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Usage of Multiple-Choice Items in Summative Examinations: Questionnaire Survey Among German Undergraduate Dental Training Programmes. 总结性考试中多项选择题的使用情况:德国牙科本科生培训项目问卷调查。
IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-05-07 DOI: 10.2196/58126
Lena Rössler, Manfred Herrmann, Annette Wiegand, Philipp Kanzow

Background: Multiple-choice examinations are frequently employed among German dental schools. However, details regarding the used item types and applied scoring methods are lacking.

Objective: We aimed to gain an insight into the current usage of multiple-choice items (ie, questions) in summative examinations in German undergraduate dental training programmes.

Methods: A paper-based 10-item questionnaire regarding the employed assessment methods, multiple-choice item types, and applied scoring methods was designed. The pilot-tested questionnaire was mailed to the Deans of Studies and to the Heads of Department of Operative/Restorative Dentistry at all 30 dental schools in Germany in February 2023. Statistical analysis was performed using Fisher's exact test (P<.05).

Results: The response rate amounted to 90.0% (27/30 dental schools). All respondent dental schools employed multiple-choice examinations for summative assessments. Examinations were delivered electronically by 70.4% (19/27) of the dental schools. Almost all dental schools used single-choice Type A items (88.9%) which accounted for the largest number of items in about half of the dental schools. Further item types (eg, conventional multiple-select items, Multiple-True-False, Pick-N) were only used by fewer dental schools (≤66.7%, up to 18 out of 27 dental schools). For the multiple-select item types, the applied scoring methods varied considerably (ie, awarding [intermediate] partial credit, requirements for partial credit). Dental schools with the possibility of electronic examinations used multiple-select items slightly more often (73.7%, 14/19 vs. 50.0%, 4/8). However, this difference was statistically not significant (P=.375). Dental schools used items either individually or as key feature problems consisting of a clinical case scenario followed by a number of items focusing on critical treatment steps (55.6%, 15/27). Not a single school employed alternative testing methods (eg, answer-until-correct). A formal item review process was established at about half of the dental schools (55.6%, 15/27).

Conclusions: Summative assessment methods among German dental schools vary widely. Especially, a large variability regarding the use and scoring of multiple-select multiple-choice items was found.

Clinicaltrial:

背景介绍德国牙科学院经常采用多项选择题考试。然而,有关所使用的题目类型和评分方法的详细信息却缺乏:我们旨在深入了解目前德国本科生口腔医学培训课程终结性考试中多项选择题(即试题)的使用情况:方法:我们设计了一份包含 10 个项目的纸质调查问卷,内容涉及所采用的评估方法、多项选择题类型以及应用的评分方法。试行问卷于 2023 年 2 月邮寄给德国所有 30 所牙科学院的院长和操作/修复牙科系主任。统计分析采用费雪精确检验(PResults:回复率为 90.0%(27/30 所牙科学校)。所有受访牙科学院均采用选择题考试进行终结性评估。70.4%的牙科学院(19/27)采用电子考试方式。几乎所有的牙科学院都使用了 A 类单项选择题(88.9%),在大约一半的牙科学院中,A 类单项选择题的数量最多。只有较少的口腔医学院(≤66.7%,27 所口腔医学院中有 18 所)使用其他类型的题目(如传统的多选题、真假多选题、N 选题)。对于多选题类型,所采用的评分方法差别很大(即授予[中间]部分学分,对部分学分的要求)。可以进行电子考试的牙科学院使用多选题的比例略高(73.7%,14/19 对 50.0%,4/8)。然而,这一差异在统计学上并不显著(P=0.375)。牙科学院使用的题目要么是单独的,要么是由临床病例情景组成的关键特征问题,然后是一些侧重于关键治疗步骤的题目(55.6%,15/27)。没有一所学校采用其他测试方法(如 "答对为止")。大约一半的牙科学院(55.6%,15/27)建立了正式的项目审查程序:结论:德国牙科学院的总结性评估方法差异很大。结论:德国牙科学院的终结性评估方法差异很大,尤其是在多选题的使用和评分方面存在很大差异:
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引用次数: 0
Digital Skills to Improve Levels of Care and Renew Health Care Professions. 提高护理水平和更新医疗保健专业的数字技能。
IF 3.6 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-05-01 DOI: 10.2196/58743
Massimo De Martinis, Lia Ginaldi
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引用次数: 0
Digital Health Education for the Future: The SaNuRN (Santé Numérique Rouen-Nice) Consortium's Journey. 面向未来的数字健康教育:SaNuRN (Santé Numérique Rouen-Nice)联盟的历程。
IF 3.6 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-04-30 DOI: 10.2196/53997
Julien Grosjean, Frank Dufour, Arriel Benis, Jean-Marie Januel, Pascal Staccini, Stéfan Jacques Darmoni
<p><p>SaNuRN is a five-year project by the University of Rouen Normandy (URN) and the Côte d’Azur University (CAU) consortium to optimize digital health education for medical and paramedical students, professionals, and administrators. The project includes a skills framework, training modules, and teaching resources. In 2027, SaNuRN is expected to train a significant portion of the 400,000 health and paramedical professions students at the French national level. Our purpose is to give a synopsis of the SaNuRN initiative, emphasizing its novel educational methods and how they will enhance the delivery of digital health education. Our goals include showcasing SaNuRN as a comprehensive program consisting of a proficiency framework, instructional modules, and educational materials and explaining how SaNuRN is implemented in the participating academic institutions. SaNuRN is a project aimed at educating and training health-related and paramedics students in digital health. The project results from a cooperative effort between URN and CAU, covering four French departments. The project is based on the French National Referential on Digital Health (FNRDH), which defines the skills and competencies to be acquired and validated by every student in the health, paramedical, and social professions curricula. The SaNuRN team is currently adapting the existing URN and CAU syllabi to FNRDH and developing short-duration video capsules of 20 to 30 minutes to teach all the relevant material. The project aims to ensure that the largest student population earns the necessary skills, and it has developed a two-tier system involving facilitators who will enable the efficient expansion of the project’s educational outreach and support the students in learning the needed material efficiently. With a focus on real-world scenarios and innovative teaching activities integrating telemedicine devices and virtual professionals, SaNuRN is committed to enabling continuous learning for healthcare professionals in clinical practice. The SaNuRN team introduced new ways of evaluating healthcare professionals by shifting from a knowledge-based to a competencies-based evaluation, aligning with the Miller teaching pyramid and using the Objective Structured Clinical Examination and Script Concordance Test in digital health education. Drawing on the expertise of URN, CAU, and their public health and digital research laboratories and partners, the SaNuRN project represents a platform for continuous innovation, including telemedicine training and living labs with virtual and interactive professional activities. The SaNuRN project provides a comprehensive, personalized 30-hour training package for health and paramedical students, addressing all 70 FNRDH competencies. The program is enhanced using AI and NLP to create virtual patients and professionals for digital healthcare simulation. SaNuRN teaching materials are open-access. The project collaborates with academic institutions worldwide t
SaNuRN是鲁昂-诺曼底大学(URN)和蔚蓝海岸大学(CAU)联合开展的一个为期五年的项目,旨在优化面向医学生、医务辅助人员、专业人员和管理人员的数字健康教育。该项目包括技能框架、培训模块和教学资源。预计到 2027 年,SaNuRN 将为法国全国 40 万健康和医疗辅助专业学生提供培训。我们的目的是简要介绍 SaNuRN 计划,强调其新颖的教育方法,以及这些方法将如何加强数字健康教育的实施。我们的目标包括展示SaNuRN作为一个综合项目,由能力框架、教学模块和教材组成,并解释SaNuRN如何在参与的学术机构中实施。SaNuRN是一个旨在对健康相关专业和护理专业的学生进行数字健康教育和培训的项目。该项目是 URN 与 CAU 合作的成果,覆盖法国四个省。该项目以法国国家数字健康参考标准(FNRDH)为基础,该标准规定了健康、辅助医疗和社会专业课程中每个学生应掌握和验证的技能和能力。SaNuRN 团队目前正在根据 FNRDH 调整现有的 URN 和 CAU 教学大纲,并开发 20 至 30 分钟的短时视频胶囊,以教授所有相关材料。该项目旨在确保最广大的学生群体获得必要的技能,并开发了一个由促进者参与的双层系统,促进者将能够有效地扩大项目的教育推广范围,并支持学生高效地学习所需材料。SaNuRN 注重真实世界的场景和创新的教学活动,将远程医疗设备和虚拟专业人员结合在一起,致力于让医疗保健专业人员在临床实践中不断学习。SaNuRN团队引入了新的医护人员评估方法,从以知识为基础的评估转向以能力为基础的评估,与米勒教学金字塔保持一致,并在数字健康教育中使用客观结构化临床检查和脚本一致性测试。SaNuRN项目借鉴了URN、CAU及其公共卫生和数字研究实验室和合作伙伴的专业知识,是一个持续创新的平台,包括远程医疗培训和具有虚拟和互动专业活动的生活实验室。SaNuRN 项目为卫生和辅助医疗专业的学生提供 30 小时的综合个性化培训包,涉及 FNRDH 的全部 70 项能力。该项目利用人工智能和 NLP 增强了虚拟病人和专业人员的数字医疗模拟。SaNuRN 教学材料是开放式的。该项目与世界各地的学术机构合作,以英语和多语种格式开发数字医疗方面的教材。SaNuRN 提供了一种实用且有说服力的培训方法,以满足当前数字医疗教育的要求。
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引用次数: 0
Exploring the Performance of ChatGPT Versions 3.5, 4, and 4 With Vision in the Chilean Medical Licensing Examination: Observational Study. 探索 ChatGPT 3.5、4 和 4 版在智利医师资格考试中的表现:观察研究。
IF 3.6 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-04-29 DOI: 10.2196/55048
Marcos Rojas, Marcelo Rojas, Valentina Burgess, Javier Toro-Pérez, Shima Salehi

Background: The deployment of OpenAI's ChatGPT-3.5 and its subsequent versions, ChatGPT-4 and ChatGPT-4 With Vision (4V; also known as "GPT-4 Turbo With Vision"), has notably influenced the medical field. Having demonstrated remarkable performance in medical examinations globally, these models show potential for educational applications. However, their effectiveness in non-English contexts, particularly in Chile's medical licensing examinations-a critical step for medical practitioners in Chile-is less explored. This gap highlights the need to evaluate ChatGPT's adaptability to diverse linguistic and cultural contexts.

Objective: This study aims to evaluate the performance of ChatGPT versions 3.5, 4, and 4V in the EUNACOM (Examen Único Nacional de Conocimientos de Medicina), a major medical examination in Chile.

Methods: Three official practice drills (540 questions) from the University of Chile, mirroring the EUNACOM's structure and difficulty, were used to test ChatGPT versions 3.5, 4, and 4V. The 3 ChatGPT versions were provided 3 attempts for each drill. Responses to questions during each attempt were systematically categorized and analyzed to assess their accuracy rate.

Results: All versions of ChatGPT passed the EUNACOM drills. Specifically, versions 4 and 4V outperformed version 3.5, achieving average accuracy rates of 79.32% and 78.83%, respectively, compared to 57.53% for version 3.5 (P<.001). Version 4V, however, did not outperform version 4 (P=.73), despite the additional visual capabilities. We also evaluated ChatGPT's performance in different medical areas of the EUNACOM and found that versions 4 and 4V consistently outperformed version 3.5. Across the different medical areas, version 3.5 displayed the highest accuracy in psychiatry (69.84%), while versions 4 and 4V achieved the highest accuracy in surgery (90.00% and 86.11%, respectively). Versions 3.5 and 4 had the lowest performance in internal medicine (52.74% and 75.62%, respectively), while version 4V had the lowest performance in public health (74.07%).

Conclusions: This study reveals ChatGPT's ability to pass the EUNACOM, with distinct proficiencies across versions 3.5, 4, and 4V. Notably, advancements in artificial intelligence (AI) have not significantly led to enhancements in performance on image-based questions. The variations in proficiency across medical fields suggest the need for more nuanced AI training. Additionally, the study underscores the importance of exploring innovative approaches to using AI to augment human cognition and enhance the learning process. Such advancements have the potential to significantly influence medical education, fostering not only knowledge acquisition but also the development of critical thinking and problem-solving skills among health care professionals.

背景介绍OpenAI 的 ChatGPT-3.5 及其后续版本 ChatGPT-4 和 ChatGPT-4 With Vision(4V,又称 "GPT-4 Turbo With Vision")的部署对医疗领域产生了显著影响。这些模型在全球医学考试中表现出色,显示出教育应用的潜力。然而,它们在非英语环境中的有效性,尤其是在智利医疗执照考试中的有效性(这是智利医疗从业人员的关键步骤),却鲜有人问津。这一空白凸显了评估 ChatGPT 在不同语言和文化背景下适应性的必要性:本研究旨在评估 ChatGPT 3.5、4 和 4V 版本在智利主要医学考试 EUNACOM(Examen Único Nacional de Conocimientos de Medicina)中的表现:使用智利大学的三个官方练习(540 道题)测试 ChatGPT 3.5、4 和 4V 版本,这些练习与 EUNACOM 的结构和难度一致。3 个 ChatGPT 版本的每次练习都提供了 3 次尝试机会。对每次尝试中的问题回答进行了系统分类和分析,以评估其准确率:所有版本的 ChatGPT 都通过了 EUNACOM 演习。结果:所有版本的 ChatGPT 都通过了欧盟海军司令部的演习,特别是 4 和 4V 版本的表现优于 3.5 版本,平均准确率分别达到 79.32% 和 78.83%,而 3.5 版本的准确率为 57.53%(PConclusions:本研究揭示了 ChatGPT 通过 EUNACOM 考试的能力,3.5、4 和 4V 版本的熟练程度截然不同。值得注意的是,人工智能(AI)的进步并未显著提高基于图像问题的成绩。不同医学领域的熟练程度存在差异,这表明需要进行更细致的人工智能培训。此外,这项研究还强调了探索创新方法的重要性,即利用人工智能增强人类认知能力并强化学习过程。这种进步有可能对医学教育产生重大影响,不仅能促进知识的获取,还能培养医疗保健专业人员的批判性思维和解决问题的能力。
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引用次数: 0
Nursing Students' Attitudes Toward Technology: Multicenter Cross-Sectional Study. 护理专业学生对技术的态度:多中心横断面研究。
IF 3.6 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-04-29 DOI: 10.2196/50297
Ana Luiza Dallora, Ewa Kazimiera Andersson, Bruna Gregory Palm, Doris Bohman, Gunilla Björling, Ludmiła Marcinowicz, Louise Stjernberg, Peter Anderberg
<p><strong>Background: </strong>The growing presence of digital technologies in health care requires the health workforce to have proficiency in subjects such as informatics. This has implications in the education of nursing students, as their preparedness to use these technologies in clinical situations is something that course administrators need to consider. Thus, students' attitudes toward technology could be investigated to assess their needs regarding this proficiency.</p><p><strong>Objective: </strong>This study aims to investigate attitudes (enthusiasm and anxiety) toward technology among nursing students and to identify factors associated with those attitudes.</p><p><strong>Methods: </strong>Nursing students at 2 universities in Sweden and 1 university in Poland were invited to answer a questionnaire. Data about attitudes (anxiety and enthusiasm) toward technology, eHealth literacy, electronic device skills, and frequency of using electronic devices and sociodemographic data were collected. Descriptive statistics were used to characterize the data. The Spearman rank correlation coefficient and Mann-Whitney U test were used for statistical inferences.</p><p><strong>Results: </strong>In total, 646 students answered the questionnaire-342 (52.9%) from the Swedish sites and 304 (47.1%) from the Polish site. It was observed that the students' technology enthusiasm (techEnthusiasm) was on the higher end of the Technophilia instrument (score range 1-5): 3.83 (SD 0.90), 3.62 (SD 0.94), and 4.04 (SD 0.78) for the whole sample, Swedish students, and Polish students, respectively. Technology anxiety (techAnxiety) was on the midrange of the Technophilia instrument: 2.48 (SD 0.96), 2.37 (SD 1), and 2.60 (SD 0.89) for the whole sample, Swedish students, and Polish students, respectively. Regarding techEnthusiasm among the nursing students, a negative correlation with age was found for the Swedish sample (P<.001; ρ<sub>Swedish</sub>=-0.201) who were generally older than the Polish sample, and positive correlations with the eHealth Literacy Scale score (P<.001; ρ<sub>all</sub>=0.265; ρ<sub>Swedish</sub>=0.190; ρ<sub>Polish</sub>=0.352) and with the perceived skill in using computer devices (P<.001; ρ<sub>all</sub>=0.360; ρ<sub>Swedish</sub>=0.341; ρ<sub>Polish</sub>=0.309) were found for the Swedish, Polish, and total samples. Regarding techAnxiety among the nursing students, a positive correlation with age was found in the Swedish sample (P<.001; ρ<sub>Swedish</sub>=0.184), and negative correlations with eHealth Literacy Scale score (P<.001; ρ<sub>all</sub>=-0.196; ρ<sub>Swedish</sub>=-0.262; ρ<sub>Polish</sub>=-0.133) and with the perceived skill in using computer devices (P<.001; ρ<sub>all</sub>=-0.209; ρ<sub>Swedish</sub>=-0.347; ρ<sub>Polish</sub>=-0.134) were found for the Swedish, Polish, and total samples and with the semester only for the Swedish sample (P<.001; ρ<sub>Swedish</sub>=-0.124). Gender differences were found regarding techAnxiety in
背景:数字技术在医疗保健领域的应用日益广泛,这就要求医疗保健人员熟练掌握信息学等学科的知识。这对护理专业学生的教育产生了影响,因为他们在临床情况下使用这些技术的准备程度是课程管理人员需要考虑的问题。因此,可以通过调查学生对技术的态度来评估他们在这方面的需求:本研究旨在调查护理专业学生对技术的态度(热情和焦虑),并找出与这些态度相关的因素:方法:邀请瑞典两所大学和波兰一所大学的护理专业学生回答问卷。收集了有关对技术的态度(焦虑和热情)、电子健康知识、电子设备技能、使用电子设备的频率以及社会人口学数据。采用描述性统计来描述数据的特征。统计推断采用斯皮尔曼等级相关系数和曼-惠特尼 U 检验:共有 646 名学生回答了问卷,其中瑞典校区 342 人(52.9%),波兰校区 304 人(47.1%)。据观察,学生的技术热情(techEnthusiasm)在技术嗜好工具(分值范围 1-5)中处于较高水平:整个样本、瑞典学生和波兰学生的技术热情分别为 3.83(标准差 0.90)、3.62(标准差 0.94)和 4.04(标准差 0.78)。技术焦虑(techAnxiety)处于技术嗜好工具的中等水平:全体样本、瑞典学生和波兰学生分别为 2.48(标准差 0.96)、2.37(标准差 1)和 2.60(标准差 0.89)。关于护理专业学生的科技热情,瑞典样本发现与年龄呈负相关(PSwedish=-0.201),他们的年龄普遍高于波兰样本,而与电子健康素养量表得分呈正相关(Pall=0.265;ρ瑞典=0.190;ρ波兰=0.352),瑞典、波兰和总样本与使用计算机设备的感知技能(Pall=0.360;ρ瑞典=0.341;ρ波兰=0.309)呈正相关。关于护理专业学生的技术焦虑,在瑞典样本中发现与年龄呈正相关(PSwedish=0.184),与电子健康素养量表得分呈负相关(Pall=-0.196;ρSwedish=-0.262;ρPolish=-0.在瑞典、波兰和总样本中发现了性别差异(Pall=-0.209;ρ瑞典=-0.347;ρ波兰=-0.134),仅在瑞典样本中发现了学期差异(PSwedish=-0.124)。在瑞典样本中,技术焦虑存在性别差异,女性的平均得分高于男性(分别为 2.451,SD 1.014 和 1.987,SD 0.854):本研究突出了护理专业学生的科技热情和科技焦虑,强调了与各种因素的相关性。国际注册报告标识符(irrid):RR2-10.2196/14643。
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引用次数: 0
Effectiveness of Blended Versus Traditional Refresher Training for Cardiopulmonary Resuscitation: Prospective Observational Study. 心肺复苏混合培训与传统复习培训的效果:前瞻性观察研究。
IF 3.6 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-04-29 DOI: 10.2196/52230
Cheng-Yu Chien, Shang-Li Tsai, Chien-Hsiung Huang, Ming-Fang Wang, Chi-Chun Lin, Chen-Bin Chen, Li-Heng Tsai, Hsiao-Jung Tseng, Yan-Bo Huang, Chip-Jin Ng
<p><strong>Background: </strong>Generally, cardiopulmonary resuscitation (CPR) skills decline substantially over time. By combining web-based self-regulated learning with hands-on practice, blended training can be a time- and resource-efficient approach enabling individuals to acquire or refresh CPR skills at their convenience. However, few studies have evaluated the effectiveness of blended CPR refresher training compared with that of the traditional method.</p><p><strong>Objective: </strong>This study investigated and compared the effectiveness of traditional and blended CPR training through 6-month and 12-month refresher sessions with CPR ability indicators.</p><p><strong>Methods: </strong>This study recruited participants aged ≥18 years from the Automated External Defibrillator Donation Project. The participants were divided into 4 groups based on the format of the CPR training and refresher training received: (1) initial traditional training (a 30-minute instructor-led, hands-on session) and 6-month traditional refresher training (Traditional6 group), (2) initial traditional training and 6-month blended refresher training (an 18-minute e-learning module; Mixed6 group), (3) initial traditional training and 12-month blended refresher training (Mixed12 group), and (4) initial blended training and 6-month blended refresher training (Blended6 group). CPR knowledge and performance were evaluated immediately after initial training. For each group, following initial training but before refresher training, a learning effectiveness assessment was conducted at 12 and 24 months. CPR knowledge was assessed using a written test with 15 multiple-choice questions, and CPR performance was assessed through an examiner-rated skill test and objectively through manikin feedback. A generalized estimating equation model was used to analyze changes in CPR ability indicators.</p><p><strong>Results: </strong>This study recruited 1163 participants (mean age 41.82, SD 11.6 years; n=725, 62.3% female), with 332 (28.5%), 270 (23.2%), 258 (22.2%), and 303 (26.1%) participants in the Mixed6, Traditional6, Mixed12, and Blended6 groups, respectively. No significant between-group difference was observed in knowledge acquisition after initial training (P=.23). All groups met the criteria for high-quality CPR skills (ie, average compression depth: 5-6 cm; average compression rate: 100-120 beats/min; chest recoil rate: >80%); however, a higher proportion (98/303, 32.3%) of participants receiving blended training initially demonstrated high-quality CPR skills. At 12 and 24 months, CPR skills had declined in all the groups, but the decline was significantly higher in the Mixed12 group, whereas the differences were not significant between the other groups. This finding indicates that frequent retraining can maintain high-quality CPR skills and that blended refresher training is as effective as traditional refresher training.</p><p><strong>Conclusions: </strong>Our findings indicate
背景:一般来说,心肺复苏(CPR)技能会随着时间的推移而大幅下降。通过将基于网络的自我调节学习与实践练习相结合,混合式培训可以成为一种节省时间和资源的方法,使个人能够在方便的时候获得或更新心肺复苏技能。然而,与传统方法相比,很少有研究对混合式心肺复苏术复习培训的效果进行评估:本研究通过 6 个月和 12 个月的心肺复苏术能力指标,调查并比较了传统心肺复苏术培训和混合式心肺复苏术培训的效果:本研究从自动体外除颤器捐赠项目中招募了年龄≥18 岁的参与者。根据所接受的心肺复苏培训和复习培训的形式,将参与者分为 4 组:(1)初始传统培训(30 分钟的教师指导实践课程)和 6 个月的传统复习培训(传统 6 组);(2)初始传统培训和 6 个月的混合复习培训(18 分钟的电子学习模块;混合 6 组);(3)初始传统培训和 12 个月的混合复习培训(混合 12 组);(4)初始混合培训和 6 个月的混合复习培训(混合 6 组)。初始培训结束后,立即对心肺复苏知识和表现进行评估。每组在初始培训后、复习培训前,分别在 12 个月和 24 个月时进行学习效果评估。心肺复苏术知识通过包含 15 道选择题的书面测试进行评估,心肺复苏术表现通过考官评分的技能测试和人体模型反馈进行客观评估。采用广义估计方程模型分析心肺复苏能力指标的变化:本研究共招募了 1163 名参与者(平均年龄 41.82 岁,标准差 11.6 岁;n=725,62.3% 为女性),其中混合 6 组、传统 6 组、混合 12 组和混合 6 组分别有 332 人(28.5%)、270 人(23.2%)、258 人(22.2%)和 303 人(26.1%)。在初始培训后的知识掌握情况方面,没有观察到明显的组间差异(P=0.23)。所有组别都达到了高质量心肺复苏技能的标准(即平均按压深度:5-6 厘米;平均按压频率:100-120 次/分钟;胸廓按压深度:5-6 厘米;平均按压频率:100-120 次/分钟):100-120 次/分;胸廓回缩率:>然而,在接受混合培训的参与者中,最初表现出高质量心肺复苏技能的比例更高(98/303,32.3%)。在 12 个月和 24 个月时,所有组别的心肺复苏技能都有所下降,但混合12 组的下降幅度明显更高,而其他组之间的差异并不显著。这一结果表明,频繁的复训可以保持高质量的心肺复苏技能,而且混合复训与传统复训一样有效:我们的研究结果表明,为期 6 个月的心肺复苏术进修培训课程能更有效地保持高质量的心肺复苏术技能,而且作为进修课程,自学电子模块与教师指导课程同样有效。虽然混合式学习方法具有成本和资源效益,但必须考虑参与者的人口统计、培训环境和参与程度等因素,才能最大限度地发挥这种方法的潜力:IGOGO NCT05659108; https://www.cgmh-igogo.tw.
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引用次数: 0
Exploring the Performance of ChatGPT-4 in the Taiwan Audiologist Qualification Examination: Preliminary Observational Study Highlighting the Potential of AI Chatbots in Hearing Care. 探索 ChatGPT-4 在台湾听力学家资格考试中的表现:初步观察研究凸显人工智能聊天机器人在听力保健中的潜力。
IF 3.6 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-04-26 DOI: 10.2196/55595
Shangqiguo Wang, Changgeng Mo, Yuan Chen, Xiaolu Dai, Huiyi Wang, Xiaoli Shen

Background: Artificial intelligence (AI) chatbots, such as ChatGPT-4, have shown immense potential for application across various aspects of medicine, including medical education, clinical practice, and research.

Objective: This study aimed to evaluate the performance of ChatGPT-4 in the 2023 Taiwan Audiologist Qualification Examination, thereby preliminarily exploring the potential utility of AI chatbots in the fields of audiology and hearing care services.

Methods: ChatGPT-4 was tasked to provide answers and reasoning for the 2023 Taiwan Audiologist Qualification Examination. The examination encompassed six subjects: (1) basic auditory science, (2) behavioral audiology, (3) electrophysiological audiology, (4) principles and practice of hearing devices, (5) health and rehabilitation of the auditory and balance systems, and (6) auditory and speech communication disorders (including professional ethics). Each subject included 50 multiple-choice questions, with the exception of behavioral audiology, which had 49 questions, amounting to a total of 299 questions.

Results: The correct answer rates across the 6 subjects were as follows: 88% for basic auditory science, 63% for behavioral audiology, 58% for electrophysiological audiology, 72% for principles and practice of hearing devices, 80% for health and rehabilitation of the auditory and balance systems, and 86% for auditory and speech communication disorders (including professional ethics). The overall accuracy rate for the 299 questions was 75%, which surpasses the examination's passing criteria of an average 60% accuracy rate across all subjects. A comprehensive review of ChatGPT-4's responses indicated that incorrect answers were predominantly due to information errors.

Conclusions: ChatGPT-4 demonstrated a robust performance in the Taiwan Audiologist Qualification Examination, showcasing effective logical reasoning skills. Our results suggest that with enhanced information accuracy, ChatGPT-4's performance could be further improved. This study indicates significant potential for the application of AI chatbots in audiology and hearing care services.

背景:人工智能聊天机器人(如 ChatGPT-4人工智能(AI)聊天机器人,如ChatGPT-4,已在医学教育、临床实践和研究等各方面显示出巨大的应用潜力:本研究旨在评估 ChatGPT-4 在 2023 年台湾听力学家资格考试中的表现,从而初步探索人工智能聊天机器人在听力学和听力保健服务领域的潜在用途:方法:ChatGPT-4 的任务是为 2023 年台湾听力学家资格考试提供答案和推理。考试包括六个科目:(1)听觉基础科学;(2)行为听力学;(3)电生理听力学;(4)听力设备原理与实践;(5)听觉与平衡系统的健康与康复;(6)听觉与言语交流障碍(包括职业道德)。每个科目包括 50 道选择题,行为听力学除外,有 49 道题,共计 299 道题:6 个科目的正确答题率如下:结果:6 个科目的答题正确率分别为:听觉基础科学 88%、行为听力学 63%、电生理听力学 58%、听力设备原理与实践 72%、听觉与平衡系统健康与康复 80%、听觉与言语交流障碍(包括职业道德)86%。299 道试题的总体正确率为 75%,超过了考试的合格标准,即所有科目的平均正确率为 60%。对 ChatGPT-4 答题情况的全面审查表明,错误答案主要是由于信息错误造成的:结论:ChatGPT-4 在台湾听力学家资格考试中表现优异,展示了有效的逻辑推理能力。我们的研究结果表明,如果能提高信息的准确性,ChatGPT-4 的成绩还能进一步提高。这项研究表明,人工智能聊天机器人在听力学和听力保健服务中的应用潜力巨大。
{"title":"Exploring the Performance of ChatGPT-4 in the Taiwan Audiologist Qualification Examination: Preliminary Observational Study Highlighting the Potential of AI Chatbots in Hearing Care.","authors":"Shangqiguo Wang, Changgeng Mo, Yuan Chen, Xiaolu Dai, Huiyi Wang, Xiaoli Shen","doi":"10.2196/55595","DOIUrl":"10.2196/55595","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) chatbots, such as ChatGPT-4, have shown immense potential for application across various aspects of medicine, including medical education, clinical practice, and research.</p><p><strong>Objective: </strong>This study aimed to evaluate the performance of ChatGPT-4 in the 2023 Taiwan Audiologist Qualification Examination, thereby preliminarily exploring the potential utility of AI chatbots in the fields of audiology and hearing care services.</p><p><strong>Methods: </strong>ChatGPT-4 was tasked to provide answers and reasoning for the 2023 Taiwan Audiologist Qualification Examination. The examination encompassed six subjects: (1) basic auditory science, (2) behavioral audiology, (3) electrophysiological audiology, (4) principles and practice of hearing devices, (5) health and rehabilitation of the auditory and balance systems, and (6) auditory and speech communication disorders (including professional ethics). Each subject included 50 multiple-choice questions, with the exception of behavioral audiology, which had 49 questions, amounting to a total of 299 questions.</p><p><strong>Results: </strong>The correct answer rates across the 6 subjects were as follows: 88% for basic auditory science, 63% for behavioral audiology, 58% for electrophysiological audiology, 72% for principles and practice of hearing devices, 80% for health and rehabilitation of the auditory and balance systems, and 86% for auditory and speech communication disorders (including professional ethics). The overall accuracy rate for the 299 questions was 75%, which surpasses the examination's passing criteria of an average 60% accuracy rate across all subjects. A comprehensive review of ChatGPT-4's responses indicated that incorrect answers were predominantly due to information errors.</p><p><strong>Conclusions: </strong>ChatGPT-4 demonstrated a robust performance in the Taiwan Audiologist Qualification Examination, showcasing effective logical reasoning skills. Our results suggest that with enhanced information accuracy, ChatGPT-4's performance could be further improved. This study indicates significant potential for the application of AI chatbots in audiology and hearing care services.</p>","PeriodicalId":36236,"journal":{"name":"JMIR Medical Education","volume":"10 ","pages":"e55595"},"PeriodicalIF":3.6,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11067446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872544","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
Correction: Telehealth Education in Allied Health Care and Nursing: Web-Based Cross-Sectional Survey of Students' Perceived Knowledge, Skills, Attitudes, and Experience. 更正:专职医疗保健和护理中的远程保健教育:基于网络的学生认知、技能、态度和经验横断面调查。
IF 3.6 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-04-26 DOI: 10.2196/59919
Lena Rettinger, Peter Putz, Lea Aichinger, Susanne Maria Javorszky, Klaus Widhalm, Veronika Ertelt-Bach, Andreas Huber, Sevan Sargis, Lukas Maul, Oliver Radinger, Franz Werner, Sebastian Kuhn

[This corrects the article DOI: 10.2196/51112.].

[此处更正了文章 DOI:10.2196/51112]。
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引用次数: 0
Development of Web-Based Education Modules to Improve Carer Engagement in Cancer Care: Design and User Experience Evaluation of the e-Triadic Oncology (eTRIO) Modules for Clinicians, Patients, and Carers. 开发基于网络的教育模块,提高癌症护理人员的参与度:针对临床医生、患者和护理人员的电子三联肿瘤学(eTRIO)模块的设计和用户体验评估。
IF 3.6 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-04-17 DOI: 10.2196/50118
Rebekah Laidsaar-Powell, Sarah Giunta, Phyllis Butow, Rachael Keast, Bogda Koczwara, Judy Kay, Michael Jefford, Sandra Turner, Christobel Saunders, Penelope Schofield, Frances Boyle, Patsy Yates, Kate White, Annie Miller, Zoe Butt, Melanie Bonnaudet, Ilona Juraskova
<p><strong>Background: </strong>Carers often assume key roles in cancer care. However, many carers report feeling disempowered and ill-equipped to support patients. Our group published evidence-based guidelines (the Triadic Oncology [TRIO] Guidelines) to improve oncology clinician engagement with carers and the management of challenging situations involving carers.</p><p><strong>Objective: </strong>To facilitate implementation of the TRIO Guidelines in clinical practice, we aimed to develop, iteratively refine, and conduct user testing of a suite of evidence-based and interactive web-based education modules for oncology clinicians (e-Triadic Oncology [eTRIO]), patients with cancer, and carers (eTRIO for Patients and Carers [eTRIO-pc]). These were designed to improve carer involvement, communication, and shared decision-making in the cancer management setting.</p><p><strong>Methods: </strong>The eTRIO education modules were based on extensive research, including systematic reviews, qualitative interviews, and consultation analyses. Guided by the person-based approach, module content and design were reviewed by an expert advisory group comprising academic and clinical experts (n=13) and consumers (n=5); content and design were continuously and iteratively refined. User experience testing (including "think-aloud" interviews and administration of the System Usability Scale [SUS]) of the modules was completed by additional clinicians (n=5), patients (n=3), and carers (n=3).</p><p><strong>Results: </strong>The final clinician module comprises 14 sections, requires approximately 1.5 to 2 hours to complete, and covers topics such as carer-inclusive communication and practices; supporting carer needs; and managing carer dominance, anger, and conflicting patient-carer wishes. The usability of the module was rated by 5 clinicians, with a mean SUS score of 75 (SD 5.3), which is interpreted as good. Clinicians often desired information in a concise format, divided into small "snackable" sections that could be easily recommenced if they were interrupted. The carer module features 11 sections; requires approximately 1.5 hours to complete; and includes topics such as the importance of carers, carer roles during consultations, and advocating for the patient. The patient module is an adaptation of the relevant carer module sections, comprising 7 sections and requiring 1 hour to complete. The average SUS score as rated by 6 patients and carers was 78 (SD 16.2), which is interpreted as good. Interactive activities, clinical vignette videos, and reflective learning exercises are incorporated into all modules. Patient and carer consumer advisers advocated for empathetic content and tone throughout their modules, with an easy-to-read and navigable module interface.</p><p><strong>Conclusions: </strong>The eTRIO suite of modules were rigorously developed using a person-based design methodology to meet the unique information needs and learning requirements of clinicians,
背景:照护者通常在癌症护理中扮演着重要角色。然而,许多照护者表示,他们在为患者提供支持时感到力不从心、能力不足。我们小组发布了循证指南(三联肿瘤学[TRIO]指南),以改善肿瘤临床医生与照护者的接触以及对涉及照护者的挑战性情况的管理:为促进 TRIO 指南在临床实践中的实施,我们旨在为肿瘤临床医生(e-Triadic Oncology [eTRIO])、癌症患者和照护者(eTRIO for Patients and Carers [eTRIO-pc])开发、反复改进和测试一套基于证据的互动式网络教育模块。这些模块旨在改善癌症管理环境中护理人员的参与、沟通和共同决策:eTRIO 教育模块基于广泛的研究,包括系统综述、定性访谈和咨询分析。在以人为本的方法指导下,由学术和临床专家(人数=13)和消费者(人数=5)组成的专家顾问团对模块内容和设计进行了审查;内容和设计不断得到反复改进。其他临床医生(5 人)、患者(3 人)和护理人员(3 人)对模块进行了用户体验测试(包括 "思考-朗读 "访谈和系统可用性量表 [SUS]):最终的临床医生模块包括 14 个部分,大约需要 1.5 到 2 个小时完成,涵盖的主题包括:照顾者包容性沟通和实践;支持照顾者的需求;管理照顾者的主导地位、愤怒和患者与照顾者之间的意愿冲突。5 名临床医生对该模块的可用性进行了评分,平均 SUS 得分为 75 分(标准差为 5.3),可解释为 "良好"。临床医生通常希望信息的格式简洁明了,分成 "可点心 "的小部分,以便在中断时可以很容易地重新开始。照护者模块共有 11 个部分,大约需要 1.5 个小时完成,包括照护者的重要性、照护者在会诊中的角色以及为患者辩护等主题。患者模块是对照护者模块相关部分的改编,包括 7 个部分,需要 1 小时完成。6 名患者和照护者对 SUS 的平均评分为 78 分(标准差为 16.2),这被解释为 "良好"。互动活动、临床小故事视频和反思性学习练习被纳入所有模块。患者和护理者消费顾问主张在整个模块中采用感同身受的内容和语气,模块界面易于阅读和浏览:eTRIO 模块套件采用以人为本的设计方法进行严格开发,以满足临床医生、患者和护理人员独特的信息需求和学习要求,目的是提高护理人员参与癌症咨询和癌症护理的效率和支持性。
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引用次数: 0
Importance of Patient History in Artificial Intelligence-Assisted Medical Diagnosis: Comparison Study. 患者病史在人工智能辅助医疗诊断中的重要性:比较研究
IF 3.6 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-04-08 DOI: 10.2196/52674
Fumitoshi Fukuzawa, Yasutaka Yanagita, Daiki Yokokawa, Shun Uchida, Shiho Yamashita, Yu Li, Kiyoshi Shikino, Tomoko Tsukamoto, Kazutaka Noda, Takanori Uehara, Masatomi Ikusaka

Background: Medical history contributes approximately 80% to a diagnosis, although physical examinations and laboratory investigations increase a physician's confidence in the medical diagnosis. The concept of artificial intelligence (AI) was first proposed more than 70 years ago. Recently, its role in various fields of medicine has grown remarkably. However, no studies have evaluated the importance of patient history in AI-assisted medical diagnosis.

Objective: This study explored the contribution of patient history to AI-assisted medical diagnoses and assessed the accuracy of ChatGPT in reaching a clinical diagnosis based on the medical history provided.

Methods: Using clinical vignettes of 30 cases identified in The BMJ, we evaluated the accuracy of diagnoses generated by ChatGPT. We compared the diagnoses made by ChatGPT based solely on medical history with the correct diagnoses. We also compared the diagnoses made by ChatGPT after incorporating additional physical examination findings and laboratory data alongside history with the correct diagnoses.

Results: ChatGPT accurately diagnosed 76.6% (23/30) of the cases with only the medical history, consistent with previous research targeting physicians. We also found that this rate was 93.3% (28/30) when additional information was included.

Conclusions: Although adding additional information improves diagnostic accuracy, patient history remains a significant factor in AI-assisted medical diagnosis. Thus, when using AI in medical diagnosis, it is crucial to include pertinent and correct patient histories for an accurate diagnosis. Our findings emphasize the continued significance of patient history in clinical diagnoses in this age and highlight the need for its integration into AI-assisted medical diagnosis systems.

背景:尽管体格检查和实验室检查能增强医生对医疗诊断的信心,但病史对诊断的影响约占 80%。人工智能(AI)的概念最早是在 70 多年前提出的。最近,人工智能在医学各领域的作用显著增强。然而,还没有研究评估过患者病史在人工智能辅助医疗诊断中的重要性:本研究探讨了患者病史对人工智能辅助医疗诊断的贡献,并评估了 ChatGPT 根据患者提供的病史做出临床诊断的准确性:我们使用《英国医学杂志》(The BMJ)上的 30 个临床病例,评估了 ChatGPT 得出的诊断结果的准确性。我们将 ChatGPT 仅根据病史做出的诊断与正确诊断进行了比较。我们还比较了 ChatGPT 在病史基础上结合其他体格检查结果和实验室数据得出的诊断结果与正确诊断结果:结果:仅凭病史,ChatGPT 就准确诊断出了 76.6% 的病例(23/30),这与之前针对医生的研究结果一致。我们还发现,在加入其他信息后,这一比例达到了 93.3%(28/30):结论:虽然增加额外信息能提高诊断准确性,但患者病史仍是人工智能辅助医疗诊断的一个重要因素。因此,在使用人工智能进行医疗诊断时,纳入相关且正确的病史对于准确诊断至关重要。我们的研究结果强调了患者病史在临床诊断中的重要性,并突出了将其纳入人工智能辅助医疗诊断系统的必要性。
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JMIR Medical Education
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