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Scoping review: exploring residents’ views of supervisor entrustment and its effect on learning and professional development 范围界定审查:探讨住院医师对导师委托的看法及其对学习和专业发展的影响
Pub Date : 2024-03-01 DOI: 10.3946/kjme.2024.286
Sunhee Shim, Hansea Kim, Young-Mee Lee
This scoping review aimed to systematically explore the complex and nuanced perceptions of residents entrusted with significant responsibilities by their supervisors in the clinical context. We conducted a comprehensive search strategy targeting six major electronic databases. Data were extracted using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist and a scoping review protocol. Resident perceptions regarding entrustment and its impact on learning and professional development were categorized. This review elucidated the role of supervisor entrustment in shaping residents’ clinical performance, notably influencing autonomy, self-confidence, responsibility for patients, learning needs and goals, uncertainty management, and professional identity formation. Residents identified factors that promote and hinder performance and entrustment development resulting from supervisor entrustment and distinguished between appropriate supervision and over- or under-supervision. Our review suggests that residents’ perceptions of supervisor entrustment, as bestowed by supervisors, serves as a catalyst for enhancing autonomy, thereby exerting a significant influence on clinical performance, and fostering the development of a professional identity. However, residents’ views on appropriate supervision differ in some ways from supervisors’ perspectives. Further research is needed to bridge the gap between residents’ expectations of autonomy and what they are given, and to explore the intricate relationship between autonomy and entrustment.
本范围界定综述旨在系统地探讨住院医师在临床环境中对其导师委以重任的复杂而微妙的看法。我们针对六个主要电子数据库采取了全面的检索策略。数据提取采用了 PRISMA-ScR(系统性综述和荟萃分析首选报告项目扩展范围综述)核对表和范围综述协议。对住院医师对委托及其对学习和专业发展的影响的看法进行了分类。该综述阐明了主管委托在塑造住院医师临床表现方面的作用,尤其是对自主性、自信心、对患者的责任感、学习需求和目标、不确定性管理以及专业身份形成的影响。住院医师指出了因导师委托而导致的促进和阻碍绩效和委托发展的因素,并区分了适当的监督和过度或不足的监督。我们的研究结果表明,住院医师对督导所给予的督导委托的看法是提高自主性的催化剂,从而对临床表现产生重要影响,并促进专业身份的形成。然而,住院医师对适当督导的看法在某些方面与督导的观点有所不同。我们需要开展进一步的研究,以缩小住院医师对自主性的期望与他们所获得的之间的差距,并探索自主性与委托之间错综复杂的关系。
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引用次数: 0
Examination of medical students’ opinions on multimedia learning materials according to social cues: focusing on sound principles 根据社会线索考察医学生对多媒体学习材料的看法:注重合理原则
Pub Date : 2024-03-01 DOI: 10.3946/kjme.2024.288
Wonseok Chang, Y. Kim, Hye Jin Park
Purpose: Although interest in various forms of learning media is increasing due to the coronavirus disease 2019 (COVID-19) pandemic there is relatively little research on influencing student motivation by intervening in cognitive processing. The purpose of this study was to present the optimal form of learning materials provided to medical students.Methods: This study provided learning materials in class at a level according to social cues (script, video [artificial intelligence (AI) voice], video [professor voice]) based on the principle of voices among the principles of personalization, voices, image, and embodiment of social cues in multimedia learning, and surveyed students’ opinions.Results: There was no statistically significant difference according to social clues in satisfaction and learning help, but both appeared in the order of silent videos containing the professor’s voice, followed by videos containing the AI voice.Conclusion: This study is significant in that there is no research on the impact of student motivation on the provision of learning materials for medical school education in Korea, and we hope that it will help provide learning materials for self-directed learning of medical students in the post-COVID-19.
目的:尽管由于2019年冠状病毒病(COVID-19)的流行,人们对各种形式的学习媒体的兴趣与日俱增,但通过干预认知加工来影响学生学习动机的研究却相对较少。本研究的目的是介绍向医学生提供学习材料的最佳形式:本研究根据多媒体学习中社会线索的个性化、声音、形象和体现中的声音原则,按照社会线索(脚本、视频[人工智能(AI)声音]、视频[教授声音])的不同层次在课堂上提供学习材料,并调查学生的意见:结果:在满意度和学习帮助方面,根据社会线索的不同没有统计学意义上的显著差异,但都出现了包含教授声音的无声视频,其次是包含人工智能声音的视频的顺序:这项研究的意义在于,在韩国还没有关于学生学习动机对提供医学院教育学习材料的影响的研究,我们希望这项研究将有助于为COVID-19之后的医学生自主学习提供学习材料。
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引用次数: 0
Correction of Table: Educational implications of assessing learning outcomes with multiple choice questions and short essay questions. 更正表格:用选择题和短文题评估学习成果的教育意义。
Pub Date : 2024-03-01 Epub Date: 2023-12-21 DOI: 10.3946/kjme.2023.279
Hyo-Jin Kwon, Su Jin Chae, Joo Hyun Park
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引用次数: 0
Identifying teaching competencies for medical residents using a modified Delphi method 使用改良德尔菲法确定住院医师的教学能力
Pub Date : 2024-03-01 DOI: 10.3946/kjme.2024.284
Tadayuki Hashimoto, Makoto Kikukawa
Purpose: This study aimed to identify the teaching competencies of medical residents.Methods: A modified Delphi study was conducted from January to March 2017. Twenty-four panelists (six medical educators, program directors, chief residents, and residents each) from various facilities in Japan participated in the study. The consensus criterion for this study was that more than 80% of the panelists gave a rating of 6 or higher on the 7-point Likert scale (“not at all important” to “extremely important”) without any comments. The modified Delphi approach resulted in a list of 27 resident teaching competencies after three rounds. These competencies were categorized based on Harden and Crosby’s 12 roles of medical teachers.Results: Our study revealed that, of the 12 roles, residents were primarily viewed as “clinical or practical teachers,” “teaching role models,” “on-the-job role models,” “learning facilitators,” and “student assessors.”Conclusion: The 27 resident teaching competencies indicate the importance of educational proximity for residents as teachers. It is expected that this finding will contribute to competency-based resident-as-teacher education.
目的:本研究旨在确定医学住院医师的教学能力:2017年1月至3月进行了一项改良的德尔菲研究。来自日本不同机构的 24 名专家组成员(医学教育者、项目主任、住院总医师和住院医师各 6 名)参与了研究。本研究的共识标准是,超过 80% 的专家组成员在 7 点李克特量表(从 "完全不重要 "到 "极其重要")上给出 6 分或更高的评分,且不作任何评论。改良德尔菲法经过三轮筛选后,得出了一份包含 27 项住院医师教学能力的清单。这些能力根据哈登和克罗斯比提出的医学教师的 12 种角色进行了分类:我们的研究显示,在这 12 种角色中,住院医师主要被视为 "临床或实践教师"、"教学榜样"、"在职榜样"、"学习促进者 "和 "学生评估者":27 项住院医师教学能力表明了住院医师作为教师进行近距离教育的重要性。预计这一发现将有助于以能力为基础的住院医师即教师教育。
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引用次数: 0
Beyond the surface: unraveling global health curriculum insights through interviews of learners and educators using the CIPP model 超越表象:利用 CIPP 模式,通过对学习者和教育者的访谈,揭示全球健康课程的深刻内涵
Pub Date : 2024-03-01 DOI: 10.3946/kjme.2024.283
Yoonjung Lee, Jayoung Park, Woong-Han Kim, Jwa-Seop Shin, H. Yoon
Purpose: Our study aimed to delve beyond a surface-level understanding and explore the various dimensions of the global health curriculum from the perspective of both learners and educators using the Context, Input, Process, and Product (CIPP) model.Methods: From 2020 to 2021, interviews were conducted with a total of 10 individuals, including five students who had taken at least one elective course and at least one elective research course, three teaching assistants (TA), and two faculty members who had taken more than four global health courses in multiple phases in the global health curriculum. Semi-structured interview questions based on the CIPP model were used and qualitative data were analyzed through content analysis.Results: The study identified 12 sub-themes. Students held idealized views of global health careers and sought to bridge the gap through global health classes. They desired early exposure to global health courses, emphasizing both pre-medical and clinical phases. Challenges in adjusting course difficulty and recruiting faculty were identified, along with a preference for interactive teaching methods and offline discussions. The curriculum promoted reflection on medicine’s essence, expanded career perspectives, and emphasized competencies like altruism, communication skills, and crisis management in the evolving global health landscape.Conclusion: This study showed that a comprehensive approach is possible from the perspective of learners and educators by identifying strengths, weaknesses, and the value of the curriculum’s goals, plans, implementations, and results through the CIPP model. For optimal curriculum design, a sequential approach from basic to advanced courses is essential, promoting hands-on global health experiences for students.
目的:我们的研究旨在超越表层理解,采用情境、输入、过程和产品(CIPP)模型,从学习者和教育者的角度探索全球健康课程的各个层面:从 2020 年到 2021 年,共对 10 人进行了访谈,其中包括 5 名至少选修过一门选修课和至少选修过一门研究课的学生、3 名助教(TA)和 2 名在全球健康课程的多个阶段选修过 4 门以上全球健康课程的教师。研究采用了基于 CIPP 模型的半结构化访谈问题,并通过内容分析对定性数据进行了分析:研究确定了 12 个子主题。学生们对全球卫生事业抱有理想化的看法,并寻求通过全球卫生课程来缩小差距。他们希望尽早接触全球健康课程,强调医学预科和临床阶段。他们发现了调整课程难度和招聘教师方面的挑战,以及对互动式教学方法和线下讨论的偏好。课程促进了对医学本质的反思,拓展了职业视野,并强调了在不断变化的全球卫生环境中利他主义、沟通技巧和危机管理等能力:本研究表明,从学习者和教育者的角度出发,通过 CIPP 模型确定课程目标、计划、实施和结果的优势、劣势和价值,是可行的综合方法。为了优化课程设计,必须采用从基础课程到高级课程的顺序方法,促进学生亲身体验全球健康。
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引用次数: 0
Graduate medical education: variation of program and training duration 医学研究生教育:课程和培训时间的变化
Pub Date : 2023-12-01 DOI: 10.3946/kjme.2023.278
Kusal K. Das
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引用次数: 0
What influences Indonesian medical educators’ intentions to teach public health? A qualitative study 是什么影响了印度尼西亚医学教育工作者教授公共卫生的意愿?定性研究
Pub Date : 2023-12-01 DOI: 10.3946/kjme.2023.271
Nurhira Abdul Kadir, Heike Schütze, Kathryn Mary Weston
Purpose Medical educators are central in ensuring future doctors have sufficient public health skills. Attitudes, norms, and perceived control about the significance of teaching a subject determines whether or not it is taught and how well. This qualitative study aims to explore medical educators’ perceptions about what factors influence their intention to teach public health in Indonesian undergraduate medical schools. Methods Semi-structured interviews were conducted with eighteen medical educators from different Indonesian medical schools. Interviews were analyzed thematically using the Theory of Planned Behavior domains: attitudes, subjective norms, and perceived behavioral control. Results Five subthemes emerged under these domains: attitudes (defining public health); subjective norms (room in the medical curricula; teaching and assessment); and perceived behaviour control (medical educator confidence; institutional support). Most participants had a limited understanding about the scope of public health. This coupled with an already overcrowded medical curriculum made it challenging for them to incorporate public health into the medical curriculum dominated by clinical and biomedical content. Although believing that public health is important, medical educators were reluctant to incorporate public health because they were not confident incorporating or assessing content. Conclusion Strong institutional support is to improve public health quality and content in the medical curriculum. Including public health educators in discussions is critical.
医学教育工作者是确保未来医生具备足够公共卫生技能的核心。对一门学科教学意义的态度、规范和感知控制决定了这门学科是否被教授以及教授得有多好。本质性研究旨在探讨医学教育工作者对印尼本科医学院公共卫生教学意向影响因素的看法。方法采用半结构化访谈法对18名来自印尼不同医学院的医学教育工作者进行访谈。使用计划行为理论对访谈进行主题分析:态度、主观规范和感知行为控制。结果在这些领域下出现了五个分主题:态度(定义公共卫生);主观规范(医学课程中的空间);教学及评核);感知行为控制(医学教育者信心;机构支持)。大多数与会者对公共卫生的范围了解有限。再加上已经人满为患的医学课程,使他们难以将公共卫生纳入以临床和生物医学内容为主的医学课程。虽然相信公共卫生很重要,但医学教育工作者不愿将公共卫生纳入其中,因为他们对纳入或评估内容没有信心。结论强有力的机构支持是提高公共卫生课程质量和内容的重要手段。让公共卫生教育工作者参与讨论是至关重要的。
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引用次数: 0
Hybrid learning as alternative approach to improve Indonesian medical students’ attitude towards clinical skills during COVID-19 pandemic 在 COVID-19 大流行期间,将混合学习作为改善印尼医科学生临床技能态度的替代方法
Pub Date : 2023-12-01 DOI: 10.3946/kjme.2023.274
David Nugraha, Rezy Ramawan Melbiarta, Visuddho Visuddho, Rimbun Rimbun, Sakina Sakina, Lilik Herawati, F. C. Ummah, P. S. Rejeki, Achmad Chusnu Romdhon
Purpose Hybrid learning has been chosen as an alternative method in the conduction of clinical skill lectures during coronavirus disease 2019 (COVID-19) pandemic since students need to learn skills applied in emergency situations. This study aims to analyze students’ attitudes between hybrid and online learning methods. Methods A non-randomized study was conducted between hybrid group (HG) and online group (OG) on three courses (intravenous [IV]-line insertion, nasogastric tube [NGT] insertion, and neonatal resuscitation). We developed a preformed validated questionnaire to assess students’ attitudes in five domains (willingness, understanding, capacity, self-efficacy, and intended behavior). The questionnaire was applied at the pre- and post-intervention. Results A total of 100 participants were included (n=49 in HG, n=51 in OG). Post-course attitudes were significantly higher in online (IV-line, p=0.000; NGT, p=0.000; resuscitation, p=0.000) and hybrid (IV-line, p=0.000; NGT, p=0.000; resuscitation, p=0.000) groups compared to their pre-course. There were no significant differences in post-course attitude between groups (IV-line, p=0.072; NGT, p=0.163; resuscitation, p=0.146). Normalized-gain scores of all subjects were higher in HG (IV-line, p=0.012; NGT, p=0.085; resuscitation, p=0.033). Conclusion In conclusion, hybrid learning could be considered as a better alternative in clinical skill lectures to maximize students’ attitudes, especially during COVID-19 pandemic.
目的在2019冠状病毒病(COVID-19)大流行期间,选择混合学习作为临床技能讲座的替代方法,因为学生需要学习紧急情况下的技能。本研究旨在分析学生对混合学习方式和在线学习方式的态度。方法对杂交组(HG)和在线组(OG)进行静脉[IV]线插入、鼻胃管[NGT]插入和新生儿复苏三个疗程的非随机对照研究。我们开发了一份预先编制的有效问卷,以评估学生在五个领域(意愿、理解、能力、自我效能和预期行为)的态度。在干预前和干预后分别进行问卷调查。结果共纳入100例受试者(HG组49例,OG组51例)。课程结束后的态度在网上明显更高(iv线,p=0.000;NGT, p = 0.000;复苏,p=0.000)和杂交(iv系,p=0.000;NGT, p = 0.000;复苏组(p=0.000)与疗程前比较。两组患者术后态度差异无统计学意义(iv线,p=0.072;NGT, p = 0.163;复苏,p = 0.146)。所有受试者的归一化增益评分均高于HG (iv线,p=0.012;NGT, p = 0.085;复苏,p = 0.033)。结论混合学习可以作为临床技能讲座的一种更好的选择,以最大限度地提高学生的态度,特别是在COVID-19大流行期间。
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引用次数: 0
Reflection on a journey towards professionalism in medical education 医学教育专业化之旅的反思
Pub Date : 2023-12-01 DOI: 10.3946/kjme.2023.277
B. S. Keenoo
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引用次数: 0
Successful emergency medical service training with virtual field trips using video during the COVID-19 pandemic: the Official Development Assistance Project in Uzbekistan 在 COVID-19 大流行期间利用视频虚拟实地考察成功开展紧急医疗服务培训:乌兹别克斯坦官方发展援助项目
Pub Date : 2023-12-01 DOI: 10.3946/kjme.2023.273
Ki Jong Kim, Yoo Bin Lee, Woo Chan Jeon, Ji Sook Lee, Hoon Kim, Minkyung Oh, B. Yoon
Purpose The coronavirus disease 2019 pandemic saw many restrictions on the provision of emergency medical service (EMS) training through actual field trips (AFTs), requiring a search for alternatives. This study aimed to assess trainees’ reactions to virtual field trips (VFTs) and determine the characteristics of instructional design for successful VFTs using edited videos and expert interviews. Methods This study evaluated Uzbekistan trainees’ reactions to the VFT of EMS training using questionnaires in three categories: satisfaction, relevance, and engagement. Factors of satisfaction and dissatisfaction were identified through open-ended questions. Results A total of 286 trainees responded to the survey during 15 educational sessions conducted from 2020 to 2022. The trainees’ responses to the VFT were positive. Overall mean scores were 4.65±0.49, 4.63±0.50, and 4.63±0.50 out of 5 points for satisfaction, relevance, and engagement, respectively. The trainees reported that the most interesting and helpful videos concerned the introduction of an EMS training curriculum and the observation of training facilities, such as the simulation centers of educational institutes. The leading causes of satisfaction were (1) authenticity of the VFTs, (2) easy-to-understand content, and (3) relevance to the job. The trainees suggested that Uzbek or Russian voice-overs would be better than subtitles in the video clip for focusing on VFT. Conclusion In situations where AFTs are not available, VFTs using edited videos and expert interviews are a good alternative to EMS education. Based on these results, it is possible that AFTs could be replaced by VFTs using qualified videos with designed instructions as a distance learning method under specific conditions.
2019冠状病毒病大流行给通过实地考察(AFTs)提供紧急医疗服务(EMS)培训带来了许多限制,需要寻找替代方案。本研究旨在评估学员对虚拟实地考察(VFTs)的反应,并通过编辑视频和专家访谈来确定成功的虚拟实地考察的教学设计特征。方法采用满意度、相关性和敬业度三大类问卷调查乌兹别克斯坦学员对EMS培训VFT的反应。通过开放式问题确定满意和不满意的因素。结果在2020 - 2022年开展的15期培训中,共有286名学员接受了调查。受训者对VFT的反应是积极的。满意度、相关性和参与度的总体平均得分分别为4.65±0.49、4.63±0.50和4.63±0.50(满分为5分)。受训者报告说,最有趣和最有帮助的录象是介绍环境管理系统训练课程和观察训练设施,例如教育机构的模拟中心。满意度的主要原因是(1)vft的真实性,(2)易于理解的内容,(3)与工作的相关性。学员们建议,在视频剪辑中,乌兹别克语或俄语的画外音比字幕更好,以专注于VFT。结论:在没有AFTs的情况下,使用编辑视频和专家访谈的vft是EMS教育的良好选择。基于这些结果,有可能在特定条件下,使用合格的视频和设计的指令作为远程学习方法的vft取代aft。
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引用次数: 0
期刊
Korean journal of medical education
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