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Attitudes Emphasizing in the Clinical Supervision of Medical Students : An Ethnographic Study in Sweden 瑞典医学生临床督导中重视态度的民族志研究
Pub Date : 2012-02-29 DOI: 10.2174/1876519X01205010005
M. Nilsson, S. Pennbrant, K. Nilsson, B. Samuelsson, E. Pilhammar
Introduction: Medical student's professional attitudes are expected to be developed in medical school, and particularly during clinical education. In this study we focus on supervision in order to ...
导读:医学生的职业态度是在医学院,特别是在临床教育中培养的。在本研究中,我们将重点放在监督上,以便……
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引用次数: 1
Cognitive Apprenticeship Learning in Paediatric Clinical Settings 认知学徒学习在儿科临床设置
Pub Date : 2012-02-24 DOI: 10.2174/1876519X01205010001
K. Linnet, L. B. Andersen, T. Balslev
Objectives: Cognitive apprenticeship learning focuses on improving understanding and clinical diagnostic rea- soning among learners. The aim of this study was to describe the feasibility of cognitive apprenticeship encounters in clinical paediatric settings in terms of time consumption; and to describe the encounters in terms of learner and teacher behavior. Methods: This study was based on data from 485 self-reports filled in by participating learners during a 3-month quality improvement project conducted at three Danish paediatric departments. Teacher and learner cognitive apprenticeship skills training took place at repeated workshops. A total of 59 different learners participated, 4 were medical students, 49 were residents, and 6 were specialists in pediatrics. A total of 75 different teachers participated. Results: Apprenticeship encounters between teachers and learners lasted median 9 (range 2-120) minutes. In 47% of the encounters, the teacher and learner examined the child together. In 91% of the encounters, the learner reported that his or her knowledge was challenged and in 92% of the encounters, the learners and the teachers verbalized their clinical diag- nostic reasoning processes. Educational strategies to reach learning objectives were reported in 77%. Conclusions: Cognitive apprenticeship learning was a feasible approach to teaching and learning in paediatric depart- ments. Median 9 (range 2-120) minutes were used for the encounters. Almost all learners reported being challenged dur- ing the encounter. Almost half of the encounters included a joint teacher and learner examination of a patient.
目的:认知学徒学习的重点是提高学习者的理解和临床诊断能力。本研究的目的是描述认知学徒遭遇在临床儿科设置方面的时间消耗的可行性;并从学习者和教师的行为来描述这种接触。方法:本研究基于在丹麦三个儿科进行的为期3个月的质量改进项目中参与学习的485名学生填写的自我报告的数据。教师和学习者的认知学徒技能培训在重复的讲习班上进行。共有59名不同类型的学习者参与,其中4人为医学生,49人为住院医师,6人为儿科专家。共有75名不同的教师参与了调查。结果:教师和学习者之间的学徒接触持续了中位数9分钟(范围2-120)。在47%的接触中,老师和学习者一起检查孩子。在91%的接触中,学习者报告他或她的知识受到挑战,在92%的接触中,学习者和教师用语言表达了他们的临床诊断推理过程。77%的人报告了达到学习目标的教育策略。结论:认知学徒式学习是一种可行的儿科教与学方法。治疗时间中位数为9分钟(范围2-120分钟)。几乎所有的学习者都报告说,在遇到挑战。几乎一半的接触包括对病人进行教师和学习者的联合检查。
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引用次数: 9
Inclusion of an Integrated Team Based Learning Session in First Year Histology is well Received, but who Fares well and who Benefits? 在一年级组织学课程中加入以团队为基础的综合学习课程是很受欢迎的,但谁受益谁受益?
Pub Date : 2011-12-09 DOI: 10.2174/1876519X01104010018
I. Sligtenhorst, R. Bick
Integrated teaching in medical school instruction has become a much favoured and desired method of education practice, and variety in curricula has become a topic of much discussion, as well as the practice of including stimulating, student-centered projects in lectures and labs, which is now common place. These changes appear to help students in their study routines and learning outcomes. There has been success at this medical school with the construction of a team-based learning (TBL) program termed Clinical Applications, which is part of the Introduction to Clinical medicine course. Because of this success, it was de- cided to include three TBL sessions in the histology and cell biology course, our hypothesis being that these additions would invigorate students, give them a head start for their clinical studies, encourage fruitful interactions, while develop- ing positive attitudes. Students formed small groups in the histology and cell biology course and microscopically examined designated slides from their issued collections. These slides were compared to a 'case' slide and that each group discussed their findings with the aid of their syllabus, lecture material and atlas. Evaluations of TBL sessions were mixed, but positive feedback was much more apparent than negative input, with group size and slides issued being the main concerns. Feedback was from answers on end of course evaluations, and it was of in- terest to note that students who did attend lectures and labs on a regular basis were better able to decipher the 'case' slides, while often helping other, less prepared students, so some students benefited from the insights by regular attendees, while others were refocused via the macroscopic changes. Evaluation comments noted that sessions were beneficial due to their integrative structure, the increased peer-peer interac- tions, overall attitude improvements, leadership development and having a 'real-life' exercise, revealing this course inno- vation as something to be developed.
医学院教学中的综合教学已经成为一种非常受欢迎和期望的教育实践方法,课程的多样性已经成为许多讨论的话题,在课堂和实验室中包括以学生为中心的激励性项目的实践现在已经很普遍。这些变化似乎有助于学生的学习习惯和学习成果。作为临床医学导论课程的一部分,这所医学院建立了一个名为临床应用的团队学习(TBL)项目,取得了成功。由于这一成功,我们决定在组织学和细胞生物学课程中加入三个TBL课程,我们的假设是,这些增加的内容将激励学生,为他们的临床研究提供一个良好的开端,鼓励富有成效的互动,同时培养积极的态度。学生们在组织学和细胞生物学课程中组成小组,用显微镜检查他们收集的指定幻灯片。这些幻灯片与“案例”幻灯片进行比较,每个小组在教学大纲、讲课材料和地图集的帮助下讨论他们的发现。对TBL会议的评价好坏参半,但积极的反馈比消极的投入明显得多,小组规模和幻灯片的发布是主要关注的问题。反馈来自课程结束后的评估,值得注意的是,定期参加讲座和实验的学生能够更好地解读“案例”幻灯片,同时经常帮助其他准备不足的学生,因此一些学生从定期与会者的见解中受益,而另一些学生则通过宏观变化重新集中注意力。评估评论指出,由于其综合结构,增加了同伴之间的互动,整体态度的改善,领导力的发展以及“现实生活”的练习,这些课程都是有益的,这表明这门课程的创新有待开发。
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引用次数: 6
Webpage for Third Year Medical Students Pediatric Clerkship: IsImproved Access Information Useful and Educational? 三年级医学生儿科见习网页:改进的访问信息有用且有教育意义吗?
Pub Date : 2011-12-09 DOI: 10.2174/1876519X01104010012
Amy B. Guiot, Melissa D. Klein, Christopher B. Peltier, C. McAneney, C. Lehmann
Background: While many medical schools utilize webpages containing administrative information for students, this study evaluated a webpage that combines administrative and educational material in one convenient location. Objective: 1) Assess need to create centralized webpage for third year medical students on their pediatric clerkship; 2)Design webpage with administrative and educational information; 3) Review webpage’s usefulness. Methods: Pre-test post-test survey with 5 point Likert and yes/no questions, created de novo on SurveyMonkey and emailed to medical students upon completion of their pediatric clerkship. Pre-intervention students used paper orientation packets. Pre-test survey addressed time to find resources and need for centralized location. Post-intervention students had access to new webpage with: 1) Fundamentals and Forms, 2) Orientation Information, 3) Key Resources, 4) Pediatric PowerPoint Presentations, 5) Journal Articles. Post-test questions regarded usefulness, relevance, accessibility, efficiency of webpage and perceived effect on knowledge-base. Results: 49/72 (68%) pre-intervention students responded to survey reporting accessing multiple internet sites for medical information, 95.9% used orientation handouts, 62.6% used resident webpage, 73.5% thought new webpage would be useful and 81.7% strongly agreed/agreed webpage would improve time efficiency. 32/72 (44%) post-intervention students responded to survey. 100% post-intervention students used new webpage, 65.6% strongly agreed/agreed information was easily accessible, 68.8% found information relevant, 64.6% agreed easy to navigate, and 53.1% strongly agreed/agreed (7.4% disagreed) readily available learning resources on website improved their pediatric knowledge. Conclusion: The introduction of a webpage with administrative and educational materials for the pediatric clerkship was useful to majority of third year medical students.
背景:虽然许多医学院利用包含管理信息的网页为学生,但本研究评估了一个将行政和教育材料结合在一个方便的位置的网页。目的:1)评估建立医三学生儿科见习集中网页的必要性;2)设计行政、教育信息网页;3)审查网页的有用性。方法:采用5点李克特和是/否问题的测试前-测试后调查,在SurveyMonkey上重新创建,并在医学院学生完成儿科实习后通过电子邮件发送给他们。干预前的学生使用了纸质的迎新包。预测试调查解决了寻找资源的时间和集中位置的需要。干预后的学生可以访问新的网页:1)基础知识和表格,2)指导信息,3)关键资源,4)儿科ppt演示,5)期刊文章。后测问题包括有用性、相关性、可及性、网页效率和对知识库的感知效果。结果:49/72(68%)的干预前学生回应调查报告访问多个互联网网站获取医疗信息,95.9%的学生使用定向讲义,62.6%的学生使用居民网页,73.5%的学生认为新网页有用,81.7%的学生强烈同意/同意网页可以提高时间效率。干预后学生中有32/72(44%)回答了调查。100%的干预后学生使用了新的网页,65.6%强烈同意/同意信息容易获取,68.8%认为信息相关,64.6%同意易于导航,53.1%强烈同意/同意(7.4%不同意)网站上现成的学习资源提高了他们的儿科知识。结论:儿科见习行政教育资料网页的引入对大多数医三学生是有用的。
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引用次数: 0
Development and Field Pretest of the Feedback Quality Index: A Tool for Assessing Feedback Frequency and Quality in a Clinical Setting 反馈质量指数的开发和现场预测试:在临床环境中评估反馈频率和质量的工具
Pub Date : 2011-02-03 DOI: 10.2174/1876519X01104010001
Michael Fitzgerald, C. Lehmann
Objectives: This paper describes the systematic development, design, and field pretest of the Feedback Quality Index (FQI) - a brief survey for assessing feedback regularity and quality in a clinical setting. Medical educators need this type of tool so they can identify specific problems related to feedback provision and evaluate the impact of efforts de- signed to address those problems. The purposes of this study are to provide evidence for the feasibility and validity of the tool and to provide guidance and suggestions regarding its use. Methods: Decisions regarding the design and implementation of the FQI were guided by a systematic approach to survey development to ensure that common sources of non-sampling error were identified and addressed. A field pretest imple- mentation was conducted to gather evidence regarding the feasibility of the tool and the validity of the data. Feasibility was assessed based on the effort needed to administer, complete, and analyze the FQI while evidence for validity was based on an analysis of question quality. Results: Field pretest results indicated that the FQI can be feasibly administered, completed, and analyzed. An analysis of question quality revealed that most questions were understood correctly by respondents and the level of detail they pro- vide in describing the feedback received provides evidence for the accuracy of their recollections. Conclusions: The current version of the FQI is a useful tool that programs could use to assess feedback frequency and quality, identify specific problems, and evaluate efforts to address those problems. Additional studies need to be con- ducted to further assess and improve the validity of the FQI. Such efforts will not only improve the accuracy of the FQI but could also enhance our conceptual understanding of what constitutes effective feedback in the clinical setting.
目的:本文描述了反馈质量指数(FQI)的系统开发,设计和现场预测试-一种在临床环境中评估反馈规律和质量的简要调查。医学教育工作者需要这种类型的工具,以便他们能够识别与反馈提供相关的具体问题,并评估为解决这些问题而设计的努力的影响。本研究的目的是为该工具的可行性和有效性提供证据,并就其使用提供指导和建议。方法:关于FQI的设计和实施的决定是由一种系统的调查开发方法指导的,以确保识别和解决非抽样误差的常见来源。进行了现场预测试实施,以收集有关该工具的可行性和数据有效性的证据。可行性评估基于管理、完成和分析FQI所需的努力,而有效性证据基于对问题质量的分析。结果:现场预试结果表明,FQI的实施、完成和分析是可行的。对问题质量的分析表明,大多数问题被受访者正确理解,他们在描述收到的反馈时提供的细节水平为他们回忆的准确性提供了证据。结论:当前版本的FQI是一个有用的工具,程序可以使用它来评估反馈的频率和质量,识别特定的问题,并评估解决这些问题的努力。需要进行更多的研究来进一步评估和提高FQI的有效性。这样的努力不仅可以提高FQI的准确性,还可以增强我们对临床环境中有效反馈的概念理解。
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引用次数: 1
Motives and Experiences of the Competent Supervisor in General Practice – A Qualitative Study~!2010-03-22~!2010-05-19~!2010-08-16~! 全科医师主管的动机与经验——质性研究2010-03-22 2010-05-19 2010-08-16
Pub Date : 2010-08-17 DOI: 10.2174/1876519X01003010018
K. Kleizen, B. Mattsson
At the Sahlgrenska Academy, University of Gothenburg, Sweden, general practitioners (GPs) teach under- graduate medical students in three stages of the curriculum. Not much is known about the GPs' motives for teaching, nei- ther about their experiences in this process. Qualitative interviews were carried out with GPs who were known to have a positive attitude towards and interest in teaching and student supervision and assessed by the teaching-staff as skilled. The interviews were tape-recorded and transcribed. In the transcripts themes, categories and meaning units were identified ac- cording to a content analysis method. Two main themes were related to GPs' interest in teaching activities; personal issues and organizational issues. The personal issues constituted the reasons the GPs have for their positive inclination towards teaching, and consisted of early private experiences, an interest in the future, an interest in the students' development of clinical skills, and pleasure taken in teaching and personal growth. The organizational issues were the facilitating and im- pairing factors in the teaching process: the workload, health centre conditions and university conditions. The positive GPs who were interviewed experienced many benefits from their teaching. However, conditions could be improved regarding time and workload. Support from the health centre is an important factor in this field. The implementation of the findings to other health care systems is discussed.
在瑞典哥德堡大学的Sahlgrenska学院,全科医生(gp)在三个阶段的课程中教授医科本科学生。人们对gp的教学动机知之甚少,也不知道他们在这个过程中的经历。对全科医生进行了定性访谈,他们对教学和学生监督持积极态度和兴趣,并被教学人员评估为熟练。这些采访都被录了下来。根据内容分析法,对文本中的主题、类别和意义单位进行了识别。两个主要主题与全科医生对教学活动的兴趣有关;个人问题和组织问题。个人问题是全科医生积极倾向于教学的原因,包括早期的个人经历,对未来的兴趣,对学生临床技能发展的兴趣,以及对教学和个人成长的乐趣。组织问题是教学过程中的促进和阻碍因素:工作量、保健中心条件和大学条件。接受采访的积极全科医生从他们的教学中获益良多。但是,在时间和工作量方面,情况可以得到改善。保健中心的支持是这一领域的一个重要因素。讨论了将研究结果应用于其他卫生保健系统的情况。
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引用次数: 6
Non-Invasive Ventilation (NIV) a Study of Junior Doctor Competence~!2010-3-17~!2010-05-15~!2010-06-30~! 无创通气(NIV)对初级医生能力的研究2010-3-17 2010-05-15 2010-06-30
Pub Date : 2010-07-06 DOI: 10.2174/1876519X01003010011
J. Plumb, M. Juszczyszyn, G. Mabeza
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引用次数: 5
Cultural Health Attributions, Beliefs, and Practices: Effects on Healthcare and Medical Education 文化健康归因、信仰和实践:对医疗保健和医学教育的影响
Pub Date : 2009-08-22 DOI: 10.2174/1876519x00902010064
Vaughn Lisa M., Jacquez Farrah, Bakar Raymond C.
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引用次数: 5
The Effectiveness of Educational Applications: Two Small Empirical Investigations~!2009-03-16~!2009-05-29~!2009-07-02~! 教育应用的有效性:两个小的实证调查
Pub Date : 2009-07-02 DOI: 10.2174/1876519X00902010010
I. Masiello, K. Lonka, Matti Nikkola, H. Hirschfeld
ICT is thought to be successful in helping students to learn more deeply and actively. Despite its popularity, evidence as to its effectiveness is undergoing increased scrutiny. This article reports on the empirical investigation of the implementation of two interactive animations. Questionnaires measured students' learning styles, ICT competence and students' impressions of the animations. In Study I, medical students were matched-paired into experimental and control groups, and their performance was compared by a short written test. In Study II, physiotherapy students were arranged into two pre-existing groups. The results in Study I showed that there was no statistical difference between the control and experimental groups. A positive trend was found between deep processing and general test score. Also statistical signifi- cance was found between deep processing and three-dimensional perception. In Study II, the two groups performed equally on a final exam, but the experimental group scored significantly higher on a specially constructed question to test the effect of the animation. Further, Lack of Regulation had a negative effect on the scores of a final exam. The fundamen- tal result of these small studies was that of deep learning and a lack of constructive regulative study patterns being more relevant for the learning tasks than the interactive applications themselves. This has implications for teachers who should explore alternative teaching strategies to promote deep learning.
信息通信技术被认为在帮助学生更深入、更积极地学习方面是成功的。尽管它很受欢迎,但其有效性的证据正在受到越来越多的审查。本文报告了两个交互式动画实施的实证调查。问卷测量了学生的学习风格、ICT能力和学生对动画的印象。在研究一中,医学生被配对成实验组和对照组,并通过一个简短的笔试来比较他们的表现。在研究二中,物理治疗学生被分为两组。研究1的结果显示,对照组和实验组之间没有统计学差异。深度加工与综合考试成绩呈正相关。在深度加工和三维知觉之间也发现了统计学意义。在研究二中,两组学生在期末考试中的表现相当,但实验组在一个专门设计的测试动画效果的问题上得分明显更高。此外,缺乏监管对期末考试的分数产生了负面影响。这些小型研究的基本结果是深度学习和缺乏建设性的规则学习模式,与学习任务比交互式应用程序本身更相关。这对教师来说意味着他们应该探索其他教学策略来促进深度学习。
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引用次数: 0
A Constructivist Strategy for Medium/Large Student Groups- The Contextual Learning Model 中/大型学生群体的建构主义策略——情境学习模式
Pub Date : 2009-06-26 DOI: 10.2174/1876519X00902010001
W. Atiomo
Constructivist theories of learning describe learning as an active process in which learners construct new ideas or concepts based upon their past knowledge or experiences. This makes problem-based learning very attractive compared with traditional medium / large group lectures, which are thought to encourage passive assimilation of knowledge. Prob- lem based learning can however be labor intensive for faculty particularly with medium / large student bodies. This article explores the practicality of a pedagogic application of the constructivist theory of learning, which can be applied to a me- dium / large body of students in a traditional lecture called the contextual learning model. Students found the sessions en- joyable and interactive and thought the sessions stimulated their thinking, introduced new material and facilitated the far transfer of knowledge.
建构主义学习理论将学习描述为一个主动的过程,在这个过程中,学习者根据他们过去的知识或经验构建新的想法或概念。这使得基于问题的学习与传统的中型/大型小组讲座相比非常有吸引力,后者被认为鼓励被动吸收知识。然而,基于问题的学习对于教师来说可能是劳动密集型的,特别是对于中等/大型学生群体。本文探讨了建构主义学习理论的教学应用的实用性,该理论可以应用于传统讲座中称为情境学习模型的中型/大型学生。学生们觉得课程很有趣,互动性强,并认为课程激发了他们的思维,引入了新材料,促进了知识的远程转移。
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引用次数: 3
期刊
The Open Medical Education Journal
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