neurology education

神经学教育
  • 文章类型: Journal Article
    本文描述了发展,内容,结构,并实施基于案例的协作学习,翻转教室,综合临床前神经病学,神经解剖学,哈佛医学院一年级医学生的神经科学课程。我们报告了课前准备的方法,课堂指导,和评估;学生对内容的反馈,教学方法,和学习环境;以及关于如何在基于案例的翻转课堂课程中优化预备和课堂学习的一些经验教训。
    This paper describes the development, content, structure, and implementation of a case-based collaborative learning, flipped classroom, integrated preclinical neurology, neuroanatomy, and neuroscience course for first year medical students at Harvard Medical School. We report the methods for pre-class preparation, in-class instruction, and evaluation; student feedback with respect to content, teaching method, and learning environment; and several lessons learned regarding how to optimize preparatory and in-class learning in a case-based flipped classroom course.
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  • 文章类型: Journal Article
    社交媒体改变了我们交流和互动的方式。毫不奇怪,它也改变了我们的教学和学习方式。年轻一代的学习者已经从传统的教育来源转变为数字来源。医学教育工作者需要适应医学教育的趋势,并在当今医学学习者使用的数字方法中发展流利。这是关于神经病学社交媒体和数字教育的两部分系列的第二部分。本文概述了社交媒体如何用作医学教育中的教学工具,并提供了其基础的概述。我们提供社交媒体如何促进终身学习的实用策略,教育家的发展,教育者支持,并通过随附的神经病学特定示例来培养教育者的身份。我们还回顾了将社交媒体纳入教学实践的考虑因素,以及将这些工具整合到神经病学教育中的未来方向。
    Social media has changed the way we communicate and interact. Unsurprisingly, it has also changed how we teach and learn. Younger generations of learners have transitioned from traditional educational sources to digital ones. Medical educators need to adapt to trends in medical education and develop fluency in the digital methods used by medical learners today. This is part two of a two-part series on social media and digital education in neurology. This article provides an overview of how social media can be used as a teaching tool in medical education and provides an overview in which it is grounded. We offer practical strategies on how social media can promote lifelong learning, educator development, educator support, and foster educator identity with accompanying neurology-specific examples. We also review considerations for incorporating social media into teaching and learning practices and future directions for integrating these tools in neurology education.
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  • 文章类型: Letter
    为了激发和吸引年轻人对神经病学的兴趣,我们必须提供高质量和有吸引力的教学!为了改善我们医学院(慕尼黑工业大学)的神经学教育,我们使用翻转课堂模型将主要讲座转换为电子学习概念。学生必须准备视频和文本,并在每次讲座前回答多项选择题。作为进一步的激励,在多项选择题中正确答案≥80%的学生获得了期末考试的奖金。讲座期间,主要是患者病例进行了讨论,改进和增强以前获得的知识。将神经病学的主要讲座重新调整为翻转课堂模型非常成功,并根据对新概念的评估在接下来的学期中进一步优化。此外,这使我们能够在COVID-19大流行期间迅速切换到远程教学,同时仍然提供高质量的讲座。此外,这种新的教学理念吸引了神经病学的学生。此外,将神经病学主要讲座转换为翻转课堂概念的示例性转换也可作为最佳实践和动力,以适应我们教师的其他课程以及远远超出其他课程。
    In order to inspire and attract young people to Neurology, we must offer high-quality and attractive teaching! To improve neurological education at our Medical School (Technical University of Munich), we converted the main lecture into an e-learning concept using a flipped classroom model. Students had to prepare with a video and a text as well as answering multiple choice questions before each lecture. As a further incentive, students with ≥ 80% right answers in multiple choice questions received a bonus for the final exam. During the lectures, predominantely patient cases were discussed to apply, improve and enhance the previously acquired knowledge. The realignment of the main lecture in Neurology into a flipped classroom model was very successful and was further optimized in the following semesters based on the evaluations obtained for the new concept. Moreover, this enabled us to quickly switch to remote teaching during the COVID-19 pandemic, while still offering lectures of high quality. In addition, this new teaching concept attracts students for Neurology. Furthermore, the exemplary conversion of the Neurology main lecture to a flipped classroom concept also serves as best practice and motivation to adapt other courses in our faculty and far beyond.
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  • 文章类型: Journal Article
    社交媒体已经成为日常生活的一部分。它改变了我们获取和分发信息的方式,连接,并与他人互动。随着平台和用户数量的增长,医学专业人员已经了解到社交媒体在教育中的价值,研究,倡导,和临床护理计划。平台为网络提供了机会,建立合作,并建立声誉。这是一个由两部分组成的系列的第一部分。本文概述了社交媒体如何有益于临床医生和研究人员的职业生涯发展。以及倡导提高对偏见的认识,差距,为了病人的利益。我们回顾挑战,局限性,以及医学专业人员使用社交媒体的最佳实践,其中包括神经病学的具体例子。
    Social media has become a part of everyday life. It has changed the way we obtain and distribute information, connect, and interact with others. As the number of platforms and users grow, medical professionals have learned the value social media can have in education, research, advocacy, and clinical care initiatives. Platforms provide opportunities to network, build collaborations, and develop a reputation. This is part one of a two-part series. This article provides an overview on how social media can benefit professional career development for clinicians and researchers, as well as for advocacy to raise awareness against biases, disparities, and for patient benefit. We review challenges, limitations, and best practices for social media use by medical professionals with neurology-specific examples.
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  • 文章类型: Journal Article
    背景:我们旨在评估加拿大神经病学住院医师计划在2020-2021年加拿大居民匹配服务(CaRMS)迭代中实施的干预措施的感知有效性。
    方法:将横断面调查分发给了加拿大神经病学住院医师计划和最后一年的加拿大医学生,他们在2020-2021比赛周期中申请了至少一项神经病学计划。调查评估了加拿大神经病学住院医师计划实施的面试前和面试期干预措施,并由医学生访问。
    结果:35名医学生和加拿大15个有神经内科住院医师项目的机构中的13个对调查做出了回应。实施了多种改编,包括社交媒体广告,基于Web的平台,面试前的信息发布会,和教学会议,所有接受调查的项目都实施了至少两种虚拟干预措施。我们发现,大多数(>60%)医学生认为所有干预措施都是足够的,面试前虚拟信息会话被最大比例的受访者认为是有效的。所有加拿大神经病学住院医师计划都在2020-2021年周期进行了虚拟访谈,和大多数程序使用相同的采访结构前几年。在最有用的面试期间,住院医师计划利益相关者和医学生之间存在不一致。医学生发现医院参观和信息会议最有价值,而项目利益相关者认为虚拟社交和访谈是最有帮助的。
    结论:COVID-19大流行导致了加拿大神经病学住院医师计划实施的创新适应,医学生和项目利益相关者都认为这是有效的。
    We aimed to evaluate the perceived effectiveness of interventions implemented by Canadian neurology residency programs for the 2020-2021 iteration of the Canadian Resident Matching Service (CaRMS).
    A cross-sectional survey was distributed to Canadian neurology residency programs and final-year Canadian medical students who applied to at least one neurology program during the 2020-2021 match cycle. The surveys evaluated pre-interview and interview period interventions implemented by Canadian neurology residency programs and accessed by medical students.
    Thirty-five medical students and 13 out of 15 institutions in Canada with neurology residency programs responded to the survey. Multiple adaptations were implemented, including social media advertisement, web-based platforms, pre-interview information sessions, and teaching sessions, with all surveyed programs implementing at least two virtual interventions. We found that all interventions were perceived as adequate by a majority (>60%) of medical students, with pre-interview period virtual information sessions perceived as effective by the largest proportion of respondents. All Canadian neurology residency programs held virtual interviews for the 2020-2021 cycle, and most programs utilized the same interview structure as prior years. There was discordance between residency program stakeholders and medical students on the most helpful interview period modality. Medical students found the hospital tours and information sessions most valuable, whereas program stakeholders perceived the virtual socials and interviews as most helpful.
    The COVID-19 pandemic has led to innovative adaptations implemented by Canadian neurology residency programs, which were seen as effective by both medical students and program stakeholders.
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  • 文章类型: Journal Article
    目的:评估神经恐惧症的患病率,或者对神经科学和神经病学的恐惧,以及非洲国家医学学员对神经病学教育的看法。
    背景:已经在世界各地的医学受训者中研究了神经病学的认识和神经恐惧症的表征。然而,尽管非洲国家的神经系统疾病负担过高,人均神经科医师人数少于世界其他地区,但对神经恐惧症的研究很少。
    方法:我们对非洲的医学生和内科和儿科研究生进行了横断面调查。一项包含多项选择的23项在线调查,李克特音阶,自由回答问题改编自先前的文献,翻译成英语和法语,并通过列表服务器和社交媒体分发。
    结果:来自15个国家的197名医学生和97名研究生学员完成了294项调查,赞比亚的代表性最大(n=110),尼日利亚(n=54)和肯尼亚(n=35)。五分之一的受访者表示对未来的神经病学职业感兴趣,而36%的受访者表示对神经病学感到不适,近三分之一的受访者表示对神经恐惧症感兴趣。与其他六个医学亚专科相比,参与者将神经病学评为最困难的(p<0.001),并将他们管理患有神经系统疾病的患者的信心评分低于除风湿病外的其他医学亚专科(p<0.005)。
    结论:来自多个非洲国家的医学受训者赞同神经学学科的恐惧和不适。缓解神经恐惧症的策略,包括对神经教育的投资,诊断和治疗能力,需要增加从事神经病学职业的医学实习生的数量。
    OBJECTIVE: To assess the prevalence of \"neurophobia,\" or fear of the neurosciences and neurology, and perceptions of neurology education among medical trainees in African countries.
    BACKGROUND: Perceptions of neurology and characterization of neurophobia have been studied among medical trainees around the world. However, few studies on neurophobia have been conducted in African countries despite having a disproportionately high burden of neurological disease and fewer neurologists per capita than all other world regions.
    METHODS: We conducted a cross-sectional survey of medical students and post-graduate trainees in internal medicine and pediatrics across Africa. A 23-item online survey containing multiple-choice, Likert-scale, and free-response questions was adapted from prior literature, translated into English and French, and distributed through listservs and social media.
    RESULTS: 294 surveys were completed by 197 medical students and 97 post-graduate trainees from 15 countries, with the greatest representation from Zambia (n = 110), Nigeria (n = 54) and Kenya (n = 35). One-fifth of respondents endorsed interest in a future career in neurology while 36% reported discomfort with neurology and almost one-third endorsed neurophobia. Participants rated neurology as the most difficult compared to six other medical subspecialties (p < 0.001) and rated their confidence managing patients with neurological complaints lower than other medical subspecialties except rheumatology (p < 0.005).
    CONCLUSIONS: Medical trainees in multiple African countries endorse fear and discomfort with the subject of neurology. Strategies to mitigate neurophobia, including investments in neurological educational, diagnostic and treatment capacity, are needed to increase the number of medical trainees pursuing careers in neurology.
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  • 文章类型: Journal Article
    我们在18名学生志愿者的样本中调查了基于团队的虚拟学习(TBL)在神经定位(NL)教学中的可行性和有效性。使用改良的TBL学生评估工具和扩展匹配问卷(EMQ)评估学生满意度和知识成果,分别。平均学生满意度评分为5.0中的3.9(SD0.3)。参与者的平均EMQ得分较高,为84.2%(SD2.9),个人评估得分与EMQ得分之间具有中等相关性(ρ=0.587,p=0.01)。虚拟TBL对于具有良好学生满意度和知识成果的NL教学是可行的。
    We investigated the feasibility and effectiveness of virtual team-based learning (TBL) in teaching neurolocalisation (NL) in a sample of 18 student volunteers. Student satisfaction and knowledge outcomes were evaluated using the modified TBL Student Assessment Instrument and Extended Matching Questionnaire (EMQ), respectively. Mean student satisfaction rating was good at 3.9 out of 5.0 (SD 0.3). Participants achieved high mean EMQ scores of 84.2% (SD 2.9) with moderate correlation between individual assessment scores and EMQ scores (ρ = 0.587, p = 0.01). Virtual TBL is feasible for teaching NL with good student satisfaction and knowledge outcomes.
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  • 文章类型: Journal Article
    BACKGROUND: Despite increasing awareness of inequities in healthcare in neurology, health equity is not a core competency of neurology training. To meet this need, we implemented a health equities curriculum for neurology residents at the Hospital of the University of Pennsylvania.
    METHODS: A seven-lecture health equities curriculum was implemented during the 2019-2020 academic year. Surveys were distributed pre-and post-curriculum to assess resident demographics, previous training in health equities, curriculum effectiveness addressing health equities topics, and resident appraisal of the curriculum.
    RESULTS: On average, residents attended 2-3 lectures. Most of the residents who participated were White-Non Latinx women. Residents who did not participate in the curriculum listed clinical responsibilities as the main reason for absenteeism. Residents who participated felt the curriculum was at least somewhat effective in addressing health disparities, cultural competency, and implicit bias. 64% of the residents felt the curriculum was effective in improving their preparedness in caring for underserved patients.
    CONCLUSIONS: Implementing a health equities curriculum in neurology residency programs is feasible and well-received by residents. Given inconsistent attendance and a small sample size, we are unable to assess its true effectiveness. Nonetheless, residents felt it prepared them in addressing disparities in neurological care. A longer curriculum will help in assessing the effectiveness of this curriculum intervention. A standard health equities curriculum should be implemented across neurology residency programs, and health equities should be considered a core competency topic for the American Board of Psychiatry and Neurology (ABPN) certification.
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  • 文章类型: Journal Article
    Introduction: Neurology is arguably one of the most difficult subjects to teach and study in the medical curriculum. Educational games (EG) may be a valid option to enhance motivation in neurology residents. Methods: We developed an educational board game (Neuropoly) to assist in teaching neurology. We present here an overview of the game, as well as the results of a pilot study aimed at determining: (a) the efficacy of the game in teaching certain neurological concepts; and (b) student compliance and satisfaction with the EG. Results: The pre- and post-play questionnaire scores differed significantly (3.2 ± 1.7 vs. 7.8 ± 1.6, p < 0.001). Our group of residents, showing an overwhelmingly positive response, very well received the game. The questions were rated as above average regarding difficulty. Conclusion: The \"Neuropoly\" educational board game has been shown to be interesting, efficient, and motivational among first- and second-year neurology residents. Novel educational methods for complex medical disciplines should be developed, with board games being a viable and inexpensive approach.
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  • 文章类型: Journal Article
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