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Incorporating ABC in physiology education: Active learning, blended learning and curricular changes 将 ABC 纳入生理学教育:主动学习、混合式学习和课程改革
Pub Date : 2024-02-03 DOI: 10.25259/nmji_883_2021
K. Soundariya, Deepika Velusami
Physiology is of central importance in medicine. Teaching the complex physiological frameworks to the current generation of students with the implementation of competency-based medical education (CBME) has become a challenging task. Development of digital technology in educational field during Covid-19 pandemic has made medical educators modify their teaching learning strategies from traditional to blended mode. We offer tips to embrace the three major challenges namely, generational diversity with active learning strategies, technological growth with blended learning, and strategies to implement curricular changes in physiology education. Adult learning principles involve active learning as a crux component. Various simple active teaching strategies that can be adapted for large and small group teaching are highlighted. Blended learning is characterized by self-paced learning, and face-to-face training sessions with online collaborative learning. Simple ways to incorporate the blended mode of teaching strategies with the use of virtual platforms and learning management system (LMS) are described. Further, we discuss the nuances that help to adapt the various curriculum changes brought about by the implementation of CBME. Teaching physiology is an ever-challenging task. With an appropriate mindset, medical educators can turn these challenges into opportunities and make teaching learning a better experience.
生理学是医学的核心。随着能力本位医学教育(CBME)的实施,向当代学生传授复杂的生理学框架已成为一项具有挑战性的任务。在 Covid-19 大流行期间,数字技术在教育领域的发展促使医学教育工作者改变教学策略,从传统模式转向混合模式。我们为迎接三大挑战提供了建议,即:采用主动学习策略的代际多样性、采用混合式学习的技术发展以及在生理学教育中实施课程改革的策略。成人学习原则将主动学习作为一个关键组成部分。重点介绍了可适用于大班和小班教学的各种简单的主动教学策略。混合式学习的特点是自定进度学习、面对面培训课程和在线协作学习。我们介绍了利用虚拟平台和学习管理系统(LMS)融入混合式教学策略的简单方法。此外,我们还讨论了有助于适应 CBME 实施后带来的各种课程变化的细微差别。生理学教学是一项极具挑战性的任务。医学教育者可以通过适当的思维方式将这些挑战转化为机遇,使教学学习成为一种更好的体验。
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引用次数: 0
Linguistic adaptation and validation of All Aspects of Health Literacy Scale (AAHLS): A health literacy assessment tool for use in Hindi-speaking population 健康素养各方面量表(AAHLS)的语言改编和验证:用于印地语人群的健康素养评估工具
Pub Date : 2024-02-03 DOI: 10.25259/nmji_22_21
N. Mittal, Deepak Nehra, Rakesh Mittal, Tarana Gupta
Health literacy plays an important role in determining healthcare and medication outcomes. There is a lack of an appropriate, validated scale to assess health literacy status among the Hindi-speaking population. We translated and validated the English version of the All Aspects of Health Literacy Scale (AAHLS) into Hindi.We translated the scale as per WHO guidelines on translation and adaptation of instruments. We did preliminary pilot testing in 30 bilingual subjects and evaluated cross-language concordance of the scale. The final translated scale so obtained after cross-cultural adaptation was tested in a validation study on 130 subjects from the outpatient department of internal medicine in which test–retest repeatability, construct validity, discriminant validity and internal consistency were assessed. Analysis was done using paired t-test, one-way ANOVA, Cronbach α and intra-class correlation coefficient.An excellent correlation between Hindi and English versions of the scale for various factors ensured cross-language concordance. Hundred percentage response rate was observed in the validation study. The scale showed good internal consistency (Cronbach α=0.99). The difference in total mean AAHLS score was not statistically significant across different age groups, genders and educational levels. Factor analysis showed a positive correlation among four factors/components of health literacy. For test–retest reliability, the intra-class correlation coefficient for all the items in different factors was significant (range 0.88–1.00; p<0.0001). Significant association of critical literacy sub-scores with functional (r=0.274, p=0.002) and communicative (r=0.283, p=0.001) sub-scores revealed a good construct validity.The Hindi translated version of the AAHLS scale is a valid and reliable tool to assess health literacy in the Hindi-speaking population.
健康素养在决定医疗保健和用药效果方面发挥着重要作用。目前还缺乏一个合适的、经过验证的量表来评估印地语人群的健康素养状况。我们根据世界卫生组织的工具翻译和改编指南,将英文版的健康素养量表(AAHLS)翻译成印地语并进行了验证。我们在 30 名双语受试者中进行了初步试点测试,并评估了量表的跨语言一致性。经过跨文化改编后得到的最终翻译量表在内科门诊部的 130 名受试者中进行了验证研究,评估了测试重复性、结构效度、判别效度和内部一致性。采用配对 t 检验、单因素方差分析、Cronbach α 和类内相关系数进行了分析。在验证研究中观察到了百分之百的应答率。量表显示出良好的内部一致性(Cronbach α=0.99)。不同年龄组、性别和教育水平的 AAHLS 平均总分差异无统计学意义。因子分析显示,健康素养的四个因子/组成部分之间存在正相关。在重测可靠性方面,不同因子中所有项目的类内相关系数均显著(范围为 0.88-1.00;P<0.0001)。关键素养分项得分与功能性(r=0.274,p=0.002)和交流性(r=0.283,p=0.001)分项得分的显著相关性显示了良好的建构效度。
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引用次数: 0
Book Review: Visualizing Disease: The art and history of pathological illustrations. 书评:将疾病视觉化:病理插图的艺术与历史。
Pub Date : 2024-02-03 DOI: 10.25259/nmji_207_2023
Sanjay A. Pai
An outstanding feature of the book is the comprehensive account of the medical men, the artists, and their collaboration. Sometimes, the same person fulfilled both roles. The biographical information, a remarkable achievement of academic research, would by itself make the book a unique reference resource. But it is far more, reflecting as it does the changes in concepts of disease, technical advances in preservation of organs and creation of images for publication, and the ambitions and careers of individual doctors and artists.
该书的一个突出特点是全面介绍了医务人员、艺术家以及他们之间的合作。有时,同一个人同时扮演这两种角色。传记信息是学术研究的一项杰出成就,它本身就能使本书成为独一无二的参考资料。但它的意义远不止于此,它反映了疾病概念的变化、保存器官和创作出版图像方面的技术进步,以及医生和艺术家个人的抱负和职业生涯。
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引用次数: 0
Patients’ awareness of their rights: A cross-sectional study exploring the Indian perspective 病人对自身权利的认识:探索印度视角的横断面研究
Pub Date : 2024-02-03 DOI: 10.25259/nmji_234_21
B. Thiyagarajan, Selvam Jesiah
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引用次数: 0
Erratum: Disseminated Mycobacterium abscessus infection in a patient on haemodialysis 勘误:一名血液透析患者的播散性脓肿分枝杆菌感染
Pub Date : 2024-02-03 DOI: 10.25259/nmji_36-3_162
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引用次数: 0
Ian Magrath (31 October 1944–14 March 2023) 伊恩-马格拉斯(1944 年 10 月 31 日-2023 年 3 月 14 日)
Pub Date : 2024-02-03 DOI: 10.25259/nmji_873_2023
K. Naresh, S. Banavali
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引用次数: 0
Pectoral haematoma: A rare complication after trans-radial catheterization 胸骨血肿:经桡动脉导管术后的罕见并发症
Pub Date : 2024-02-03 DOI: 10.25259/nmji_422_2022
Hitesh Bhatia, J. Bhutani, Kunal Mahajan, Aditya Batra
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引用次数: 0
Incorporating ABC in physiology education: Active learning, blended learning and curricular changes 将 ABC 纳入生理学教育:主动学习、混合式学习和课程改革
Pub Date : 2024-02-03 DOI: 10.25259/nmji_883_2021
K. Soundariya, Deepika Velusami
Physiology is of central importance in medicine. Teaching the complex physiological frameworks to the current generation of students with the implementation of competency-based medical education (CBME) has become a challenging task. Development of digital technology in educational field during Covid-19 pandemic has made medical educators modify their teaching learning strategies from traditional to blended mode. We offer tips to embrace the three major challenges namely, generational diversity with active learning strategies, technological growth with blended learning, and strategies to implement curricular changes in physiology education. Adult learning principles involve active learning as a crux component. Various simple active teaching strategies that can be adapted for large and small group teaching are highlighted. Blended learning is characterized by self-paced learning, and face-to-face training sessions with online collaborative learning. Simple ways to incorporate the blended mode of teaching strategies with the use of virtual platforms and learning management system (LMS) are described. Further, we discuss the nuances that help to adapt the various curriculum changes brought about by the implementation of CBME. Teaching physiology is an ever-challenging task. With an appropriate mindset, medical educators can turn these challenges into opportunities and make teaching learning a better experience.
生理学是医学的核心。随着能力本位医学教育(CBME)的实施,向当代学生传授复杂的生理学框架已成为一项具有挑战性的任务。在 Covid-19 大流行期间,数字技术在教育领域的发展促使医学教育工作者改变教学策略,从传统模式转向混合模式。我们为迎接三大挑战提供了建议,即:采用主动学习策略的代际多样性、采用混合式学习的技术发展以及在生理学教育中实施课程改革的策略。成人学习原则将主动学习作为一个关键组成部分。重点介绍了可适用于大班和小班教学的各种简单的主动教学策略。混合式学习的特点是自定进度学习、面对面培训课程和在线协作学习。我们介绍了利用虚拟平台和学习管理系统(LMS)融入混合式教学策略的简单方法。此外,我们还讨论了有助于适应 CBME 实施后带来的各种课程变化的细微差别。生理学教学是一项极具挑战性的任务。医学教育工作者可以通过适当的思维方式将这些挑战转化为机遇,使教学学习成为一种更好的体验。
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引用次数: 0
Competency-based postgraduate training: Mentoring and monitoring using entrustable professional activities with descriptive rubrics for objectivity— A step beyond Dreyfus 基于能力的研究生培训:利用可委托的专业活动进行指导和监督,并使用描述性评分标准进行客观评价--超越德莱弗斯的一步
Pub Date : 2024-02-03 DOI: 10.25259/nmji_860_2021
M. Ravishankar, A. Areti, V. H. Kumar, T. Sivashanmugam, P. Rani, Nilakantan Ananthakrishnan
At Sri Balaji Vidyapeeth, a competency-based learning and training (CoBaLT©) model for postgraduate (PG) curriculum, within the regulatory norms, was implemented in 2016 after adequate faculty development programmes. This focused on well-defined outcomes.A review of the outcomes was undertaken in 2018 as part of internal quality assurance receiving feedback from all stakeholders, viz. students, alumni and faculty. Recent publications were also reviewed. A major problem identified was lack of clarity in definition of levels leading to subjectivity in assessment while grading. It was also noted that the process needed to be aligned with the programme outcomes. Further refinements were, therefore, made to align and objectivize formative assessment using entrustable professional activities (EPA) with the aid of descriptive rubrics of sub-competencies and milestones. Addition of detailed rubrics for objectivity takes assessment a step beyond the Dreyfus model, aligning overall to the programme outcomes.Achievement of appropriate grades in EPAs by individual candidates ensures entrustability in professional activities by the time of completion of the PG programme. The modification was found more transparent and objective with reference to grading by the teachers and more conducive to reflections by the residents on their performance and how to improve it.The use of descriptive rubrics along with EPAs brings transparency and plays a key role as an objective assessment tool, which can lend direction to individual resident learning and entrustability. This is an important component of outcome-based education.
Sri Balaji Vidyapeeth于2016年实施了基于能力的学习和培训(CoBaLT©)模式,该模式符合研究生课程的监管规范。作为内部质量保证的一部分,2018 年对成果进行了审查,并收到了所有利益相关者(即学生、校友和教师)的反馈。还审查了近期的出版物。发现的一个主要问题是对等级的定义不够清晰,导致在评分时评估的主观性。此外,还注意到评估过程需要与课程成果保持一致。因此,进一步完善了形成性评估,利用可委托的专业活动(EPA),借助分能力和里程碑 的描述性评分标准,使形成性评估标准化和客观化。为确保客观性,增加了详细的评分标准,使评估比德雷福斯模式更进一步,使整体评估与课程成果相一致。教师的评分更加透明和客观,也更有利于住院医师反思自己的表现以及如何改进。这是基于结果的教育的重要组成部分。
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引用次数: 0
Rani Manshani (1 June 1947–13 January 2023) 拉妮-曼沙尼(1947 年 6 月 1 日至 2023 年 1 月 13 日)
Pub Date : 2024-02-03 DOI: 10.25259/nmji_428_2023
Renu Dhingra
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引用次数: 0
期刊
The National Medical Journal of India
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