Academic half days, noon conferences and classroom-based education in postgraduate medical education: a scoping review.

CMAJ open Pub Date : 2023-05-01 DOI:10.9778/cmajo.20210203
Luke Y C Chen, Tien T T Quach, Riki Dayan, Dean Giustini, Pim W Teunissen
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引用次数: 1

Abstract

Background: Classroom-based education (CBE) is ubiquitous in postgraduate medical education (PGME), but to date no studies have synthesized the literature on the topic. We conducted a scoping review focusing on academic half days and noon conferences.

Methods: We searched 4 databases (MEDLINE [OVID], Embase [OVID], ERIC [EBSCO] and Web of Science) from inception to December 2021, performed reference and citation harvesting, and applied predetermined inclusion and exclusion criteria to our screening. We used 2 frameworks for the analysis: "experiences, trajectories and reifications" and "description, justification and clarification."

Results: We included 90 studies, of which 55 focused on resident experiences, 29 on trajectories and 6 on reification. We classified 44 studies as "description," 38 as "justification" and 8 as "clarification." In the description studies, 12 compared academic half days with noon conferences, 23 described specific teaching topics, and 9 focused on resources needed for CBE. Justification studies examined the effects of CBE on outcomes, such as examination scores (17) and use of teaching strategies in team-based learning, principles of adult learning and e-learning (15). Of the 8 clarification studies, topics included the role of CBE in PGME, stakeholder perspectives and transfer of knowledge between classroom and workplace.

Interpretation: Much of the existing literature is either a description of various aspects of CBE or justification of particular teaching strategies. Few studies exist on how and why CBE works; future studies should aim to clarify how CBE facilitates resident learning within the sociocultural framework of PGME.

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医学研究生教育中的学术半天、午间会议和课堂教育:范围综述。
背景:以课堂为基础的教育在研究生医学教育中是普遍存在的,但迄今为止还没有关于这一主题的研究综合文献。我们对学术半天和午间会议进行了范围审查。方法:我们检索了4个数据库(MEDLINE [OVID]、Embase [OVID]、ERIC [EBSCO]和Web of Science),检索时间自成立至2021年12月,进行参考文献和引文收集,并采用预定的纳入和排除标准进行筛选。我们使用了两个分析框架:“经验、轨迹和具体化”和“描述、论证和澄清”。结果:我们纳入了90项研究,其中55项关注居民体验,29项关注轨迹,6项关注具体化。我们将44项研究分类为“描述”,38项为“证明”,8项为“澄清”。在描述性研究中,12个比较了学术半天和中午会议,23个描述了具体的教学主题,9个关注了CBE所需的资源。论证研究考察了CBE对结果的影响,如考试成绩(17)和在团队学习中使用教学策略、成人学习原则和电子学习(15)。在8项澄清研究中,主题包括CBE在PGME中的作用、利益相关者的观点以及课堂和工作场所之间的知识转移。解读:现有的许多文献要么是对CBE各个方面的描述,要么是对特定教学策略的论证。关于CBE如何以及为什么起作用的研究很少;未来的研究应旨在阐明CBE如何在PGME的社会文化框架内促进住院医师学习。
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