首页 > 最新文献

International Journal of Medical Education最新文献

英文 中文
Long-term clinical clerkship improves medical students' attitudes toward team collaboration. 长期临床见习提高医学生的团队合作态度。
IF 3.1 Q2 Medicine Pub Date : 2022-10-31 DOI: 10.5116/ijme.633f.e97a
Kazunori Ganjitsuda, Masami Tagawa, Kazuya Tomihara, Takuya Saiki, Makoto Kikukawa, Akiteru Takamura, Hitoaki Okazaki, Yasushi Matsuyama, Rika Moriya, Hiroki Chiba, Yasushi Takagi, Hitoshi Setoyama, Akihiro Tokushige, Hidetaka Yokoh

Objectives: To examine the related factors associated with medical students' attitudes toward team collaboration.

Methods: This cross-sectional study targeted medical students, residents, and doctors. A survey was conducted from 2016 to 2017 using the Japanese version of the Jefferson Scale of Attitudes Toward Interprofessional Collaboration (JeffSATIC-J), which evaluated "working relationship" and "accountability." We analyzed 2409 questionnaire responses with JeffSATIC-J items and the gender item. Analysis of variance was used for factors associated with the JeffSATIC-J score and Spearman's rank correlation coefficient for the relationship between educational intervention and the JeffSATIC-J score.

Results: First-year students' scores were the highest (F(2, 2045) = 13.42 to 18.87, p < .001), and female students' scores were significantly higher than those of male students (F(1, 2045) = 21.16 to 31.10, p < .001). For residents' scores, the institution was not a significant variable. Female "accountability" scores were significantly higher than those of males (F (1,108) = 4.95, p = .03). Gender was not a significant variable for doctors' scores. Sixth-year students' scores were significantly correlated with the length of clinical clerkship (r(5)=.78 to .96, p<.05), with the exception of females' "working relationship" scores. The medical school with the highest JeffSATIC-J scores had the longest clinical clerkship in the community.

Conclusions: These results indicate that long-term clinical clerkship in the community at higher grades is important in improving medical students' attitudes toward team collaboration. A qualitative study is required to confirm our findings.

目的:探讨影响医学生团队合作态度的相关因素。方法:本横断面研究以医学生、住院医师和医生为研究对象。2016年至2017年进行了一项调查,使用了日文版的杰斐逊跨专业合作态度量表(jeffstic - j),评估了“工作关系”和“问责制”。我们对2409份问卷的反馈进行了分析,采用了JeffSATIC-J项目和性别项目。对与JeffSATIC-J得分相关的因素进行方差分析,并对教育干预与JeffSATIC-J得分的关系进行Spearman等级相关系数分析。结果:大一学生得分最高(F(2,2045) = 13.42 ~ 18.87, p < .001),女生得分显著高于男生(F(1,2045) = 21.16 ~ 31.10, p < .001)。对于居民的分数来说,学校并不是一个显著的变量。女性“问责”得分显著高于男性(F (1108) = 4.95, p = 0.03)。性别对医生的得分没有显著影响。六年级学生的成绩与临床见习时间显著相关(r(5)=)。78 ~ 0.96, p结论:高年级长期社区临床见习对提高医学生团队合作态度有重要作用。需要进行定性研究来证实我们的发现。
{"title":"Long-term clinical clerkship improves medical students' attitudes toward team collaboration.","authors":"Kazunori Ganjitsuda,&nbsp;Masami Tagawa,&nbsp;Kazuya Tomihara,&nbsp;Takuya Saiki,&nbsp;Makoto Kikukawa,&nbsp;Akiteru Takamura,&nbsp;Hitoaki Okazaki,&nbsp;Yasushi Matsuyama,&nbsp;Rika Moriya,&nbsp;Hiroki Chiba,&nbsp;Yasushi Takagi,&nbsp;Hitoshi Setoyama,&nbsp;Akihiro Tokushige,&nbsp;Hidetaka Yokoh","doi":"10.5116/ijme.633f.e97a","DOIUrl":"https://doi.org/10.5116/ijme.633f.e97a","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the related factors associated with medical students' attitudes toward team collaboration.</p><p><strong>Methods: </strong>This cross-sectional study targeted medical students, residents, and doctors. A survey was conducted from 2016 to 2017 using the Japanese version of the Jefferson Scale of Attitudes Toward Interprofessional Collaboration (JeffSATIC-J), which evaluated \"working relationship\" and \"accountability.\" We analyzed 2409 questionnaire responses with JeffSATIC-J items and the gender item. Analysis of variance was used for factors associated with the JeffSATIC-J score and Spearman's rank correlation coefficient for the relationship between educational intervention and the JeffSATIC-J score.</p><p><strong>Results: </strong>First-year students' scores were the highest (F<sub>(2, 2045)</sub> = 13.42 to 18.87, p < .001), and female students' scores were significantly higher than those of male students (F<sub>(1, 2045)</sub> = 21.16 to 31.10, p < .001). For residents' scores, the institution was not a significant variable. Female \"accountability\" scores were significantly higher than those of males (F <sub>(1,108)</sub> = 4.95, p = .03). Gender was not a significant variable for doctors' scores. Sixth-year students' scores were significantly correlated with the length of clinical clerkship (r<sub>(5)</sub>=.78 to .96, p<.05), with the exception of females' \"working relationship\" scores. The medical school with the highest JeffSATIC-J scores had the longest clinical clerkship in the community.</p><p><strong>Conclusions: </strong>These results indicate that long-term clinical clerkship in the community at higher grades is important in improving medical students' attitudes toward team collaboration. A qualitative study is required to confirm our findings.</p>","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9911282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10735132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVID-19-Related Disruptions Are an Opportunity for Reflection on the Role of Research Training in Psychiatric Residency Programs 与covid -19相关的中断是反思研究培训在精神科住院医师计划中的作用的机会
IF 3.1 Q2 Medicine Pub Date : 2022-10-31 DOI: 10.3390/ime1020009
Michael H. Campbell, M. Majumder, Shani Venner, Maisha K. Emmanuel
This commentary describes COVID-19-related disruptions and responsive accommodations to facilitate a research project required to complete postgraduate psychiatry training in a resource-limited small island developing state. After providing context concerning the impact of the pandemic on medical education, we focus on implications for postgraduate training in psychiatry. Lessons learned from this experience have relevance for ongoing discussions concerning the role and implementation of research training in residency programs. Research skills are essential for evidence-based practice as well as academic careers. Longitudinal integration of research training and flexibility of research requirements are needed in postgraduate psychiatry to balance residents’ development of research skills with demands of clinical service.
本评论描述了为促进在一个资源有限的小岛屿发展中国家完成精神病学研究生培训所需的研究项目而产生的与covid -19相关的干扰和应对性措施。在提供有关流行病对医学教育影响的背景后,我们将重点关注对精神病学研究生培训的影响。从这一经验中吸取的教训与正在进行的关于住院医师项目中研究培训的作用和实施的讨论有关。研究技能对于基于证据的实践和学术生涯都是必不可少的。精神病学研究生需要纵向整合研究训练和灵活的研究要求,以平衡住院医师的研究技能发展与临床服务的需求。
{"title":"COVID-19-Related Disruptions Are an Opportunity for Reflection on the Role of Research Training in Psychiatric Residency Programs","authors":"Michael H. Campbell, M. Majumder, Shani Venner, Maisha K. Emmanuel","doi":"10.3390/ime1020009","DOIUrl":"https://doi.org/10.3390/ime1020009","url":null,"abstract":"This commentary describes COVID-19-related disruptions and responsive accommodations to facilitate a research project required to complete postgraduate psychiatry training in a resource-limited small island developing state. After providing context concerning the impact of the pandemic on medical education, we focus on implications for postgraduate training in psychiatry. Lessons learned from this experience have relevance for ongoing discussions concerning the role and implementation of research training in residency programs. Research skills are essential for evidence-based practice as well as academic careers. Longitudinal integration of research training and flexibility of research requirements are needed in postgraduate psychiatry to balance residents’ development of research skills with demands of clinical service.","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77028862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of online interprofessional simulation workshops for obstetric and neonatal emergencies. 评估产科和新生儿紧急情况在线跨专业模拟讲习班。
IF 3.1 Q2 Medicine Pub Date : 2022-10-31 DOI: 10.5116/ijme.6342.9214
Namrata Prasad, Shavi Fernando, Sue Willey, Kym Davey, Jennifer Hocking, Atul Malhotra, Arunaz Kumar

Objectives: To explore student perceptions of learning and interprofessional aspects of obstetric and neonatal emergencies through online simulation-based workshops.

Methods: This qualitative study was conducted at Monash University, Australia. Data were obtained from six separate online Obstetric Neonatal Emergency Simulation workshops held between May 2020 and August 2021. A total of 385 students attended and were invited to participate in the study by completing an online survey two-three weeks later. Of the attendees, 144 students completed the survey (95 medical, 45 midwifery), equating to a response rate of 37%. Survey responses were downloaded from online survey platform and separated into medical and midwifery responses. Thematic analysis of data was performed using a coding framework, resulting in development of themes and subthemes.

Results: Main themes were adaptability, connectivism, preparedness for practice, experiential learning, learning through modelling and dynamics of online interaction. Students reported that online workshop was a useful alternative method to experience simulation-based learning, increase their readiness for clinical practice and foster positive interprofessional relationships. Consistent with existing literature evaluating similar in-person programs, midwifery students were most interested in interprofessional interaction (predominant theme: dynamics of online interaction), whilst medical students were more concerned with developing clinical skills (predominant themes: learning through modelling, experiential learning).

Conclusions: Online learning may be a useful and convenient way of delivering interprofessional simulation-based education during the pandemic, in remote areas and as an adjunct to in-person teaching. Future studies should evaluate the impact of online learning with a mixed methods study and in comparison, to in-person programs.

目的:通过基于在线模拟的研讨会,探讨学生对产科和新生儿急诊的学习和跨专业方面的看法。方法:本定性研究在澳大利亚莫纳什大学进行。数据来自2020年5月至2021年8月期间举行的六次独立的在线产科新生儿紧急情况模拟讲习班。共有385名学生参加了这项研究,并被邀请在两到三周后完成一项在线调查。在参与者中,144名学生完成了调查(95名医学学生,45名助产学生),相当于37%的回复率。调查回复从在线调查平台下载,分为医疗回复和助产回复。使用编码框架对数据进行了专题分析,从而制定了主题和分主题。结果:主题为适应性、联系主义、实践准备、体验式学习、建模学习和在线互动动态。学生们报告说,在线研讨会是一种有用的替代方法,可以体验基于模拟的学习,为临床实践做好准备,并培养积极的跨专业关系。与现有评估类似面对面课程的文献一致,助产学学生对专业间互动最感兴趣(主要主题:在线互动的动态),而医科学生更关心发展临床技能(主要主题:通过建模和体验式学习进行学习)。结论:在疫情大流行期间,在偏远地区,在线学习可能是提供跨专业模拟教育的一种有用和方便的方式,并可作为面对面教学的辅助手段。未来的研究应该通过混合方法的研究来评估在线学习的影响,并与面对面的课程进行比较。
{"title":"Evaluation of online interprofessional simulation workshops for obstetric and neonatal emergencies.","authors":"Namrata Prasad,&nbsp;Shavi Fernando,&nbsp;Sue Willey,&nbsp;Kym Davey,&nbsp;Jennifer Hocking,&nbsp;Atul Malhotra,&nbsp;Arunaz Kumar","doi":"10.5116/ijme.6342.9214","DOIUrl":"https://doi.org/10.5116/ijme.6342.9214","url":null,"abstract":"<p><strong>Objectives: </strong>To explore student perceptions of learning and interprofessional aspects of obstetric and neonatal emergencies through online simulation-based workshops.</p><p><strong>Methods: </strong>This qualitative study was conducted at Monash University, Australia. Data were obtained from six separate online Obstetric Neonatal Emergency Simulation workshops held between May 2020 and August 2021. A total of 385 students attended and were invited to participate in the study by completing an online survey two-three weeks later. Of the attendees, 144 students completed the survey (95 medical, 45 midwifery), equating to a response rate of 37%. Survey responses were downloaded from online survey platform and separated into medical and midwifery responses. Thematic analysis of data was performed using a coding framework, resulting in development of themes and subthemes.</p><p><strong>Results: </strong>Main themes were adaptability, connectivism, preparedness for practice, experiential learning, learning through modelling and dynamics of online interaction. Students reported that online workshop was a useful alternative method to experience simulation-based learning, increase their readiness for clinical practice and foster positive interprofessional relationships. Consistent with existing literature evaluating similar in-person programs, midwifery students were most interested in interprofessional interaction (predominant theme: dynamics of online interaction), whilst medical students were more concerned with developing clinical skills (predominant themes: learning through modelling, experiential learning).</p><p><strong>Conclusions: </strong>Online learning may be a useful and convenient way of delivering interprofessional simulation-based education during the pandemic, in remote areas and as an adjunct to in-person teaching. Future studies should evaluate the impact of online learning with a mixed methods study and in comparison, to in-person programs.</p>","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9911278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10731796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A Narrative Review of Immersive Technology Enhanced Learning in Healthcare Education 沉浸式技术促进医疗保健教育学习的述评
IF 3.1 Q2 Medicine Pub Date : 2022-10-15 DOI: 10.3390/ime1020008
C. Jacobs, Georgia Foote, R. Joiner, Michael Williams
Immersive technology is a growing field in healthcare education—attracting educationalists to evaluate its utility. There has been a trend of increasing research in this field; however, a lack of quality assurance surrounding the literature prompted the narrative review. Web Of Science database searches were undertaken from 2002 to the beginning of 2022. The studies were divided into three mixed reality groups: virtual reality (VR), augmented reality (AR), 360 videos, and learning theory subgroups. Appraising 246 studies with the Medical Education Research Study Quality Instrument (MERSQI) indicated a gap in the validation of measures used to evaluate the technology. Although, those conducted in VR or those detailing learning theories scored higher according to MERSQI. There is an educational benefit to immersive technology in the healthcare setting. However, there needs to be caution in how the findings are interpreted for application beyond the initial study and a greater emphasis on research methods.
沉浸式技术在医疗保健教育中是一个不断发展的领域,吸引着教育学家对其效用进行评估。这一领域的研究有增加的趋势;然而,缺乏质量保证的文献促使叙述性审查。从2002年到2022年初进行了Web Of Science数据库搜索。这些研究被分为三个混合现实组:虚拟现实(VR)、增强现实(AR)、360视频和学习理论子组。用医学教育研究质量工具(MERSQI)评估246项研究表明,用于评估该技术的措施在验证方面存在差距。尽管在MERSQI中,那些在VR中进行的或详细介绍学习理论的测试得分更高。在医疗保健环境中,沉浸式技术具有教育效益。然而,在如何将这些发现解释为最初研究之外的应用时需要谨慎,并更加强调研究方法。
{"title":"A Narrative Review of Immersive Technology Enhanced Learning in Healthcare Education","authors":"C. Jacobs, Georgia Foote, R. Joiner, Michael Williams","doi":"10.3390/ime1020008","DOIUrl":"https://doi.org/10.3390/ime1020008","url":null,"abstract":"Immersive technology is a growing field in healthcare education—attracting educationalists to evaluate its utility. There has been a trend of increasing research in this field; however, a lack of quality assurance surrounding the literature prompted the narrative review. Web Of Science database searches were undertaken from 2002 to the beginning of 2022. The studies were divided into three mixed reality groups: virtual reality (VR), augmented reality (AR), 360 videos, and learning theory subgroups. Appraising 246 studies with the Medical Education Research Study Quality Instrument (MERSQI) indicated a gap in the validation of measures used to evaluate the technology. Although, those conducted in VR or those detailing learning theories scored higher according to MERSQI. There is an educational benefit to immersive technology in the healthcare setting. However, there needs to be caution in how the findings are interpreted for application beyond the initial study and a greater emphasis on research methods.","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89877645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Conflict between Science and Superstition in Medical Practices 医学实践中科学与迷信的冲突
IF 3.1 Q2 Medicine Pub Date : 2022-10-12 DOI: 10.3390/ime1020007
D. Uwayezu, Eustache Ntigura, A. Gatarayiha, A. S. Erem, Mainul Haque, M. Majumder, M. Razzaque
Superstition is a belief that is not based on scientific knowledge. Traditional healers usually use superstition in their practices to manage human health problems and diseases; such practices create a conflict with the medical profession and its evidence-based practices. Medical professionals confirm that this kind of practice is unsafe as it is performed by untrained people (e.g., traditional healers) utilizing unsterilized instruments within unhygienic environments. Most of the cases eventually develop a variety of complications, which are sometimes fatal. Female genital mutilation, uvulectomy, oral mutilation (tooth bud extraction to cure “Ibyinyo”), and eyebrow incisions are examples of the many different types of superstitious practices which occur commonly in other parts of the world. We describe how these traditional practices of superstition have been and continue to be performed in various parts of the world, their complications on oral and general health, and how such practices hinder modern medical practices and highlight huge inequalities and disparities in healthcare-seeking behavior among different social groups. This paper aims to increase health literacy and awareness of these superstition-driven traditional and potentially harmful practices by promoting the importance of evidence-based medical practices.
迷信是一种没有科学知识基础的信仰。传统治疗师通常在他们的实践中使用迷信来管理人类健康问题和疾病;这种做法与医学界及其循证实践产生了冲突。医疗专业人员证实,这种做法是不安全的,因为它是由未经培训的人员(例如传统治疗师)在不卫生的环境中使用未经消毒的仪器进行的。大多数病例最终会出现各种并发症,有时甚至是致命的。女性生殖器切割、小舌切除术、口腔切割(拔牙治疗“Ibyinyo”)和眉毛切割是世界其他地区常见的许多不同类型的迷信习俗的例子。我们描述了这些迷信的传统做法是如何在世界各地进行并继续进行的,它们对口腔和全身健康的并发症,以及这些做法如何阻碍现代医疗实践,并突出了不同社会群体在寻求医疗保健行为方面的巨大不平等和差异。本文旨在通过促进循证医学实践的重要性,提高健康素养和对这些迷信驱动的传统和潜在有害做法的认识。
{"title":"Conflict between Science and Superstition in Medical Practices","authors":"D. Uwayezu, Eustache Ntigura, A. Gatarayiha, A. S. Erem, Mainul Haque, M. Majumder, M. Razzaque","doi":"10.3390/ime1020007","DOIUrl":"https://doi.org/10.3390/ime1020007","url":null,"abstract":"Superstition is a belief that is not based on scientific knowledge. Traditional healers usually use superstition in their practices to manage human health problems and diseases; such practices create a conflict with the medical profession and its evidence-based practices. Medical professionals confirm that this kind of practice is unsafe as it is performed by untrained people (e.g., traditional healers) utilizing unsterilized instruments within unhygienic environments. Most of the cases eventually develop a variety of complications, which are sometimes fatal. Female genital mutilation, uvulectomy, oral mutilation (tooth bud extraction to cure “Ibyinyo”), and eyebrow incisions are examples of the many different types of superstitious practices which occur commonly in other parts of the world. We describe how these traditional practices of superstition have been and continue to be performed in various parts of the world, their complications on oral and general health, and how such practices hinder modern medical practices and highlight huge inequalities and disparities in healthcare-seeking behavior among different social groups. This paper aims to increase health literacy and awareness of these superstition-driven traditional and potentially harmful practices by promoting the importance of evidence-based medical practices.","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84851909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Can virtual-reality simulation ensure transthoracic echocardiography skills before trainees examine patients? 虚拟现实模拟能确保受训者在检查病人前掌握经胸超声心动图技能吗?
IF 3.1 Q2 Medicine Pub Date : 2022-09-30 DOI: 10.5116/ijme.6321.8e5d
Martine S Nielsen, Jesper H Clausen, Joachim Hoffmann-Petersen, Lars Konge, Anders B Nielsen

Objectives: This study aimed to develop and gather the validity evidence for a standardised simulation-based skills test in transthoracic echocardiography and to establish a credible pass/fail score.

Methods: Experts developed a virtual-reality simulator test in cardiology, medical education and simulation-based education. Thirty-six physicians with different experiences in transthoracic echocardiography completed the test at Odense University Hospital, Denmark. The performances of novice, intermediate and experienced participants were compared using the Bonferroni post hoc test. Cronbach's alpha was used to determine the internal consistency reliability of the test. The consistency of performance was analysed using the intraclass correlation coefficient. A pass/fail score was established using the contrasting groups' standard-setting method.

Results: We developed a test with high consistent reliability (Alpha = .81), 95% CI [.69, .89]. In both cases, the performers' level was consistent, fitting others at the same level of experience (intraclass correlation r(35)=.81, p<.001). A pass/fail score of 48/50 points was established based on the mean test score of novice and experienced physicians.

Conclusions: We developed a standardised virtual-reality simulation-based test of echocardiography skills with the ability to distinguish between participants with different levels of transthoracic echocardiography experience. This test could direct a mastery learning training program where trainees practise until they reach the pre-defined level and secure a higher level of competency to ensure quality and safety for patients.

目的:本研究旨在开发和收集经胸超声心动图标准化模拟技能测试的有效性证据,并建立可信的合格/不合格评分。方法:专家开发了一种用于心脏病学、医学教育和基于模拟的教育的虚拟现实模拟器测试。在丹麦欧登塞大学医院,36名具有不同经胸超声心动图经验的医生完成了这项测试。采用Bonferroni事后检验比较新手、中级和有经验参与者的表现。采用Cronbach’s alpha来确定测试的内部一致性信度。使用类内相关系数分析性能的一致性。采用对比组的标准设定方法建立及格/不及格分数。结果:我们开发了一个具有高一致信度的测试(Alpha = .81), 95% CI[。69 .89]。在这两种情况下,表演者的水平是一致的,拟合具有相同经验水平的其他人(类内相关r(35)=)。81、结论:我们开发了一种标准化的基于虚拟现实模拟的超声心动图技能测试,能够区分具有不同水平经胸超声心动图经验的参与者。这个测试可以指导一个熟练的学习培训项目,在这个项目中,受训者练习,直到他们达到预定的水平,并确保更高的能力水平,以确保患者的质量和安全。
{"title":"Can virtual-reality simulation ensure transthoracic echocardiography skills before trainees examine patients?","authors":"Martine S Nielsen,&nbsp;Jesper H Clausen,&nbsp;Joachim Hoffmann-Petersen,&nbsp;Lars Konge,&nbsp;Anders B Nielsen","doi":"10.5116/ijme.6321.8e5d","DOIUrl":"https://doi.org/10.5116/ijme.6321.8e5d","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to develop and gather the validity evidence for a standardised simulation-based skills test in transthoracic echocardiography and to establish a credible pass/fail score.</p><p><strong>Methods: </strong>Experts developed a virtual-reality simulator test in cardiology, medical education and simulation-based education. Thirty-six physicians with different experiences in transthoracic echocardiography completed the test at Odense University Hospital, Denmark. The performances of novice, intermediate and experienced participants were compared using the Bonferroni post hoc test. Cronbach's alpha was used to determine the internal consistency reliability of the test. The consistency of performance was analysed using the intraclass correlation coefficient. A pass/fail score was established using the contrasting groups' standard-setting method.</p><p><strong>Results: </strong>We developed a test with high consistent reliability (Alpha = .81), 95% CI [.69, .89]. In both cases, the performers' level was consistent, fitting others at the same level of experience (intraclass correlation r<sub>(35)</sub>=.81, p<.001). A pass/fail score of 48/50 points was established based on the mean test score of novice and experienced physicians.</p><p><strong>Conclusions: </strong>We developed a standardised virtual-reality simulation-based test of echocardiography skills with the ability to distinguish between participants with different levels of transthoracic echocardiography experience. This test could direct a mastery learning training program where trainees practise until they reach the pre-defined level and secure a higher level of competency to ensure quality and safety for patients.</p>","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9904995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10718079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Association of online activities with obstetrics and gynecology specialty choice: a nationwide online survey. 在线活动与妇产科专业选择的关联:一项全国性的在线调查。
IF 3.1 Q2 Medicine Pub Date : 2022-09-28 DOI: 10.5116/ijme.6320.36eb
Yuto Maeda, Akihiro Hasegawa, Ryuta Miyake, Mihoko Dofutsu, Yayoi Higuchi, Daiken Osaku, Tokumasa Suemitsu, Yohei Onodera, Makio Shozu, Kiyonori Miura, Yoshio Yoshida, Hiroaki Komatsu, Hidemichi Watari

Objectives: To investigate the association between online activities and the number of new obstetrics and gynecology senior residents.

Methods: A nationwide web-based, self-administered anonymous survey was conducted to investigate recruitment and clerkship activities during the coronavirus disease 2019 pandemic. An online questionnaire was sent to 576 obstetrics and gynecology training institutions in Japan between December 21, 2020, and January 31, 2021. Overall, 334 institutions that gave valid responses were included (response rate: 58.0%). Multivariate logistic regression analysis examined the association between online activities, including recruitment and clerkship activities, and the number of new obstetrics and gynecology senior residents in 2021. The stratified analysis by implementing face-to-face activities was conducted to clarify the association.

Results: The number of new senior residents increased in 187 facilities (56.0%) and decreased in 147 facilities (44.0%). The facilities that implemented face-to-face and online activities were 185 (55.4%) and 120 (35.9%), respectively. In multivariate logistic regression analysis, an increased number of new obstetrics and gynecology senior residents was significantly associated with face-to-face activities (adjusted odds ratio (AOR)=2.58, 95% confidence interval (CI): 1.11-5.97, p<.001) but not with online activities. In the stratified analysis, online activities were significantly associated with an increased number of new obstetrics and gynecology senior residents among the facilities without face-to-face activities (AOR=3.81, 95% CI: 1.40-10.32, p=.009) but not among those with face-to-face activities (AOR=0.87, 95% CI: 0.42-1.78).

Conclusions: Online activities were associated with an increased number of new obstetrics and gynecology senior residents among the facilities that did not conduct face-to-face activities.

目的:探讨网络活动与妇产科老年住院医师新人数的关系。方法:在全国范围内开展一项基于网络的、自我管理的匿名调查,调查2019冠状病毒病大流行期间的招聘和办事员活动。在2020年12月21日至2021年1月31日期间,向日本576家妇产科培训机构发送在线问卷。总共有334家机构给出了有效的答复(回复率为58.0%)。多变量logistic回归分析检验了在线活动(包括招聘和见习活动)与2021年新增妇产科老年住院医师数量之间的关系。通过实施面对面活动的分层分析来澄清这种联系。结果:新增老年居住人数增加的有187家(56.0%),减少的有147家(44.0%)。实施面对面和在线活动的机构分别为185家(55.4%)和120家(35.9%)。多因素logistic回归分析结果显示,新增妇产科老年住院医师人数增加与面见活动显著相关(调整优势比(AOR)=2.58, 95%置信区间(CI): 1.11-5.97)。结论:未开展面见活动的机构中,在线活动与新增妇产科老年住院医师人数增加相关。
{"title":"Association of online activities with obstetrics and gynecology specialty choice: a nationwide online survey.","authors":"Yuto Maeda,&nbsp;Akihiro Hasegawa,&nbsp;Ryuta Miyake,&nbsp;Mihoko Dofutsu,&nbsp;Yayoi Higuchi,&nbsp;Daiken Osaku,&nbsp;Tokumasa Suemitsu,&nbsp;Yohei Onodera,&nbsp;Makio Shozu,&nbsp;Kiyonori Miura,&nbsp;Yoshio Yoshida,&nbsp;Hiroaki Komatsu,&nbsp;Hidemichi Watari","doi":"10.5116/ijme.6320.36eb","DOIUrl":"https://doi.org/10.5116/ijme.6320.36eb","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the association between online activities and the number of new obstetrics and gynecology senior residents.</p><p><strong>Methods: </strong>A nationwide web-based, self-administered anonymous survey was conducted to investigate recruitment and clerkship activities during the coronavirus disease 2019 pandemic. An online questionnaire was sent to 576 obstetrics and gynecology training institutions in Japan between December 21, 2020, and January 31, 2021. Overall, 334 institutions that gave valid responses were included (response rate: 58.0%). Multivariate logistic regression analysis examined the association between online activities, including recruitment and clerkship activities, and the number of new obstetrics and gynecology senior residents in 2021. The stratified analysis by implementing face-to-face activities was conducted to clarify the association.</p><p><strong>Results: </strong>The number of new senior residents increased in 187 facilities (56.0%) and decreased in 147 facilities (44.0%). The facilities that implemented face-to-face and online activities were 185 (55.4%) and 120 (35.9%), respectively. In multivariate logistic regression analysis, an increased number of new obstetrics and gynecology senior residents was significantly associated with face-to-face activities (adjusted odds ratio (AOR)=2.58, 95% confidence interval (CI): 1.11-5.97, p<.001) but not with online activities. In the stratified analysis, online activities were significantly associated with an increased number of new obstetrics and gynecology senior residents among the facilities without face-to-face activities (AOR=3.81, 95% CI: 1.40-10.32, p=.009) but not among those with face-to-face activities (AOR=0.87, 95% CI: 0.42-1.78).</p><p><strong>Conclusions: </strong>Online activities were associated with an increased number of new obstetrics and gynecology senior residents among the facilities that did not conduct face-to-face activities.</p>","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9905000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10712939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Medical student sensitivity training on the differences in sex development. 医学生性别发育差异敏感性训练。
IF 3.1 Q2 Medicine Pub Date : 2022-09-28 DOI: 10.5116/ijme.631e.e8fd
Paul Endres, Deborah Ziring, Dimitrios Papanagnou
{"title":"Medical student sensitivity training on the differences in sex development.","authors":"Paul Endres,&nbsp;Deborah Ziring,&nbsp;Dimitrios Papanagnou","doi":"10.5116/ijme.631e.e8fd","DOIUrl":"https://doi.org/10.5116/ijme.631e.e8fd","url":null,"abstract":"","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9905001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10712938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVID-19 Awareness among Undergraduate Medical Students in Trinidad: A Cross-Sectional Study 特立尼达医科本科生对COVID-19的认识:一项横断面研究
IF 3.1 Q2 Medicine Pub Date : 2022-09-22 DOI: 10.3390/ime1020006
S. Umakanthan, Aalia Ramlagan, Celine Ramlal, Pavitra Ramlal, Diva Ramlochan, Anagha-Devi Ramlogan, Priya Ramnarace, Tanisha Ramnarine, Aderlene Ramnath
Background: The urgency for heightened levels of the Coronavirus disease of 2019 (COVID-19) awareness is due to their estimated face-to-face participation in the COVID-19 pandemic and similar pandemics. The unavailability of updated pandemic information is a significant challenge. There is no available data or previous studies undertaken to investigate the level of pandemic awareness of medical students in Trinidad, Tobago, or the wider Caribbean. Methods: A cross-sectional study of medical students, years one to five, at the University of the West Indies (UWI) St. Augustine campus, Faculty of Medical Sciences, was conducted using random sampling. Data was collected using a 20-item questionnaire structured to test awareness. Chi-square analysis was done using SPSS version 28.0.1.0 (142). Results: Of the 137 participants, 100% claimed to be aware of the COVID-19 pandemic, mainly via social media and the Ministry of Health press conferences. Though all claimed to be aware, 98.5% were aware of COVID-19 being a viral infection, whilst 87.6% were aware of the modes of transmission. Less than half of the population (45.3%) stated they were prepared to be a frontline worker exposed to and treating COVID-19 patients, while the majority (76.6%) were worried about exposure to the virus. Conclusions: The data collected in this research indicated that the level of awareness increases with higher levels of education, whereas age has no effect. Additionally, it was determined that undergraduate medical students had an average knowledge base of COVID-19 but would need training programs to increase their preparedness as future healthcare professionals. Lastly, it was discovered that the two top sources of information were social media and press conferences held by the government.
背景:提高对2019年冠状病毒病(COVID-19)的认识水平的紧迫性是由于他们估计面对面参与了COVID-19大流行和类似的大流行。无法获得最新的大流行信息是一项重大挑战。在特立尼达、多巴哥或更广泛的加勒比地区,没有现有的数据或以前进行的研究来调查医学生对大流行病的认识水平。方法:采用随机抽样方法,对西印度群岛大学(UWI)圣奥古斯丁医学院一至五年级的医学生进行横断面研究。数据是通过一份包含20个项目的调查问卷来收集的。采用SPSS 28.0.1.0(142)版进行卡方分析。结果:在137名参与者中,100%的人声称主要通过社交媒体和卫生部新闻发布会了解COVID-19大流行。尽管所有人都声称知道,但98.5%的人知道COVID-19是一种病毒感染,而87.6%的人知道传播方式。不到一半的人(45.3%)表示他们准备成为接触和治疗COVID-19患者的一线工作人员,而大多数人(76.6%)担心接触病毒。结论:本研究收集的数据表明,教育水平越高,意识水平越高,而年龄没有影响。此外,确定本科医学生对COVID-19的知识基础一般,但需要培训计划,以提高他们作为未来医疗保健专业人员的准备。最后,调查发现,社交媒体和政府召开的新闻发布会是两个最主要的信息来源。
{"title":"COVID-19 Awareness among Undergraduate Medical Students in Trinidad: A Cross-Sectional Study","authors":"S. Umakanthan, Aalia Ramlagan, Celine Ramlal, Pavitra Ramlal, Diva Ramlochan, Anagha-Devi Ramlogan, Priya Ramnarace, Tanisha Ramnarine, Aderlene Ramnath","doi":"10.3390/ime1020006","DOIUrl":"https://doi.org/10.3390/ime1020006","url":null,"abstract":"Background: The urgency for heightened levels of the Coronavirus disease of 2019 (COVID-19) awareness is due to their estimated face-to-face participation in the COVID-19 pandemic and similar pandemics. The unavailability of updated pandemic information is a significant challenge. There is no available data or previous studies undertaken to investigate the level of pandemic awareness of medical students in Trinidad, Tobago, or the wider Caribbean. Methods: A cross-sectional study of medical students, years one to five, at the University of the West Indies (UWI) St. Augustine campus, Faculty of Medical Sciences, was conducted using random sampling. Data was collected using a 20-item questionnaire structured to test awareness. Chi-square analysis was done using SPSS version 28.0.1.0 (142). Results: Of the 137 participants, 100% claimed to be aware of the COVID-19 pandemic, mainly via social media and the Ministry of Health press conferences. Though all claimed to be aware, 98.5% were aware of COVID-19 being a viral infection, whilst 87.6% were aware of the modes of transmission. Less than half of the population (45.3%) stated they were prepared to be a frontline worker exposed to and treating COVID-19 patients, while the majority (76.6%) were worried about exposure to the virus. Conclusions: The data collected in this research indicated that the level of awareness increases with higher levels of education, whereas age has no effect. Additionally, it was determined that undergraduate medical students had an average knowledge base of COVID-19 but would need training programs to increase their preparedness as future healthcare professionals. Lastly, it was discovered that the two top sources of information were social media and press conferences held by the government.","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87468160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Impact of Telemedicine Lecture on Online Medical Interview Performance 远程医疗讲座对在线医疗访谈效果的影响
IF 3.1 Q2 Medicine Pub Date : 2022-09-16 DOI: 10.3390/ime1010005
Michael W. Myers, Kris Siriratsivawong, Y. Kudo, Yuka Hiraizumi, Miyuki Hashimoto
In 2019, Showa University implemented a compulsory clinical English course for all 4th-year medical students that included a medical interview with an English-speaking standardized patient (ESSP), but since 2020 the interviews have been conducted online due to the novel coronavirus pandemic. These students reported difficulties with eye contact and reading body language/non-verbal cues of the ESSP. In this project report, we describe a telemedicine lecture that we included in the 2021 course and compare students’ reported difficulties during the online medical interview for two years. The 2021 cohort reported significantly less difficulties with eye contact than the 2020 cohort, and a similar trend was found for reading body language/nonverbal cues and creating rapport with the ESSP. While possible third variables, such as 2021 cohort’s greater comfort in using teleconference platforms, may limit the interpretation of these results, we conclude that Japanese medical students can clearly benefit from the inclusion of telemedicine education into the medical curriculum as online healthcare services become the “new normal” in Japan.
2019年,昭和大学对所有四年级医学生实施了临床英语必修课程,其中包括与说英语的标准化患者(ESSP)进行医学访谈,但自2020年以来,由于新型冠状病毒大流行,访谈已在网上进行。这些学生报告在眼神交流和阅读ESSP的肢体语言/非语言提示方面存在困难。在这个项目报告中,我们描述了我们在2021年课程中包含的远程医疗讲座,并比较了学生在两年的在线医疗访谈中报告的困难。与2020年的研究对象相比,2021年的研究对象在眼神交流方面的困难明显减少,在阅读肢体语言/非语言线索以及与ESSP建立融洽关系方面也发现了类似的趋势。虽然可能的第三个变量,如2021年队列在使用远程会议平台方面的更大舒适度,可能会限制对这些结果的解释,但我们得出的结论是,随着在线医疗服务在日本成为“新常态”,日本医科学生显然可以从将远程医疗教育纳入医学课程中受益。
{"title":"Impact of Telemedicine Lecture on Online Medical Interview Performance","authors":"Michael W. Myers, Kris Siriratsivawong, Y. Kudo, Yuka Hiraizumi, Miyuki Hashimoto","doi":"10.3390/ime1010005","DOIUrl":"https://doi.org/10.3390/ime1010005","url":null,"abstract":"In 2019, Showa University implemented a compulsory clinical English course for all 4th-year medical students that included a medical interview with an English-speaking standardized patient (ESSP), but since 2020 the interviews have been conducted online due to the novel coronavirus pandemic. These students reported difficulties with eye contact and reading body language/non-verbal cues of the ESSP. In this project report, we describe a telemedicine lecture that we included in the 2021 course and compare students’ reported difficulties during the online medical interview for two years. The 2021 cohort reported significantly less difficulties with eye contact than the 2020 cohort, and a similar trend was found for reading body language/nonverbal cues and creating rapport with the ESSP. While possible third variables, such as 2021 cohort’s greater comfort in using teleconference platforms, may limit the interpretation of these results, we conclude that Japanese medical students can clearly benefit from the inclusion of telemedicine education into the medical curriculum as online healthcare services become the “new normal” in Japan.","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90278915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International Journal of Medical Education
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1