物学结构的认识。更高的分数表明意识增强。
    55名学生参加了该模块。前/后结果表明,学生对医学界种族主义历史的自我感知知识显着提高(2.6vs.3.2,p<.001),临床算法中的种族意识(2.7vs.3.7,p<.001),基于种族的eGFR对生活质量/治疗结果的影响(4.5vs.4.8,p=0.01),种族和祖先之间的差异(3.7vs.4.3,p<.001),以及不从eGFR方程中删除种族的含义(2.7与4.2,p<.001)。学生对研讨会的质量和清晰度给予高度评价。
    我们的模块扩展了其他\'工作,以揭露基于种族的算法的谬误,并定义其对健康公平的影响。局限性包括缺乏对知识获取的客观评估。我们建议将此模块整合到临床前和临床课程中,以讨论种族在医学文献和临床实践中的使用。
    UNASSIGNED: Medical curricula implicitly teach that race has a biological basis. Clinical rotations reinforce this misconception as race-based algorithms are used to guide clinical decision-making. This module aims to expose the fallacy of race in clinical algorithms, using the estimated glomerular filtration rate (eGFR) equation as an example.
    UNASSIGNED: We created a 60-minute module in consultation with nephrologists. The format was an interactive, case-based presentation with a didactic section. A third-year medical student facilitated the workshops to medical students. Evaluation included pre/post surveys using 5-point Likert scales to assess awareness regarding use of race as a biological construct. Higher scores indicated increased awareness.
    UNASSIGNED: Fifty-five students participated in the module. Pre/post results indicated that students significantly improved in self-perceived knowledge of the history of racism in medicine (2.6 vs. 3.2, p < .001), awareness of race in clinical algorithms (2.7 vs. 3.7, p < .001), impact of race-based eGFR on quality of life/treatment outcomes (4.5 vs. 4.8, p = .01), differences between race and ancestry (3.7 vs. 4.3, p < .001), and implications of not removing race from the eGFR equation (2.7 vs. 4.2, p < .001). Students rated the workshops highly for quality and clarity.
    UNASSIGNED: Our module expands on others\' work to expose the fallacy of race-based algorithms and define its impact on health equity. Limitations include a lack of objective assessment of knowledge acquisition. We recommend integrating this module into preclinical and clinical curricula to discuss the use of race in medical literature and clinical practice.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号