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Una herramienta para evaluar la enseñanza basada en simulación en el entrenamiento de habilidades técnicas 技术技能培训中模拟教学的评估工具
Q2 Social Sciences Pub Date : 2024-10-09 DOI: 10.1016/j.edumed.2024.100968
Dolores Latugaye, Carolina Astoul Bonorino

Introduction

The use of simulation-based education for technical skills training continues to be predominant in Latin America. International recommendations point out the importance of evaluating the quality of clinical simulation using validated instruments. This work aims to construct and validate an instrument to evaluate clinical simulation-based education when teaching technical skills in Argentina.

Methods

An observational, cross-sectional study was carried out with the participation of 197 nursing students from a private university in Argentina. The construction of the tool included a review of the literature, a definition of the construct, and the generation of items with their response categories. A group of experts participated for content validity. Finally, the construct validity and internal consistency of the tool were studied.

Results

The Kaiser-Meyer-Olkin was 0.811 and Bartlett sphericity test was significant (x2 = 1183,287; < 0.001). The exploratory factor analysis determined the existence of two factors. The model explained 54,66% of the accumulated variance. The instrument presented excellent internal consistency with a McDonald's omega coefficient of 0,817 and a Cronbach's alpha of 0,823.

Conclusión

The developed tool presents adequate psychometric properties in nursing students from Argentina. It is a significant contribution to the evaluation of simulation-based education (SBE) for the training of technical skills.
引言 在拉丁美洲,以模拟教学为基础的技术技能培训仍占主导地位。国际建议指出,必须使用经过验证的工具来评估临床模拟教学的质量。本研究旨在构建并验证一种工具,用于评估阿根廷技术技能教学中的临床模拟教育。方法:本研究是一项观察性横断面研究,有来自阿根廷一所私立大学的 197 名护理专业学生参与。该工具的构建包括文献综述、构建定义、生成项目及其响应类别。一组专家参与了内容效度验证。结果 Kaiser-Meyer-Olkin 为 0.811,Bartlett 球形度检验显著(x2 = 1183,287; <0.001)。探索性因子分析确定存在两个因子。该模型解释了 54.66% 的累积方差。该工具具有良好的内部一致性,麦克唐纳欧米茄系数为 0.817,克朗巴赫α系数为 0.823。它对模拟教育(SBE)技术技能培训的评估做出了重要贡献。
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引用次数: 0
Análisis factorial exploratorio y confirmatorio de la escala de identidad profesional de Macleod Clark en estudiantes de Medicina de Perú 对秘鲁医学生的麦克劳德-克拉克职业认同量表进行探索性和确认性因素分析。
Q2 Social Sciences Pub Date : 2024-10-09 DOI: 10.1016/j.edumed.2024.100971
Javier A. Flores-Cohaila , Marina A. Bustamante-Ordoñez , Ana F. Patiño-Villena , Renzo Pajuelo-Vasquez , Jordi Grau-Monge , Fernando Runzer-Colmenares

Introduction

Professional identity is a fundamental concept in medical education, yet there is little research on the topic in Spanish-speaking countries. To close this gap, in this study, we sought to collect evidence of the internal structure validity of the Macleod Clark scale for professional identity.

Methods

A cross-sectional observational study was conducted with 364 medical students. The Macleod Clark scale was administered, and an exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed, as well as the McDonald's Omega test to assess internal consistency.

Results

The EFA suggested a two- or three-factor structure for the 6-item scale and a two-factor structure for the 9-item scale. The CFA showed that the best model was the three-factor model for the 6-item scale: individual self-concept, desire to belong, and social comparison. This model demonstrated adequate internal consistency.

Conclusions

This study provides evidence of validity for the use of Macleod Clark's professional identity scale in the Peruvian context. This scale is composed of three factors, not one, as previously described. It is suggested to initiate the use of the Macleod Clark scale for research and educational purposes, given that the development of professional identity has been a little-explored topic in Spanish-speaking medical education.
引言 职业认同是医学教育中的一个基本概念,但西班牙语国家对这一主题的研究却很少。为了填补这一空白,在本研究中,我们试图收集 Macleod Clark 职业认同量表内部结构有效性的证据。研究采用了麦克劳德-克拉克量表,并进行了探索性因子分析(EFA)和确证性因子分析(CFA),以及麦当劳欧米茄测试来评估内部一致性。结果EFA表明,6个项目的量表具有双因子或三因子结构,9个项目的量表具有双因子结构。CFA显示,最佳模型是6个项目量表的三因素模型:个人自我概念、归属欲望和社会比较。本研究为在秘鲁使用麦克劳德-克拉克的职业认同量表提供了有效性证据。该量表由三个因素组成,而不是之前描述的一个因素。鉴于专业认同感的发展在西班牙语医学教育中一直是一个鲜有探索的课题,建议将麦克劳德-克拉克量表用于研究和教育目的。
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引用次数: 0
Formación integral en el currículo de las carreras de medicina 医学课程中的综合教育
Q2 Social Sciences Pub Date : 2024-10-09 DOI: 10.1016/j.edumed.2024.100972
Alberto Torres Belma, Loreto García Rosas, Camilo Cáceres Espinoza
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引用次数: 0
Knowledge of medical students, residents, and professors about costs of exams in medical clinic 医学生、住院医师和教授对医疗诊所检查费用的了解情况
Q2 Social Sciences Pub Date : 2024-10-04 DOI: 10.1016/j.edumed.2024.100967
Malu Ribeiro Fernandes Adan, Maria Eduarda Rodrigues de Araújo Dantas de Pinho, Carolina Villa Nova Aguiar, Marta Silva Menezes, Dilton Rodrigues Mendonça

Introduction

Medicine is inserted in a context in which the quality of healthcare is linked directly with the number of exams and procedures, giving attention to erroneous thoughts of values from the overuse of exams and procedures, consequently; creating an overload on the health system. One of the greatest challenges regarding the cost of medical care is to understand to solve low-quality care rates and impending health management deficits, there needs to be an awareness of professionals about excessive medical care that does not contribute to the health of the population. This study seeks to know if students, residents, and physicians know about the costs of the main medical clinic exams.

Material and methods

Empirical cross-sectional study, involving students attending the medical internship, professors of the medical internship, and residents.

Results

Of the 263 participants, 66.9% were students, 19.4% were teachers, and 13.7% were residents. It is observed, in this study, most of the participants did not know the values of tests frequently used in medical practice, such as blood count and blood glucose, as well as imaging tests such as chest radiography, ultrasound of the total abdomen, and cranial tomography. There was greater knowledge of exam values among teachers.

Conclusion

Students, residents, and physicians demonstrated they were unaware of the cost of the main exams in medical practice. A study like this can improve reflective behavior regarding to the cost-conscious attitude among medical students and doctors.
导言:医疗服务的质量与检查和手术的数量直接相关,过度使用检查和手术会造成错误的价值观念,从而给医疗系统造成超负荷。在医疗费用方面,最大的挑战之一是要了解如何解决低质量医疗率和即将出现的健康管理赤字问题,专业人员需要认识到过度医疗无助于人民的健康。本研究试图了解学生、住院医师和医生是否了解主要医疗诊所的检查费用。材料和方法经验性横断面研究,涉及参加医学实习的学生、医学实习教授和住院医师。结果在 263 名参与者中,66.9% 是学生,19.4% 是教师,13.7% 是住院医师。研究发现,大多数参与者不知道血细胞计数、血糖等医学实践中常用的检查项目的数值,也不知道胸片、全腹部超声波和头颅断层扫描等影像学检查项目的数值。结论学生、住院医师和医生都表示他们不知道医疗实践中主要检查项目的费用。这样的研究可以改善医学生和医生对成本意识的反思行为。
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引用次数: 0
Blended form of education as an innovative approach in the training of medical students: The experience of Ukraine 混合式教育是培养医科学生的创新方法:乌克兰的经验
Q2 Social Sciences Pub Date : 2024-09-23 DOI: 10.1016/j.edumed.2024.100965
Natalia M. Kalyniuk, Valentyn V. Franchuk, Petro R. Selskyy, Nadiia V. Humenna, Olena I. Hladii

Introduction

The complex socio-economic challenges faced by the state of Ukraine during the last 2 years and the introduction of martial law in the country made it impossible for students to study, which was accepted in peacetime, and led to new requirements for the organization of students' educational activities in a blended (auditory-distance) manner.

Materials and methods

To achieve the goal, a set of methods was applied: theoretical analysis, comparison, justification, generalization, systematization of theoretical and practical material, study of the main international and national legal acts in the context of the relationship between the Bologna Process and the guaranteed right of an individual to education, formation, and systematization of conclusions. Five databases were searched (January 1, 2000–January 1, 2023) for systematic reviews of blended versus no blended learning approaches for healthcare education. The study was designed as a two-armed, prospective, single-blind, randomized trial. The subjects who met the inclusion criteria have the experience of obtaining higher medical education in 3 forms of education: traditional, distance, blended. A convenience sampling method was used. Data were collected at the start and end of the semesters. Data were analyzed using descriptive and inferential statistics.

Results

In medical education, “inverted learning” is actively used: lectures are online, and practical classes are offline. In the absence of the possibility of conducting offline classes, it is advisable to conduct the practical part of educational programs in academic subjects in synchronous and asynchronous modes of online classes.

Conclusion

The introduction of a blended form of education in institutions of higher medical education requires the dynamic development of new means and mechanisms for organizing the educational process. This requires all kinds of resources, both intellectual and technological, both from the medical education institution and from the direct participants in the educational process – the teacher and the student. It is a multifaceted work related to the search for the optimal balance between traditions, rich historical experience, and innovation and is combined in a blended form of education.
引言 过去两年乌克兰国家面临的复杂的社会经济挑战和国家戒严令的实施使得学生无法进行和平时期可以接受的学习,并对以混合(听力-远程)方式组织学生的教育活动提出了新的要求。材料和方法 为实现目标,采用了一套方法:理论分析、比较、论证、归纳、理论和实践材料系统化、在博洛尼亚进程与个人受教育权利保障之间关系的背景下研究主要的国际和国内法律法规、形成和系统化结论。研究人员检索了五个数据库(2000 年 1 月 1 日至 2023 年 1 月 1 日),以了解有关医疗保健教育混合式与非混合式学习方法的系统性综述。研究设计为双臂、前瞻性、单盲、随机试验。符合纳入标准的受试者曾在三种教育形式中接受过高等医学教育:传统教育、远程教育和混合教育。试验采用方便抽样法。在学期开始和结束时收集数据。结果在医学教育中,"倒置学习 "得到了积极的应用:在线授课,线下实践。在无法进行线下授课的情况下,最好以同步和异步的在线课堂模式开展学科教育课程的实践部分。这需要医学教育机构和教育过程的直接参与者--教师和学生--提供各种知识和技术资源。这是一项多方面的工作,涉及在传统、丰富的历史经验和创新之间寻求最佳平衡,并以混合教育的形式结合起来。
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引用次数: 0
El error médico: una motivación y una oportunidad formativa para los residentes 医疗事故:激励和培训住院医师的机会
Q2 Social Sciences Pub Date : 2024-09-18 DOI: 10.1016/j.edumed.2024.100962
José Saura Llamas

This article is part of a series of three that detail the relationship that exists between the competency domains of patient safety, clinical communication with specialized health training; as well as pointing out the synergies and the enhancing effect that exists between them through their topical aspects: the clinical error, the difficult patient and the critical incident. This article focuses on medical error, pointing out its motivating effect on the resident and how to use it formatively in real situations when things do not go well in the consultation. Because medical error is a very broad topic, this article focuses on content related to the training and motivation of residents.

本文是三篇系列文章中的一篇,详细介绍了患者安全、临床沟通与专业健康培训等能力领域之间存在的关系,并指出了它们之间的协同作用,以及通过临床差错、疑难患者和危急事件等专题方面产生的强化效果。本文重点讨论医疗差错,指出其对住院医师的激励作用,以及如何在会诊不顺利的实际情况中形成性地使用它。由于医疗差错是一个非常广泛的话题,因此本文重点关注与住院医师培训和激励相关的内容。
{"title":"El error médico: una motivación y una oportunidad formativa para los residentes","authors":"José Saura Llamas","doi":"10.1016/j.edumed.2024.100962","DOIUrl":"10.1016/j.edumed.2024.100962","url":null,"abstract":"<div><p>This article is part of a series of three that detail the relationship that exists between the competency domains of patient safety, clinical communication with specialized health training; as well as pointing out the synergies and the enhancing effect that exists between them through their topical aspects: the clinical error, the difficult patient and the critical incident. This article focuses on medical error, pointing out its motivating effect on the resident and how to use it formatively in real situations when things do not go well in the consultation. Because medical error is a very broad topic, this article focuses on content related to the training and motivation of residents.</p></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 1","pages":"Article 100962"},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1575181324000779/pdfft?md5=41769c83c1c218a899c4e3098a2ae9ce&pid=1-s2.0-S1575181324000779-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239949","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
Enseñar y aprender humanidades médicas. Experiencia en la Universidad Francisco de Vitoria, Madrid, España. Parte 2 医学人文教学。西班牙马德里弗朗西斯科-德维多利亚大学的经验。第二部分
Q2 Social Sciences Pub Date : 2024-09-05 DOI: 10.1016/j.edumed.2024.100959
Santiago Álvarez-Montero, Fernando Caballero Martínez, Francisco Javier Rubio Hípola, Javier Crevillen Abril, Valle Coronado Vázquez

Humanities are seen as both valuable and, at the same time, as soft, vague or prone to confusion disciplines. This paper exposes a broad view of how medical humanities education can be approached searching rigor. It aims to present a text that can be useful in this type of teaching. To this purpose, key elements from the biomedical literature are presented and, in addition, the Humanities Training Program of the Faculty of Medicine of the Universidad Francisco de Vitoria is shown. The first part included the organizational context, the expected learning outcomes and the curricular contents. In this second part, the learning and teaching experiences, the forms of student assessment and those of the continuous quality improvement process are presented.

人文学科既被视为有价值的学科,同时也被视为软性、模糊或容易混淆的学科。本文从广义上阐述了如何以严谨的态度开展医学人文教育。本文旨在介绍一种可用于此类教学的文本。为此,本文介绍了生物医学文献中的关键要素,并介绍了弗朗西斯科-德-维多利亚大学医学院的人文培训计划。第一部分包括组织背景、预期学习成果和课程内容。第二部分介绍了学习和教学经验、学生评估形式以及持续质量改进过程。
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引用次数: 0
Neurofobia: un desafío para la educación médica 神经恐惧症:医学教育的挑战
Q2 Social Sciences Pub Date : 2024-09-05 DOI: 10.1016/j.edumed.2024.100960
Daniel S. Marín-Medina , Natalia Escobar-Sepúlveda , Jorge A. Sánchez-Duque

Neurological diseases are highly prevalent, with a high burden of morbidity, mortality and quality of life compromised. Physicians with neurology training are required. Medical education is confronted with the challenge of neurophobia, characterized by non-neurologist doctors who are afraid to care for the neurological pathology, to the point of not attempting to make a diagnostic approach, omitting the neurological examination or initiating early referral to the neurologist. There are questionnaires to identify neurophobia, which is present in up to half of medical students. Neurophobia constitutes an urgent call for medical education.

神经系统疾病发病率高,发病率、死亡率和生活质量均受到严重影响。需要受过神经病学培训的医生。医学教育面临着神经恐惧症的挑战,其特点是非神经病学医生害怕护理神经病变,以至于不尝试进行诊断、省略神经病学检查或及早转诊给神经病学医生。有一些调查问卷可以识别神经恐惧症,多达一半的医科学生患有神经恐惧症。神经恐惧症是医学教育的当务之急。
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引用次数: 0
Las funciones desafiantes del profesor de medicina 医学教师的挑战性角色
Q2 Social Sciences Pub Date : 2024-09-01 DOI: 10.1016/j.edumed.2024.100991
Jesús Millán Núñez-Cortés
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引用次数: 0
Portuguese scientific output in medical education between 2013–2022: From local to global networks 2013-2022 年葡萄牙医学教育科学成果:从地方网络到全球网络
Q2 Social Sciences Pub Date : 2024-08-30 DOI: 10.1016/j.edumed.2024.100961
Teresa Costa , Sofia Serra , Nuno Neuparth , António Rendas

Introduction

The scope of medical education (ME) as an autonomous field of study is still under debate. The present study aimed to identify publications addressing the topic of ME, published in international medical journals, by Portuguese authors, alone or in collaboration with foreign colleagues.

Methods

Publications were retrieved from Scopus and Web of Science, between 2013 and 2022. Each publication was identified by title, name, and affiliation of the corresponding author. Affiliation of all authors was also taken into consideration to detect networks. Titles were used to identify subjects, complemented by keywords and abstract. Journal Citation Reports and Scimago Journal Rank indexed journals in the education category were identified and from these ME journals were selected.

We chose 29 journals from which 17 had publications from Portuguese’s authors in a total of 80 publications.

Results

The top journals in terms of productivity were BMC Medical Education, Medical Teacher, and Advances in Health Sciences Education. The Portuguese international cooperation involved Europe (United Kingdom, Spain, the Netherlands, and Ireland), North America (USA and Canada) and Oceania (Australia). Outside the Northen Hemisphere, cooperation involved mostly Brazil. Nationally, the dominant networks involved the Universities of Porto and Minho.

Five core areas were identified namely “medical education”, “medical student”, “health care personnel”, “medical school”, and “undergraduate medical education”.

Conclusion

Despite the limitations of this study because the search was only focused on ME journals it showed a trend towards internationalisation of some Portuguese authors, particularly those who were also involved in established national networks.

引言 医学教育(ME)作为一个独立的研究领域,其范围仍在争论之中。本研究旨在确定葡萄牙作者单独或与外国同行合作在国际医学期刊上发表的以医学教育为主题的出版物。每篇论文都根据标题、姓名和通讯作者的所属单位进行了识别。还考虑了所有作者的隶属关系,以检测网络。标题用于识别主题,辅以关键词和摘要。我们选择了 29 种期刊,其中 17 种期刊的葡萄牙作者发表了论文,共发表了 80 篇论文。结果:产量最高的期刊是《BMC 医学教育》、《医学教师》和《健康科学教育进展》。葡萄牙的国际合作涉及欧洲(英国、西班牙、荷兰和爱尔兰)、北美(美国和加拿大)和大洋洲(澳大利亚)。北半球以外的合作主要涉及巴西。在国内,主要网络涉及波尔图大学和米尼奥大学。研究确定了五个核心领域,即 "医学教育"、"医科学生"、"医护人员"、"医学院 "和 "本科医学教育"。
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引用次数: 0
期刊
Educacion Medica
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