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Simulation vs Video-Assisted Learning on Retentivity of Clinical Competency and Knowledge of Basic Airway Devices in Medical Students: A Preliminary Study 模拟与视频辅助学习对医科学生临床能力和基本气道设备知识的保持力的影响:初步研究
Pub Date : 2024-07-04 DOI: 10.4038/seajme.v18i1.593
T. Subramaniam, A. H. B. Azizan, L. S. Yan, D. Sivanendran, T. U. Wen, D. R. G. Kirihettige
Introduction: Teaching and learning challenges are common in clinical leaning settings and this research was conducted to determine the effectiveness of learning about simple airway devices using video assistance compared with face-to-face simulated learning.Methodology: A randomized single-blinded comparative study was conducted over 2 months, employing OBA (One Best Answer) and DOPS (Direct Observation of Practical Skills) to evaluate knowledge and practical skills of 20 third-year medical students without prior exposure to airway adjuncts. Assessments were conducted immediately, at 2 weeks and at 8 weeks post-exposure to either a video or simulated activity. Learning style was identified using a VARK questionnaire before the study.Results: Mann -Whitney U test showed that during the third DOPS assessment (U = 17.50, p = 0.011), the simulation group performed better than the video-assisted group with no difference in the first and second assessments. No difference was noted in OBA scores. Friedman test, followed by a Wilcoxon signed-rank test, showed a decrease from the first to the third OBA scores within the video group (Z = -2.038, p = 0.042), and no change in the simulation group. Learning styles did not influence performance. No differences in knowledge were noted between the two groups but knowledge decay was identified within the video-assisted group.Conclusion: No difference in knowledge was identified between the two groups. There was knowledge decay within the video-assisted group. Retention of procedural skills was better for the simulation group. The learning styles of students did not affect the outcome. Video-assisted learning can be useful for simple devices for remote learning and enhance blended learning. Further research with a larger sample size would be beneficial.
简介:教学和学习方面的挑战在临床学习环境中很常见:本研究旨在确定使用视频辅助学习简单气道装置与面对面模拟学习的效果:这项随机单盲对比研究历时 2 个月,采用 OBA(最佳答案)和 DOPS(实践技能直接观察法)评估 20 名三年级医学生的知识和实践技能,这些学生之前未接触过气道辅助设备。分别在接触视频或模拟活动后的即时、2 周和 8 周进行评估。研究前使用 VARK 问卷确定了学习风格:Mann -Whitney U 检验表明,在第三次 DOPS 评估中(U = 17.50,p = 0.011),模拟组的表现优于视频辅助组,而在第一次和第二次评估中没有差异。OBA 分数没有差异。弗里德曼检验(Friedman test)和威尔科克森符号秩检验(Wilcoxon signed-rank test)显示,视频组的 OBA 分数从第一次到第三次都有所下降(Z = -2.038,p = 0.042),而模拟组则没有变化。学习方式对成绩没有影响。两组学生的知识水平没有差异,但视频辅助组学生的知识水平有所下降:结论:两组学生的知识水平没有差异。结论:两组学生的知识水平没有差异,但视频辅助组学生的知识水平有所下降。模拟组对程序性技能的保留更好。学生的学习风格对结果没有影响。视频辅助学习对于远程学习的简单设备很有用,并能加强混合式学习。进一步开展样本量更大的研究将大有裨益。
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引用次数: 0
Learning Strategies among Medical Students in a selected University in Sri Lanka 斯里兰卡一所选定大学医学生的学习策略
Pub Date : 2024-07-04 DOI: 10.4038/seajme.v18i1.601
S. Edirisinghe, D. De Silva, H. Dissanayake, S. Yasawardane
Introduction: The discipline of medicine is continually changing and evolving, and with it, medical education. It is difficult to develop the attitudes, knowledge, and abilities needed to become a competent physician within a short amount of time. The purpose of this study is to identify and compare the practice of surface, strategic, and deep learning strategies by third-year medical students and students who have passed the final MBBS examination.Methods: The Approaches and Study Skills Inventory for Students (ASSIST) – a 52-item questionnaire was given to 138 medical undergraduates at the Faculty of Medical Sciences, University of Sri Jayewardenepura. The ethics review committee of the Faculty of Medical Sciences, University of Sri Jayewardenepura granted ethical clearance for this study (Ref. no. 45/17).Results: The strategic approach was shown to be the most common strategy [78.3%(108/138)] practiced by medical students [Students who completed their final MBBS exams [80.6% (25/31)] and third-year medical students (77.6% (83/107)]. The deep approach was used by 21 (15.2%) individuals and the surface apathetic approach by 9 (6.5%) participants, respectively. Percentage 82.6 (76/92) of females and 69.6% (32/46) of males reported adhering to a strategic approach. A statistically significant difference was not observed in the learning strategies used between the two study populations.Conclusions: The strategic approach was commonly practiced by the study population. The results indicate that deep learning strategies were not utilized among medical undergraduates in their curriculum. Future medical curriculum revisions need to take these findings seriously and develop an instructional design to promote a deep learning approach.
导言:医学学科在不断变化和发展,医学教育也是如此。要在短时间内培养成为一名合格医生所需的态度、知识和能力是很困难的。本研究旨在确定并比较三年级医学生和已通过 MBBS 最终考试的学生在表层、战略和深层学习策略方面的实践情况:方法:斯里贾耶瓦德勒普拉大学医学科学学院的 138 名医学本科生接受了由 52 个项目组成的 "学生学习方法和学习技巧量表"(ASSIST)问卷调查。斯里贾亚瓦德纳普拉大学医学科学学院伦理审查委员会批准了这项研究(编号:45/17):结果表明,战略方法是医科学生最常用的方法[78.3%(108/138)][完成 MBBS 结业考试的学生[80.6%(25/31)]和三年级医科学生(77.6%(83/107)]]。分别有 21 人(15.2%)和 9 人(6.5%)采用了深层方法和表层冷漠方法。82.6%(76/92)的女性和 69.6%(32/46)的男性表示采用了策略性方法。从统计学角度看,两个研究群体在学习策略上没有明显差异:结论:研究对象普遍采用战略方法。研究结果表明,医学本科生在课程中没有使用深度学习策略。未来的医学课程修订需要认真对待这些研究结果,并制定促进深度学习方法的教学设计。
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引用次数: 0
Exploring Communication Approaches in Medication Consultations for Generation Z: a Cross-Sectional Descriptive Study of Two-Way and One-Way Methods 探索 Z 世代用药咨询中的沟通方法:双向和单向方法的横断面描述性研究
Pub Date : 2024-07-04 DOI: 10.4038/seajme.v18i1.562
Chalernchai Lertanansit
Background: In the ever-evolving landscape of healthcare communication, medical staff—primarily from Generations X and Y—traditionally employ two-way communication. This approach fosters active engagement and shared decision-making in student-centered teaching. However, aligning this well-established method with the preferences of Generation Z remains unexplored. This study delves into these preferences, specifically comparing traditional two-way communication with modern, digital platform-based one-way methods.Methods: Through a cross-sectional study conducted among externs and interns at Surin Hospital, Thailand, we examined communication preferences using a 1-5 rating scale. Descriptive statistics were employed to analyze the data, providing insights into the evolving communication landscape.Results: Among the 67 interns and externs, with an impressive 80.6% response rate, preferences leaned toward hybrid consultation models. While two-way consultations received an average score of 3.2 (SD 0.88)—indicating moderate preference—respondents (63%) highly valued its educational benefits. Interestingly, 50% reported experiencing anxiety and insomnia before consultations, suggesting potential drawbacks. A key finding emerged, with 81.5% favoring a shift toward digital one-way communication for non-urgent cases. Moreover, nearly all participants expressed a preference for a three-level triage system, utilizing both methods: one-way for non-urgent, two-way for urgent, and two-way for emergency cases.Discussion and Conclusion: This study underscores the need for tailored communication approaches in medication consultations for Generation Z medical trainees. Integrating digital platforms and offering a hybrid model can enhance communication effectiveness and adapt to the preferences of this emerging generation.
背景:在不断发展的医疗保健沟通领域,医务人员(主要是 X 代和 Y 代医务人员)传统上采用双向沟通。在以学生为中心的教学中,这种方法促进了学生的积极参与和共同决策。然而,如何将这一行之有效的方法与 Z 世代的偏好结合起来,仍有待探索。本研究深入探讨了这些偏好,特别是比较了传统的双向交流与基于数字平台的现代单向交流方法:方法:通过对泰国素林医院的实习医生和实习生进行横断面研究,我们使用 1-5 级评分量表对沟通偏好进行了调查。结果:在 67 名实习生和校外实习生中,有 3.5%的人选择了网络单向沟通方式:结果:在 67 名实习生和校外实习生(80.6% 的回复率令人印象深刻)中,他们更倾向于混合会诊模式。双向咨询的平均得分为 3.2(标准差为 0.88),表明受访者的偏好适中,但 63% 的受访者高度评价其教育益处。有趣的是,50% 的受访者表示在会诊前会感到焦虑和失眠,这表明双向会诊存在潜在的弊端。一个重要发现是,81.5% 的受访者赞成在非紧急病例中转向数字单向通信。此外,几乎所有参与者都表示倾向于采用三级分诊系统,同时使用两种方法:非紧急病例单向分诊,紧急病例双向分诊,急诊病例双向分诊:本研究强调,在为 Z 世代医学学员提供用药咨询时,有必要采用量身定制的沟通方法。整合数字平台并提供混合模式可提高沟通效果,并适应这一新兴一代的偏好。
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引用次数: 0
Smartphone usage among Bachelor of Medicine and Surgery students at the University of Papua New Guinea: A survey 巴布亚新几内亚大学内外科学士学生的智能手机使用情况:一项调查
Pub Date : 2024-07-04 DOI: 10.4038/seajme.v18i1.564
L. Temai, F. Pulsan, J. Vince, G. Yohang, J. Wohiemani
Introduction: Smartphones and digital technology have been increasingly important in medical education in most countries, but have only recently become widely available in Papua New Guinea. Our study aimed to examine the views and experiences of medical students on smartphone use at the University of Papua New Guinea School of Medicine and Health Sciences.Methodology: A pretested self-administered questionnaire was used to collect information on smartphone use in student learning. Data was entered into Microsoft Excel 2019 and analyzed using SPSS version 22.Results: One hundred and sixty-one (78%) of 206 enrolled medical students responded. All participants owned a smartphone. Seventy-seven percent (124/161) used the available school Wi-fi for internet connectivity, and 98.8 % (n=159) purchased mobile data. Most (72.7%, n=117) of the students spent more than an hour daily on their phone. Smartphones were used to access learning applications and websites, Google, YouTube, online libraries, medical journals, note-taking during seminars and tutorials, and share learning material with colleagues. Seventy-seven (47.8%) spent more than an hour each day accessing reading and learning materials, and 56 (34.8%) spent more than one hour a day on social media activities. The most frequently accessed Medical Journals were the British Medical Journal (27.5%, n=45) and the Papua New Guinea Medical Journal (28.8%, n=47).Conclusion: The study provides insight into smartphone use among medical students at the School of Medicine and Health Sciences. Most students use smartphones for learning, and the results of this study should inform the further integration of digital tools in medical education in Papua New Guinea.
简介在大多数国家,智能手机和数字技术在医学教育中的重要性与日俱增,但在巴布亚新几内亚,智能手机和数字技术最近才开始广泛普及。我们的研究旨在考察巴布亚新几内亚大学医学与健康科学学院的医学生对智能手机使用的看法和经验:研究采用了一份预先测试的自填式问卷,以收集学生在学习中使用智能手机的信息。数据输入 Microsoft Excel 2019,并使用 SPSS 22 版进行分析:在 206 名注册医学生中,有 161 人(78%)作了回答。所有参与者都拥有一部智能手机。77%(124/161)的学生使用学校提供的 Wi-fi 上网,98.8%(n=159)的学生购买了移动数据。大多数学生(72.7%,n=117)每天花在手机上的时间超过一小时。智能手机被用来访问学习应用程序和网站、谷歌、YouTube、在线图书馆、医学期刊,在研讨会和辅导课上做笔记,以及与同事分享学习材料。有 77 人(47.8%)每天花一个多小时访问阅读和学习材料,有 56 人(34.8%)每天花一个多小时进行社交媒体活动。最常访问的医学期刊是《英国医学杂志》(27.5%,n=45)和《巴布亚新几内亚医学杂志》(28.8%,n=47):本研究深入了解了医学与健康科学学院医学生使用智能手机的情况。大多数学生使用智能手机进行学习,这项研究的结果将为巴布亚新几内亚进一步将数字工具融入医学教育提供参考。
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引用次数: 0
The Imperative of Continuing Professional Development (CPD) in the South-east Asian (SEA) Region 东南亚地区持续专业发展(CPD)的必要性
Pub Date : 2024-07-04 DOI: 10.4038/seajme.v18i1.600
I. M. Karunathilake, K. Marambe, A. De Abrew
No abstract available
无摘要
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引用次数: 0
Literacy Level and Self-Perceived Confidence of using Office Suite Applications among First Year Postgraduate Medical Students 医学研究生一年级学生使用办公套件应用程序的读写能力和自我感知信心
Pub Date : 2022-12-30 DOI: 10.4038/seajme.v16i2.516
A. Khan, N. Majhi, P. Gupta
Purpose: Basic knowledge of Office Suite Applications (OSA) such as Word Processor, Spreadsheet and Presentation Software is necessary for medical-postgraduate students for their academic and research activities. Our aim was to explore the literacy and self-perceived confidence of the medical-postgraduate students at entry level regarding OSA in a medical college in Delhi.Methodology: A cross-sectional study was conducted among the first-year postgraduate students in a medical college in Delhi using a self-administered, structured and pre-validated questionnaire. A Likert scale was used to assess self-perceived confidence among the students. Responses to questions related to various OSA were scored to identify the literacy score for the application. Mann-Whitney U test was applied to find out significance of the observed differences between the median (IQR) literacy scores of the students regarding OSA based on their self-perceived confidence and previous use of the applications.Results: Median (IQR) literacy scores of the students for Word Processor was 2.0 (2.0- 3.0), Spreadsheet was 1.0 (0.0-2.0) and Presentation Software was 3.0 (2.0-4.0). The difference in the median scores of various OSA was statistically significant (Kruskal Wallis test P value <0.001). Although, majority perceived themselves to be confident about the use of Word Processor and Presentation Software, there was no significant difference in their median (IQR) scores over the students who reported themselves to be unconfident about those two OSA.Conclusion: Training medical postgraduate students to use the OSA and boost their self-perceived confidence in using them is required.
目的:医学研究生在进行学术和研究活动时,必须具备办公套件应用程序(OSA)的基本知识,如文字处理器、电子表格和演示软件。我们的目的是探索德里一所医学院的初级医学研究生对OSA的读写能力和自我感知的信心。方法:在德里一所医学院的一年级研究生中进行了一项横断面研究,使用了一份自我管理、结构化和预先验证的问卷。采用李克特量表评估学生的自我感知自信。对与各种OSA相关的问题的回答进行评分,以确定应用程序的读写分数。采用Mann-Whitney U检验,观察学生基于自我感知自信和以前使用应用程序的OSA中位数(IQR)读写能力得分之间的差异的显著性。结果:学生文字处理机读写能力中位数(IQR)为2.0(2.0 ~ 3.0),电子表格读写能力中位数(1.0 ~ 2.0),演示软件读写能力中位数(3.0 ~ 4.0)。各OSA中位评分差异有统计学意义(Kruskal Wallis检验P值<0.001)。尽管大多数人认为自己对文字处理软件和演示软件的使用有信心,但他们的中位数(IQR)分数与报告自己对这两种OSA不自信的学生没有显著差异。结论:培养医学研究生使用OSA,增强其使用OSA的自信心是有必要的。
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引用次数: 0
Confidence in Neurology: how Educators can help Junior Doctors fight Neurophobia 神经学的信心:教育工作者如何帮助初级医生对抗神经恐惧症
Pub Date : 2022-12-30 DOI: 10.4038/seajme.v16i2.515
Y. J. Tan, K. Juliana, N. Manohararaj
Aim: To study factors influencing junior doctors’ confidence when managing neurological conditions.Methods: Using a previously-validated questionnaire, residents of a Singaporean Internal Medicine residency programme were retrospectively-surveyed on their confidence when managing neurological conditions against a 6-point Likert scale. Those who considered themselves confident were compared against those who did not, studying factors contributing to differences in their confidence.Results: 54% (94) of eligible residents completed the survey, of which only 58% felt confident when surveyed, and tended to report adequate interaction with neurologists (69% vs 31%, p = 0.004) and patients (75% vs 24%, p = 0.0001), and that the training material (75% vs 44%, p = 0.023) and bedside teaching were adequate (69% vs 38%, p = 0.026). Of note, graduates from the United Kingdom, Republic of Ireland, and Australia reported feeling less-than-confident immediately upon graduation (31% vs 6%, p = 0.043). However, during graduate medical training, those who experienced improvement in their confidence tended to be males (46% vs 23%, p = 0.024), and were likelier to have received adequate training material (41% vs 20%, p = 0.032) and bedside teaching (67% vs 46%, p = 0.035).Conclusion: Low confidence prevails amongst junior doctors when managing neurological conditions. Female trainees, and graduates of medical schools in culturally-different countries are likelier to require increased organizational support. Equity within the medical training framework is also vital for building their confidence.
目的:探讨影响初级医生治疗神经系统疾病信心的因素。方法:使用先前验证过的问卷,对新加坡内科住院医师计划的住院医师进行回顾性调查,调查他们在管理神经系统疾病时对6分李克特量表的信心。研究人员将那些认为自己自信的人与那些不自信的人进行比较,研究导致他们自信差异的因素。结果:54%(94)的合格住院医师完成了调查,其中只有58%的人在调查时感到自信,并且倾向于报告与神经科医生(69%对31%,p = 0.004)和患者(75%对24%,p = 0.0001)的充分互动,并且培训材料(75%对44%,p = 0.023)和床边教学是充分的(69%对38%,p = 0.026)。值得注意的是,来自英国、爱尔兰共和国和澳大利亚的毕业生在毕业后立即感到不那么自信(31%对6%,p = 0.043)。然而,在研究生医学培训期间,那些经历信心改善的人往往是男性(46%对23%,p = 0.024),并且更有可能接受了足够的培训材料(41%对20%,p = 0.032)和床边教学(67%对46%,p = 0.035)。结论:初级医生在处理神经系统疾病时普遍存在自信心不足的问题。女性受训人员和文化不同国家的医学院毕业生更可能需要更多的组织支持。医疗培训框架内的公平对建立她们的信心也至关重要。
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引用次数: 0
Integration of Traditional and Innovative Methods in Anatomy Dissections: A Sri Lankan Experience 传统与创新方法在解剖解剖中的整合:斯里兰卡的经验
Pub Date : 2022-12-30 DOI: 10.4038/seajme.v16i2.395
E. Edirisinghe, H. D. De Silva, K. A. M. T. Devmini, S. Pathmaperuma, W. M. K. M. Ratnayake, Y. D. M. Jayepeasad, N. Nakandala, M. A. A. Shiraf, L. Indunil, D. Niluka, P. K. K. Madushika, Y. S. Deegodagamage, W. Wijesundara, P. Dissanayake, S. Yasawardene
Introduction: Routine methods of teaching gross anatomy including cadaver dissections have been a keystone of the anatomy curriculum and certain difficulties have led medical educationists to explore teaching using modern technology. This study aims to share the institutional experience of incorporating new methods into routine dissections at the Department of Anatomy, Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka.Methodology: Prior to dissections, recommended anatomy 3D software and videos were shown in LED panels. Mock spots were conducted weekly. Applied anatomy sessions were conducted by clinicians. Ultra sound scan (USS) based teaching sessions were conducted by a consultant radiologist. Another study area with multiple illuminators with radiological films was present. Routine feedback was taken from students.Results: The use of LED panels for teaching was found to be helpful by most (82.6%) students. A majority (84%) also found that mock spots were helpful for their studies and 89.2% preferred the use of 3D software. Percentage 82.6% of students found USS guided teaching useful while 85.4% of students found X-ray & CT useful. Majority (91.5%) found the applied anatomy teaching sessions useful. The majority of students’ comments indicated recommendations for them to be continued for future batches.Conclusion: This initiative demonstrates that the combination of traditional and innovative methodologies in the teaching of gross anatomy is favored by students and the applied anatomy sessions can provide vertical integration of the subject.
简介:包括尸体解剖在内的大体解剖学的常规教学方法一直是解剖学课程的重点,一些困难促使医学教育工作者探索运用现代技术进行教学。本研究旨在分享斯里兰卡Sri Jayewardenepura大学医学院解剖学系将新方法纳入常规解剖的机构经验。方法:在解剖之前,在LED面板上显示推荐的解剖3D软件和视频。模拟现场每周进行一次。应用解剖学课程由临床医生指导。以超声扫描(USS)为基础的教学课程由放射科顾问医师进行。另一个研究区域有多个带放射膜的照明器。例行反馈来自学生。结果:绝大多数(82.6%)学生认为使用LED显示屏进行教学有帮助。大多数人(84%)也发现模拟点对他们的学习有帮助,89.2%的人更喜欢使用3D软件。82.6%的学生认为USS引导教学有用,85.4%的学生认为x光和CT有用。大多数学生(91.5%)认为应用解剖学教学有用。大多数学生的评论表明,建议他们在未来的批次中继续进行。结论:这一举措表明,在大体解剖学教学中,传统与创新的教学方法相结合受到学生的青睐,应用解剖学课程可以提供学科的垂直整合。
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引用次数: 0
Effect of Education in AETCOM Competencies in Shaping the Professional Attitudes of Medical Students AETCOM能力教育对医学生职业态度塑造的影响
Pub Date : 2022-12-30 DOI: 10.4038/seajme.v16i2.429
D. R. Amarantha, T. Noor, S. P. Swanand, A. D. Ropmay
Introduction: The Attitude, Ethics and Communication (AETCOM) module has been introduced in the recent Competency Based Medical Education (CBME) curriculum in the year 2019 as a means of directly and explicitly imparting soft skills to students. As this program has been implemented phase-wise in our institution, we conducted a preliminary survey to identify professional attitudes of students in the 2019-20 batch who have had some exposure to AETCOM education as compared to the earlier 2017-18 batch who had no exposure to the modules.Methods: This was an observational cross-sectional study involving two groups of undergraduate medical students who were exposed and not exposed to AETCOM modules respectively. A self-administered semi-structured questionnaire comprising 20 closed-ended and 4 open-ended items related to the study topic was designed for data collection. Responses were entered and tabulated in MS Excel and analyzed using SPSS version 21 by descriptive and inferential statistics.Results: A total of 103 medical students participated. The Mean Attitude Score (MAS) was significantly higher in the batch exposed to the AETCOM sessions. Among those exposed, 91.65% agreed that their behaviour towards patients had changed after attending the sessions. In addition, they gave suggestions on how the delivery of the modules could be improved in the second professional year.Conclusion: Formal training in AETCOM competencies has a positive effect in shaping the professional attitudes of medical students. Role plays and clinical exposure are perceived as effective ways of imparting ethics education. This positive effect can be enhanced with improved teaching-learning methods for successive batches of undergraduate medical trainees at our institution.
导读:态度,道德和沟通(AETCOM)模块已在2019年最近的基于能力的医学教育(CBME)课程中引入,作为直接和明确地向学生传授软技能的手段。由于该计划已在我校分阶段实施,我们进行了初步调查,以确定2019-20批次接受过AETCOM教育的学生与2017-18批次未接触过模块的学生的专业态度。方法:这是一项观察性横断面研究,涉及两组分别接触和未接触AETCOM模块的本科医学生。设计一份与研究主题相关的由20个封闭式和4个开放式项目组成的自填半结构化问卷进行数据收集。在MS Excel中输入反馈并制表,使用SPSS version 21进行描述性统计和推断性统计分析。结果:共有103名医学生参与。平均态度得分(MAS)在接触AETCOM会话的批次中显着更高。在接受治疗的人中,91.65%的人认为他们在参加治疗后对病人的行为有所改变。此外,他们还就如何在第二个专业年度改进模块的交付提出了建议。结论:正规培训对医学生职业态度的形成有积极作用。角色扮演和临床接触被认为是传授道德教育的有效方式。通过对我院连续几批本科医学培训生的改进教学方法,可以进一步增强这种积极效应。
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引用次数: 0
Medical Museums should Inspire rather than Macabrely Horrify 医学博物馆应该激发灵感,而不是可怕的恐怖
Pub Date : 2022-12-30 DOI: 10.4038/seajme.v16i2.514
J. Y. Ting
No abstract available
没有摘要
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引用次数: 0
期刊
South-East Asian Journal of Medical Education
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