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Programa en simulación clínica del grado de Medicina de la Universidad Francisco de Vitoria (1.a parte): estructura y actividades 弗朗西斯科·德·维多利亚大学医学院临床模拟课程(1。部分):结构和活动
Q2 Social Sciences Pub Date : 2025-06-16 DOI: 10.1016/j.edumed.2025.101061
Sophia Denizon Arranz, Emilio Cervera Barba, Patricia Chica Martínez, Alonso Mateos Rodríguez, Salvador Espinosa Ramírez, Diego Palacios Castañeda, Fernando Caballero Martínez
Clinical simulation is an essential methodology for the acquisition of skills by students in Health Sciences. This first part of the article describes the infrastructure of the clinical and surgical simulation centers at the Universidad Francisco de Vitoria, as well as the activities and methodologies of the clinical simulation curriculum within the Medicine degree. It details the different types of activities, their planning, development, and evaluation.
临床模拟是健康科学专业学生获得技能的重要方法。本文的第一部分描述了维多利亚大学的临床和外科模拟中心的基础设施,以及医学学位中临床模拟课程的活动和方法。它详细说明了不同类型的活动及其计划、发展和评估。
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引用次数: 0
Programa Kay como estrategia para favorecer la implementación del cambio de paradigma en la Escuela de Enfermería de la Universidad Nacional de Córdoba, Argentina Kay方案作为支持阿根廷科尔多瓦国立大学护理学院实施范式转变的战略
Q2 Social Sciences Pub Date : 2025-06-09 DOI: 10.1016/j.edumed.2025.101063
Soledad de la Riva , Pedro Peyser , Sandra Cevilán , Malén Gautes Alcaraz , Fernanda Montenegro

Introduction

Evaluating the results of the Final Integrated Practice I, at the School of Nursing - Faculty of Medical Sciences of the National University of Córdoba, in Argentina, the teachers postulated that the transition towards a new paradigm of person-centered care was challenged by a persistent biologicist vision of health among students. Along with the Universidad Siglo 21, we set out to explore whether the Kay Program is an adequate tool to promote resources for teachers that favor the implementation of the change in the paradigm of care.

Material and methods

Participatory action research. Kay Program: Diagnosis, to know the state of the “inner learner” through self-knowledge (own learning experiences) and knowledge about natural ways of learning. Action/Training, resources to transform teaching: workshops approached with creative proposals, reflection groups, experiential activities. Reflection and evaluation of results.

Results

The results support the hypothesis of the research, that the application of the Kay Program (teacher training program to rethink human nature linked to the teaching-learning process; through sensitization, awareness and personal transformation of those who are responsible for education), favored the development of cultural competencies in people that facilitate the paradigm shift.

Conclusion

We conclude that the experience with the Kay Program has led to significant professional growth in the teachers, who now have the necessary tools to implement a paradigm shift towards humanization in nursing education.
在阿根廷国立大学Córdoba医学院护理学院,教师们对最终综合实践I的结果进行了评估,他们认为学生中坚持生物学家对健康的看法对向以人为本的护理新范式的过渡提出了挑战。与Siglo 21大学一起,我们开始探索Kay项目是否是一个足够的工具来促进教师资源,这些资源有利于在护理范式中实施变革。材料与方法参与式行动研究。凯程序:诊断,通过自我认识(自己的学习经验)和自然学习方式的知识来了解“内在学习者”的状态。行动/培训,转化教学的资源:采用创造性建议的研讨会,反思小组,体验活动。对结果的反思和评价。结果研究结果支持了本研究的假设,即应用Kay计划(教师培训计划)重新思考人性与教与学过程的联系;通过那些负责教育的人的敏感化、意识和个人转变,有利于人们文化能力的发展,促进范式转变。我们的结论是,Kay项目的经验导致了教师的显著专业成长,他们现在有必要的工具来实现护理教育向人性化的范式转变。
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引用次数: 0
Actividad física, calidad de sueño y salud mental durante la pandemia por la COVID-19 2019冠状病毒病大流行期间的体育活动、睡眠质量和心理健康
Q2 Social Sciences Pub Date : 2025-06-09 DOI: 10.1016/j.edumed.2025.101068
Carlos Milton Manrique Rabelo
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引用次数: 0
Validación de una encuesta de opinión sobre la eficacia de la simulación para participantes 验证关于参与者模拟效果的意见调查
Q2 Social Sciences Pub Date : 2025-06-09 DOI: 10.1016/j.edumed.2025.101064
Aida Camps-Gómez , Anna González-Fernández , Jennifer Morata-Serrano , Katherina M. Faundez-Inostroza , Carmen Gomar-Sancho , Marina Mateu-Capell

Introduction

The participant's self-perception of a training is indicative of the achievement of its objectives, but the functionality and applicability of the instrument used to evaluate it must be submitted to a process of qualitative and quantitative analysis. Simulation is an experiential and collaborative training methodology, generally multidimensional and costly, which requires reliable instruments to assess its effectiveness. This study describes the process to create and validate a survey to assess the opinion of participants in a learning activity with simulation methodology.

Method

The process included a qualitative phase with two stages for obtaining content evidence, responses from an internal (n = 6) and external (n = 15) expert committee, and administration of the instrument to participants on three occasions (n = 10; n = 104; n = 446), as well as analysis in a focus group of participants (n = 35) regarding the structure, comprehension, and content. This phase also included a quantitative phase with psychometric analysis for the adjustment and measurement of the instrument.

Results

After the process, a final survey was obtained with 24 questions with answers from 4 ordinal categorical categories, which shows a unidimensional internal structure of 71.1% of the total variance. The model fit indices were χ2 = 123.936 (p < 0.001), d.f. = 48.67; RMSEA = 0.00; CFI = 1.00; TLI = 1.00. It showed correlation with other variables (r = 0.7) and reliability of α = 0,963 (0.957–0.967); ω = 0.963 (0.955–0.970).

Conclusion

The combination of qualitative and quantitative methods made it possible to refine the instrument and detect method errors to readjust the instrument without affecting its representativeness. The survey is valid for students and professionals to assess the effectiveness of training simulation sessions, and to detect opportunities for improve them.
参与者对培训的自我认知表明其目标的实现,但用于评估的工具的功能和适用性必须提交定性和定量分析过程。模拟是一种经验和协作的培训方法,通常是多维的和昂贵的,需要可靠的工具来评估其有效性。本研究描述了创建和验证一项调查的过程,以评估参与者在学习活动中的意见与模拟方法。方法该过程包括定性阶段,包括两个阶段:获取内容证据、内部(n = 6)和外部(n = 15)专家委员会的回应,以及三次向参与者管理该工具(n = 10;n = 104;N = 446),以及对参与者的焦点小组(N = 35)关于结构、理解和内容的分析。这一阶段还包括一个定量阶段与心理测量分析的调整和测量仪器。结果经过这一过程,最终得到的问卷共有24个问题,答案来自4个有序的分类类别,其内部结构呈单元化,占总方差的71.1%。模型拟合指数χ2 = 123.936 (p <; 0.001),df = 48.67;RMSEA = 0.00;CFI = 1.00;Tli = 1.00。与其他变量相关(r = 0.7),信度α = 0.963 (0.957 ~ 0.967);ω = 0.963(0.955 - -0.970)。结论定性方法与定量方法相结合,可以在不影响代表性的前提下对仪器进行细化,检测方法误差,重新调整仪器。该调查对学生和专业人士有效,以评估训练模拟课程的有效性,并发现改进的机会。
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引用次数: 0
Overconfidence of medical residents to perform entrustable professional activities in a General Surgery Residency Program 在普通外科住院医师项目中,住院医师对执行可信赖的专业活动过于自信
Q2 Social Sciences Pub Date : 2025-06-07 DOI: 10.1016/j.edumed.2025.101066
Leonardo Salviano da Fonseca Rezende , Aleida Nazareth Soares , Rosa Malena Delbone , Marcus Vinícius Melo de Andrade , Alexandre Sampaio Moura

Introduction

Competency-based medical education (CBME) has been implemented in postgraduate medical education, and Entrustable Professional Activities (EPAs) seem appropriate for operationalizing it. However, the association between residents´ self-perceived confidence in performing EPAs and entrustment levels assigned by a Clinical Competence Committee (CCC) must be better understood. We aimed to compare general surgery residents' self-assessment of confidence to perform EPAs and entrustment levels assigned by a CCC.

Material and methods

Cross-sectional study conducted in the General Surgery Residency Program at Santa Casa BH Hospital between March and May 2023. Residents self-assessed their confidence to perform 16 EPAs using a 5-point entrustment scale. Confidence levels were compared to entrustment levels assigned by the CCC. A comparison was performed separately for each EPA and by EPA characteristics (clinical surgical vs. procedural and simple x complex).

Results

There was a significant difference between the self-assessed confidence levels and the autonomy levels assigned by the CCC in nine of the 16 EPAs. Residents' self-assessment levels were higher than those assigned by the CCC for clinical surgical EPAs (4.3 ± 0.8 vs. 3.2 ± 1.4, respectively; p < 0.001) and simple EPAs (2.8 ± 1.0 vs. 2.2 ± 0.8, respectively; p = 0.023). In procedural and complex EPAs, this difference was not statistically significant (p > 0.05).

Conclusion

Residents tended to overestimate their level of autonomy, especially for clinical-surgical EPAs and simpler EPAs.
基于能力的医学教育(CBME)已经在研究生医学教育中实施,而可信赖的专业活动(EPAs)似乎适合于实施它。然而,必须更好地理解居民对执行EPAs的自我感知信心与临床能力委员会(CCC)指定的委托水平之间的关系。我们的目的是比较普通外科住院医师对执行EPAs的信心自我评估和CCC指定的委托水平。材料和方法在2023年3月至5月期间在Santa Casa BH医院的普通外科住院医师项目中进行的横断面研究。居民们用5分制的委托量表自我评估了他们执行16项环境保护措施的信心。将置信水平与CCC指定的委托水平进行比较。分别对每种EPA和EPA特征进行比较(临床手术vs.程序和简单x复杂)。结果16个评价对象中有9个评价对象的自评信心水平与CCC赋予的自主水平存在显著性差异。居民对临床外科EPAs的自我评价水平高于CCC(分别为4.3 ± 0.8 vs. 3.2 ± 1.4);p <; 0.001)和简单EPAs(分别为2.8 ± 1.0 vs. 2.2 ± 0.8); = 0.023页)。在程序性和复杂EPAs中,这一差异无统计学意义(p >; 0.05)。结论住院医师倾向于高估他们的自主水平,特别是对于临床外科辅助护理和简单的辅助护理。
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引用次数: 0
Potenciando la competencia en reanimación cardiopulmonar: evaluación del impacto de la realidad virtual en la formación de estudiantes de Medicina 增强心肺复苏能力:评估虚拟现实对医科学生培训的影响
Q2 Social Sciences Pub Date : 2025-06-06 DOI: 10.1016/j.edumed.2025.101062
María Camila Arango-Granados , María Teresa Gómez Lozano

Introduction

The impact of virtual reality (VR) on cardiopulmonary resuscitation (CPR) training for students at Universidad Icesi was investigated, based on the principles of constructivism and deliberate practice.

Methods

This research-action study included resource validation through the UNE standards, performance rubrics, and focus groups. Qualitative data were analyzed using ATLAS.ti and triangulated with predefined categories. For quantitative data, measures of central tendency and dispersion were calculated according to their distribution. A Student’s t-test was used to compare means, and an ANOVA was performed for students with three attempts, with significance set at p < 0.05.

Results

The resource received an overall rating of 93.48%, exceeding the minimum validation criteria. Students improved their scores on the evaluation rubric, with a 33% increase (95% CI: 29–37%; p = 0.00) after immediate repetition and an 18% increase (SD 13%) at two months. In the subgroup with three attempts, ANOVA revealed significant differences in scores (p = 0.00), with consistently significant post hoc comparisons between each pair of attempts. Students highlighted VR’s interactivity and realism as key factors in enhancing their motivation.

Conclusion

VR improved student performance following immediate repetition and suggests that skill retention occurs in the medium term. The interactivity and realism of VR increased student motivation and engagement, reinforcing their learning. The potential of VR as a complement to traditional teaching methodologies is emphasized to optimize training in critical areas such as CPR.
基于建构主义和刻意练习的原则,研究了虚拟现实(VR)对Icesi大学学生心肺复苏(CPR)培训的影响。方法本研究通过UNE标准、绩效准则和焦点小组进行资源验证。采用ATLAS对定性数据进行分析。Ti和三角形与预定义的类别。对于定量数据,根据其分布计算集中趋势和离散度的度量。采用学生t检验比较均数,对三次尝试的学生进行方差分析,显著性设置为p <; 0.05。结果资源的总体评价为93.48%,超过了最低验证标准。学生们在评估项上的分数提高了33% (95% CI: 29-37%;p = 0.00),两个月后增加18% (SD 13%)。在三次尝试的亚组中,方差分析显示得分有显著差异(p = 0.00),每对尝试之间的事后比较一致显著。学生强调虚拟现实的互动性和真实感是提高他们学习动机的关键因素。结论虚拟现实提高了学生在立即重复后的表现,并表明技能保留发生在中期。虚拟现实的互动性和现实性提高了学生的积极性和参与度,加强了他们的学习。VR作为传统教学方法补充的潜力被强调,以优化心肺复苏术等关键领域的培训。
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引用次数: 0
Exploring technological advancements in the instruction of clinical nursing skills: A scoping review 探索临床护理技能教学中的技术进步:范围综述
Q2 Social Sciences Pub Date : 2025-06-04 DOI: 10.1016/j.edumed.2025.101069
Nasim Talebiazar , Babak Choobi Anzali , Ehsan Salimi , Kani Jahangiri
This scoping review aims to explore the current utilization of technologies in teaching clinical nursing skills, identifying the employed technologies and technological features in nursing education. Following the Arksey and O'Malley framework, this review systematically identified and analyzed relevant literature across various databases, including MEDLINE, EMBASE, Scopus, and CINAHL. The search strategy encompassed articles published from 1995 to August 2023, with a focus on educational technologies in nursing clinical education. The review adhered to the PRISMA-ScR checklist and the Joanna Briggs Institute Reviewers' Manual. A total of 58 studies were included, spanning from 1995 to 2023, with a geographical distribution across multiple countries. The majority of studies involved nursing students, with a variety of methodologies and data collection methods employed. The review identified several types of technology used, such as social media, online web-based courses, mobile applications, educational videos, virtual reality, serious games, and e-simulation. These technologies were applied in diverse areas of nursing education, including premature infant care, stroke patient care, airway care, and basic nursing skills. This scoping review provides a comprehensive overview of the technological landscape in nursing clinical education, informing educators, policymakers, and practitioners about the available resources and their potential to improve nursing education and patient care.
本文旨在探讨临床护理技能教学中技术应用的现状,识别护理教育中使用的技术和技术特征。遵循Arksey和O'Malley框架,本综述系统地识别和分析了各种数据库中的相关文献,包括MEDLINE、EMBASE、Scopus和CINAHL。检索策略包括1995年至2023年8月发表的文章,重点是护理临床教育中的教育技术。审查遵循PRISMA-ScR检查表和乔安娜布里格斯研究所审稿人手册。共纳入了58项研究,时间跨度从1995年到2023年,地理分布在多个国家。大多数研究涉及护理学生,采用各种方法和数据收集方法。该审查确定了使用的几种技术,如社交媒体、基于网络的在线课程、移动应用程序、教育视频、虚拟现实、严肃游戏和电子模拟。这些技术被应用于护理教育的各个领域,包括早产儿护理、中风患者护理、气道护理和基本护理技能。这一范围综述提供了护理临床教育的技术景观的全面概述,告知教育工作者、政策制定者和从业人员有关可用资源及其改善护理教育和患者护理的潜力。
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引用次数: 0
Is online pathology education an effective and equitable approach for medical students? 在线病理学教育对医学生来说是一种有效和公平的方法吗?
Q2 Social Sciences Pub Date : 2025-06-04 DOI: 10.1016/j.edumed.2025.101065
Chaturaka Rodrigo , Simone L. Van Es , Karim Burkhardt , Sophia Champion , Stephanie Dowdell , John Pimanda , Gary Velan , Martin Weber

Introduction

We assessed the performance of two cohorts of Australian medical students who were taught Pathology practical classes online or face-to-face, to see if online teaching creates an inequity in learning.

Methods

All medical students enrolled at the University of New South Wales in 2023 and 2024 were invited. The third-year Pathology practical classes for main campus students were taught face-to-face while students in rural campuses were taught online by the same teachers. All students sat a formative assessment after completing a course with 4 practical classes.

Results and discussion

A total of 328 students (out of 621, 53%) completed the formative assessments of whom 49 (15%) were rural students. There was no statistically significant difference in the average assessment score between the two groups (67% vs. 61.25%, p = 0.073). The learning resources developed by the Pathology Department of the University of New South Wales had likely reduced the inequity of online teaching.
我们评估了两组接受在线或面对面病理学实践课程的澳大利亚医科学生的表现,以观察在线教学是否会造成学习上的不公平。方法选取新南威尔士大学2023年和2024年入学的所有医学院学生。主校区的三年级病理学实践课采用面对面授课,而农村校区的三年级病理学实践课由同一位老师在线授课。所有学生在完成四门实践课程后都参加了形成性评估。621名学生中有328名(占53%)完成了形成性评估,其中农村学生49名(占15%)。两组患者的平均评分差异无统计学意义(67% vs. 61.25%, p = 0.073)。新南威尔士大学病理学系开发的学习资源很可能减少了在线教学的不公平。
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引用次数: 0
Investigación traslacional en el currículo de medicina: una propuesta de reforma desde la práctica docente. Reflexiones sobre la reforma curricular 医学课程中的翻译研究:教学实践改革建议。对课程改革的思考
Q2 Social Sciences Pub Date : 2025-05-27 DOI: 10.1016/j.edumed.2025.101051
Manuel Latorre Quintana , Álvaro Andrés Rivera , Diego Alejandro Vivas
Translational medicine or research is a new branch of medicine that encourages scientific progress through the close link between basic, preclinical, and clinical research. This has led to important advances in addressing emerging health issues. This new area in medical curricula is being considered to strengthen the integration of knowledge and allow undergraduates to gain skills and expertise in research, which responds to the growing demand for leaders in clinical trials and other health-focused scientific initiatives.
Considering the structure of current medical programs, a cross-cutting inclusion is proposed, shaped by new teaching practices led by educators. These educators are key agents of change, working on connecting and reflective initiatives that inspire students to think critically and develop research projects and bridge gaps in various fields by addressing recognized health needs.
转化医学或研究是一个新的医学分支,它通过基础研究、临床前研究和临床研究之间的密切联系来促进科学进步。这导致在解决新出现的健康问题方面取得重要进展。正在考虑在医学课程中加入这一新的领域,以加强知识的整合,使本科生能够获得研究方面的技能和专门知识,从而满足对临床试验和其他以健康为重点的科学举措的领导者日益增长的需求。考虑到当前医学项目的结构,提出了一种跨领域的包容,由教育者领导的新教学实践形成。这些教育工作者是变革的关键推动者,致力于联系和反思倡议,激励学生批判性地思考,制定研究项目,并通过解决公认的卫生需求弥合各个领域的差距。
{"title":"Investigación traslacional en el currículo de medicina: una propuesta de reforma desde la práctica docente. Reflexiones sobre la reforma curricular","authors":"Manuel Latorre Quintana ,&nbsp;Álvaro Andrés Rivera ,&nbsp;Diego Alejandro Vivas","doi":"10.1016/j.edumed.2025.101051","DOIUrl":"10.1016/j.edumed.2025.101051","url":null,"abstract":"<div><div>Translational medicine or research is a new branch of medicine that encourages scientific progress through the close link between basic, preclinical, and clinical research. This has led to important advances in addressing emerging health issues. This new area in medical curricula is being considered to strengthen the integration of knowledge and allow undergraduates to gain skills and expertise in research, which responds to the growing demand for leaders in clinical trials and other health-focused scientific initiatives.</div><div>Considering the structure of current medical programs, a cross-cutting inclusion is proposed, shaped by new teaching practices led by educators. These educators are key agents of change, working on connecting and reflective initiatives that inspire students to think critically and develop research projects and bridge gaps in various fields by addressing recognized health needs.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 4","pages":"Article 101051"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144154797","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
Interculturalidad en salud en los currículos de formación médica y de profesionales sanitarios para un desempeño profesional efectivo 在医疗和保健专业人员培训课程中采用健康方面的跨文化做法,以实现有效的专业表现
Q2 Social Sciences Pub Date : 2025-05-26 DOI: 10.1016/j.edumed.2025.101060
Alberto Torres Belma
This article reflects on the importance of comprehensive undergraduate training in the health professions, highlighting the biopsychosocial model and interculturality in health—with its various levels of application—conceived as the interaction between the health professional and the patient, their family, and the community. It values the sociocultural understanding of these actors in the processes of health and disease, ensuring therapeutic adherence. However, interculturality in undergraduate training, in addition to being linked to interaction, must be recognized as a socio-health component in public health research.
这篇文章反映了在卫生专业中全面的本科培训的重要性,强调了生物心理社会模式和健康中的跨文化——其不同层次的应用被认为是卫生专业人员与病人、他们的家庭和社区之间的互动。它重视在健康和疾病过程中对这些行为者的社会文化理解,确保治疗依从性。然而,本科培训中的跨文化除了与相互作用有关外,还必须将其视为公共卫生研究中的社会卫生组成部分。
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引用次数: 0
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Educacion Medica
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