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Interactive learning objects as a solution to challenges in basic medical science teaching 交互式学习对象解决基础医学教学中的挑战
IF 0.3 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-20 DOI: 10.7196/ajhpe.2022.v14i3.1426
L. Keiller, PhD A Alblas, MSc BSc Hons, PhD J R Foiret, A. V. Keiller
Background. As a core component of any health professions curriculum, basic medical science modules facilitate learning of biology, anatomy, histology and physiology content. To redress the challenges of class size and poor tertiary education readiness, interactive learning objects could facilitate learning and enhance engagement between lecturers and students.Objective. To determine whether the use of learning objects in a basic medical science first-year module is an effective tool for enhancing the student learning experience. Methods. A case study research design with mixed methods of data collection was used. Participants provided informed consent for this study. Learning objects were incorporated into a basic medical sciences first-year module in the Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa. A correlation analysis between usage statistics and assessment results was used to determine the academic effectiveness of this intervention. A thematic network analysis identified the barriers and enablers of the intervention. Results. Student attempts at learning objects correlated with a higher assessment outcome for two of the three tutorials. Technical difficulties, timing and assessment format were barriers to learning with the use of learning objects. Enablers to learning included student enjoyment, facilitating understanding of core concepts, adaptation to new ways of learning and formative assessment. The module team received valuable feedback on the constructed learning environment through the qualitative data collected from students within this study. Conclusion. Interactive learning objects are useful and effective tools for facilitating learning in the context of large, diverse first-year health professions education classes.
背景作为任何卫生专业课程的核心组成部分,基础医学模块有助于学习生物学、解剖学、组织学和生理学内容。为了应对班级规模和高等教育准备不足的挑战,互动学习对象可以促进学习,并加强讲师和学生之间的互动。客观的确定在基础医学一年级模块中使用学习对象是否是增强学生学习体验的有效工具。方法。采用了混合数据收集方法的案例研究设计。参与者为本研究提供了知情同意书。学习对象被纳入南非斯泰伦博斯大学医学与健康科学学院一年级的基础医学模块。使用统计数据和评估结果之间的相关性分析被用来确定这种干预的学术有效性。专题网络分析确定了干预的障碍和促成因素。后果在三个教程中的两个教程中,学生对学习对象的尝试与较高的评估结果相关。技术困难、时间安排和评估形式是使用学习对象进行学习的障碍。促进学习的因素包括学生享受、促进对核心概念的理解、适应新的学习方式和形成性评估。模块团队通过本研究中从学生那里收集的定性数据,获得了关于构建的学习环境的宝贵反馈。结论互动学习对象是在大型、多样化的卫生专业一年级教育课程中促进学习的有用和有效的工具。
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引用次数: 0
Measuring final-year dental students’ ability to remove teeth independently using independence ratios 使用独立比率测量最后一年牙科学生独立拔牙的能力
IF 0.3 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-20 DOI: 10.7196/ajhpe.2022.v14i3.1360
Karl-Henry Merbold, MSc T C Postma BChD, T. C. Postma
Background. Universities are obliged to ensure that dental graduates possess the necessary skills to render safe and effective treatment. Empirical evidence regarding the development of safe and effective independent practice at undergraduate level is unfortunately lacking.Objectives. To measure final-year students’ abilities to correctly perform exodontia (tooth removal/extraction) skills independently, based on the applied postgraduate progressive independence theory. Methods. Fourteen clinical teachers systematically assessed 13 263 tooth extractions completed by final-year dental students (2014 - 2016). An independence ratio (extractions performed without assistance/total number of extractions) was used as the key performance indicator to provide feedback on the ability to complete procedures independently over time. A customised index was used for controlling the level of difficulty.Results. Final-year students (n=146) achieved independence ratios ranging between 90% and 94% (standard deviation 3.3%) by the end of their clinical training. Logical gradients of increased independence were illustrated with time, as well as variable performance among students. The level of difficulty index scores remained similar within cohorts per year of study. Acceptable assessment differences existed between clinical teachers, which could largely be explained by complex operational circumstances. Conclusions. As far as we are aware, this is the first study that quantified progressive independence in exodontia for undergraduate students. The measure was sensitive enough to show logical independence gradients and variance among students. Final-year students demonstrated that they could remove >8/10 teeth independently by the time of their graduation. The measure shows promise as a proxy of competence for skills that are often practised. It is recommended that factors that influence these measurements be examined in more detail.
背景。大学有义务确保牙科毕业生具备必要的技能,以提供安全有效的治疗。不幸的是,缺乏关于在本科阶段发展安全有效的独立实践的经验证据。基于应用研究生渐进式独立理论,衡量大四学生独立正确执行拔牙技能的能力。方法。14名临床教师系统评估了2014 - 2016年最后一年牙科学生完成的13 263例拔牙。独立性比率(在没有辅助的情况下进行的提取/提取的总数)被用作关键性能指标,以提供随时间独立完成过程的能力的反馈。采用自定义指标控制难度水平。最后一年的学生(n=146)在临床培训结束时达到了90%到94%的独立比率(标准差为3.3%)。随着时间的推移,独立性的逻辑梯度增加,以及学生之间的不同表现。在每年的研究中,队列中的难度指数得分水平保持相似。临床教师之间存在可接受的评估差异,这在很大程度上可以由复杂的操作环境来解释。结论。据我们所知,这是第一个量化大学生外牙发育渐进式独立性的研究。该指标足够敏感,可以显示学生之间的逻辑独立性梯度和方差。最后一年的学生证明,他们可以在毕业时独立地拔掉80 /10颗牙齿。这一指标表明,有希望的人能够胜任经常被练习的技能。建议对影响这些测量的因素进行更详细的检查。
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引用次数: 0
From implementation to revising simulation integration into undergraduate physiotherapy training 从实施到修订模拟整合到本科物理治疗训练
IF 0.3 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-20 DOI: 10.7196/ajhpe.2022.v14i3.1530
A. van der Merwe, R. Y. Barnes, M. Labuschagne
Background. Careful consideration of an increasingly underprepared tertiary student population, the limited use of simulation in South African (SA) healthcare education and a changing healthcare education milieu is required from SA educators when implementing, evaluating and revising simulation integration.Objectives. To develop a conceptual framework for the integration of simulation in the SA undergraduate physiotherapy programme.Methods. A non-experimental descriptive research design was used. A purposive sample of 15 healthcare educationalists from SA and abroad were approached to participate in a modified Delphi survey, informed by the results obtained from a systematic review identifying simulation integration framework elements. Data were analysed as percentages, with feedback provided to panel members following each round.Results. Data saturation was achieved after round 3, with a response rate of 73.3% (n=11). The main findings suggested that student preparation prior to simulation-based learning experiences (SBLEs) should include orientation to SBLE logistics and expectations (73%), and could include informal assessment of theory (64%). Inclusion of the feedback/debriefing process (82%), methods (100%) and timing (85%) as part of student and educator preparation were also deemed essential. Panel members agreed that programme evaluation in line with stakeholder feedback (92%) is vital for guiding adjustments to the programme that is integrating simulation.Conclusion. The developed conceptual framework indicates the necessity of student and educator preparation to ensure optimal SBLE participation and outcome achievement. Programme sustainability should be ensured through programme evaluation and adjustment, in line with stakeholder feedback, best practice and accrediting professional body guidelines.
背景在实施、评估和修订模拟整合时,南非教育工作者需要仔细考虑准备日益不足的高等教育学生群体、模拟在南非医疗保健教育中的有限使用以及不断变化的医疗保健教育环境。目标。为SA本科生物理治疗课程中模拟的集成开发一个概念框架。方法。采用非实验性描述性研究设计。根据确定模拟集成框架要素的系统审查结果,对来自南非和国外的15名医疗保健教育家进行了有针对性的抽样调查,以参与一项修改后的德尔菲调查。数据按百分比进行分析,并在每一轮之后向小组成员提供反馈。后果第3轮后数据饱和,应答率为73.3%(n=11)。主要研究结果表明,学生在基于模拟的学习体验(SBLE)之前的准备工作应包括对SBLE后勤和期望的介绍(73%),并可能包括对理论的非正式评估(64%)。将反馈/汇报过程(82%)、方法(100%)和时间安排(85%)作为学生和教育工作者准备的一部分也被认为是至关重要的。小组成员一致认为,根据利益相关者的反馈(92%)对计划进行评估,对于指导整合模拟的计划调整至关重要。结论所制定的概念框架表明了学生和教育工作者准备的必要性,以确保SBLE的最佳参与和成果。应根据利益攸关方的反馈、最佳做法和认证专业机构的指导方针,通过方案评估和调整,确保方案的可持续性。
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引用次数: 0
Medical students as research participants: Student experiences, questionnaire response rates and preferred modes 医学生作为研究参与者:学生经历、问卷回复率和首选模式
IF 0.3 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-20 DOI: 10.7196/ajhpe.2022.v14i3.1588
G. Joubert, MSc W J Ba, Steinberg, L. J. V. D. Merwe
Background. Research projects frequently include students, a potentially vulnerable population, as participants.Objectives. To determine University of the Free State (UFS) medical students’ experiences as research participants. Response rates to and preferences for hard copy and electronic questionnaires were also investigated.Methods. All 804 UFS undergraduate medical students in 2020 were approached to participate in this cross-sectional survey. Fourth- and fifth-year students and one-half of the third-year class were approached in person to complete anonymous hard copy questionnaires in a class setting. First- and second-year students and the other half of the third-year class were contacted electronically to complete anonymous electronic questionnaires.Results. Response rates to hard copy questionnaires were at least ~45% of the entire year group (and >70% of those to whom the questionnaire was distributed in class) compared with approximately a third of those contacted electronically. Students who responded to electronic questionnaires preferred electronic completion, whereas those who responded to hard copy questionnaires preferred the hard copy format, except fifth-year students. The majority of students (except those in their first year) had previously been approached to participate in research projects. Between a fifth and a third of all year groups indicated that they had refused participation at least once. More than a third of fifth-year students experienced insufficient time to decide on participation. Up to a quarter of third- to fifth-year groups had felt pressurised to participate.Conclusion. Hard copy questionnaires in class, the preferred data collection method for many students, produced better response rates but placed potential pressure on students to participate.
背景。研究项目经常包括学生,一个潜在的弱势群体,作为参与者。确定自由州大学(UFS)医学生作为研究参与者的经历。对纸质问卷和电子问卷的回复率和偏好也进行了调查。所有804名UFS本科医学生在2020年参与了这项横断面调查。四年级和五年级的学生以及一半的三年级学生在课堂上亲自完成了匿名的纸质调查问卷。研究人员通过电子方式联系一年级和二年级的学生以及三年级的另一半学生,让他们完成匿名电子问卷。纸质问卷的回复率在整个年级组中至少为45%(在课堂上分发问卷的学生中为70%),而电子问卷的回复率约为三分之一。回答电子问卷的学生更喜欢电子填写,而回答硬拷贝问卷的学生更喜欢硬拷贝格式,五年级学生除外。大多数学生(除了第一年的学生)之前都曾被邀请参与研究项目。五分之一到三分之一的年级组表示,他们至少拒绝参加过一次。超过三分之一的五年级学生没有足够的时间来决定是否参加。多达四分之一的三年级至五年级学生感到参与的压力。课堂上的纸质问卷是许多学生首选的数据收集方法,它产生了更好的回复率,但也给学生参与的潜在压力。
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引用次数: 0
Nursing students’ perceptions of support and active learning regarding simulation-based education in Lesotho: A quantitative study 护理学生对莱索托模拟教育的支持和主动学习的看法:一项定量研究
IF 0.3 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-20 DOI: 10.7196/ajhpe.2022.v14i3.1584
P. Moabi, N. Mtshali
Background. Simulation has taken centre stage in health sciences education in the context of the increasing adoption of a competency-based curriculum. Simulation replicates facets of the real world in an interactive manner that allows students to learn clinical skills and develop clinical reasoning skills in a safe learning environment. Facilitators have a responsibility to provide adequate instructional and psychological support to the students, while facilitating active and self-directed learning in the simulation environment.Objective. To explore and describe students’ perceptions of support and active learning regarding simulation-based education (SBE) in Lesotho.Methods. A quantitative descriptive exploratory study was conducted using a validated questionnaire. A total of 275 nursing students participated in the study. A stratified systematic random sampling method was used and data were analysed using SPSS version 27.Results. The majority of participants (87.9%) had a positive perception of support that was offered prior, during and after simulation, which they appreciated. Active learning was also perceived positively, as most of the participants indicated that they actively participated in, and not merely observed, simulation. The results showed significant associations between an opportunity given to students to discuss simulation objectives with the teacher and various institutions (p<0.05 (p=0.01)). Institutions with trained simulation facilitators provided students the opportunity to discuss simulation objectives with their teacher.Conclusion. The study showed that student support and active learning are essential when conducting SBE. Supporting students and actively involving them in the learning process lead to effective learning.
背景。在越来越多地采用以能力为基础的课程的背景下,模拟在健康科学教育中占据了中心地位。模拟以互动的方式复制现实世界的各个方面,使学生能够在安全的学习环境中学习临床技能和发展临床推理技能。辅导员有责任为学生提供充分的教学和心理支持,同时促进学生在模拟环境中主动和自主的学习。探索和描述莱索托学生对模拟基础教育(SBE)的支持和主动学习的看法。定量描述性探索性研究采用有效问卷进行。共有275名护生参与本研究。采用分层系统随机抽样方法,数据采用SPSS 27.Results软件进行分析。大多数参与者(87.9%)对模拟之前、期间和之后提供的支持有积极的看法,他们对此表示赞赏。主动学习也被认为是积极的,因为大多数参与者表示他们积极参与,而不仅仅是观察,模拟。结果显示,给予学生与教师讨论模拟目标的机会与各个机构之间存在显著关联(p<0.05 (p=0.01))。有训练有素的模拟辅导员的机构为学生提供了与老师讨论模拟目标的机会。研究表明,学生的支持和主动学习在开展SBE时至关重要。支持学生并让他们积极参与到学习过程中,从而实现有效的学习。
{"title":"Nursing students’ perceptions of support and active learning regarding simulation-based education in Lesotho: A quantitative study","authors":"P. Moabi, N. Mtshali","doi":"10.7196/ajhpe.2022.v14i3.1584","DOIUrl":"https://doi.org/10.7196/ajhpe.2022.v14i3.1584","url":null,"abstract":"Background. Simulation has taken centre stage in health sciences education in the context of the increasing adoption of a competency-based curriculum. Simulation replicates facets of the real world in an interactive manner that allows students to learn clinical skills and develop clinical reasoning skills in a safe learning environment. Facilitators have a responsibility to provide adequate instructional and psychological support to the students, while facilitating active and self-directed learning in the simulation environment.Objective. To explore and describe students’ perceptions of support and active learning regarding simulation-based education (SBE) in Lesotho.Methods. A quantitative descriptive exploratory study was conducted using a validated questionnaire. A total of 275 nursing students participated in the study. A stratified systematic random sampling method was used and data were analysed using SPSS version 27.Results. The majority of participants (87.9%) had a positive perception of support that was offered prior, during and after simulation, which they appreciated. Active learning was also perceived positively, as most of the participants indicated that they actively participated in, and not merely observed, simulation. The results showed significant associations between an opportunity given to students to discuss simulation objectives with the teacher and various institutions (p<0.05 (p=0.01)). Institutions with trained simulation facilitators provided students the opportunity to discuss simulation objectives with their teacher.Conclusion. The study showed that student support and active learning are essential when conducting SBE. Supporting students and actively involving them in the learning process lead to effective learning.","PeriodicalId":43683,"journal":{"name":"African Journal of Health Professions Education","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43782660","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
Student review of doctor-patient communication skills training in a South African undergraduate medical programme 学生对南非本科医学课程医患沟通技巧培训的回顾
IF 0.3 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-20 DOI: 10.7196/ajhpe.2022.v14i3.1570
D. Swinfen, Mhpe MB ChB, M. Labuschagne, PhD G Joubert
Background. Barriers to the training of doctor-patient communication in the South African (SA) context have been well explored through qualitative research at several SA medical schools. However, this aspect of training has not been reviewed in a systematic way by a large number of students. A student review of doctor-patient communication skills training in the undergraduate medical programme of a medical school in SA was obtained to improve training and identify further research needs.Objective. To investigate doctor-patient communication skills training in the undergraduate programme of a medical school in SA to identify shortcomings and further research needs.Methods. A descriptive, cross-sectional design was used. Data were collected through an anonymous questionnaire based on Harden’s extended vision of the curriculum. Printed anonymous questionnaires, distributed to all the fourth- and fifth-year undergraduate medical students, were analysed quantitatively. Open-ended questions were analysed qualitatively using grounded theory.Results. The sample comprised 106/132 fifth-year students (response rate 80.3%) and 65/120 fourth-year students (response rate 54.2%). Frequent training in history-taking was reported by >75% of students, while >60% reported infrequent training in breaking bad news. More than 50% of participants indicated that senior doctors seldom or never modelled patient-centred communication in the clinical teaching milieu. Students preferred experiential learning to didactic methods.Conclusion. Medical students want to see patient-centred communication unequivocally modelled in the clinical setting. A greater emphasis on practical training in context-specific communication skills is required. Positive role-modelling is needed in the clinical environment.
背景通过南非医学院的定性研究,已经很好地探讨了在南非(SA)背景下进行医患沟通培训的障碍。然而,这方面的培训并没有得到大量学生的系统审查。对南非一所医学院的本科生医学项目中的医患沟通技能培训进行了学生回顾,以改进培训并确定进一步的研究需求。客观的调查南非一所医学院本科生项目中的医患沟通技能培训,以找出不足之处和进一步的研究需求。方法。采用描述性横截面设计。数据是通过一份匿名问卷收集的,该问卷基于哈登对课程的扩展愿景。对分发给所有四年级和五年级医学本科生的印刷匿名问卷进行了定量分析。使用扎根理论对开放式问题进行了定性分析。后果样本包括106/132名五年级学生(回复率80.3%)和65/120名四年级学生(回应率54.2%)。据报道,75%以上的学生经常接受历史记录培训,而60%以上的学生报告说,不经常接受突发坏消息培训。超过50%的参与者表示,资深医生很少或从未在临床教学环境中模拟以患者为中心的沟通。学生们更喜欢体验式学习,而不是说教式学习。结论医学生希望看到以患者为中心的沟通在临床环境中明确建模。需要更加重视针对具体情况的沟通技能的实践培训。临床环境中需要积极的角色塑造。
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引用次数: 1
Learning style preferences among clinical year physiotherapy students in Ghana 加纳物理治疗临床年级学生的学习风格偏好
IF 0.3 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-20 DOI: 10.7196/ajhpe.2022.v14i3.1309
D. B. A. Afrifa, BSc J Quartey, PhD S Kwakye, J. Quartey
Background. Learning style is the manner by which one learns. Every student has a different and unique learning style. However, the educational implication of learning style preferences has been a source of controversy among researchers and educators.Objectives. To determine the learning style preferences of clinical year physiotherapy students.Methods. This cross-sectional study was conducted in 82 undergraduate physiotherapy students from two universities in Ghana. A data-capturing form was used to obtain participants’ sociodemographic information, while the Kolb learning style questionnaire was used to determine the learning style preferences of the students. The χ2 statistic was used to determine the association between gender and learning style preferences, as well as between level of study and learning style preferences. Results. The participants comprised 43 (52.4%) male students and 39 (47.6%) female students. Eight (9.8%) students preferred the accommodating learning style, 46 (56.0%) preferred the diverging learning style, 15 (18.3%) preferred the assimilating learning style and 13 (15.9%) preferred the converging learning style. There was a significant association between gender and preferred learning style (p=0.027), but no significant association between level of study and preferred learning style (p=0.179). Conclusion. This study revealed that the diverging learning style was the most preferred style, followed by the assimilating learning style. However, there was no association between gender and learning style preferences, as well as level of study and learning style preferences. Further research should be conducted to find the association between the learning environments and the learning style preferences.
背景学习风格是一个人学习的方式。每个学生都有不同的、独特的学习风格。然而,学习风格偏好的教育含义一直是研究人员和教育工作者争论的焦点。目标。确定物理治疗临床年级学生的学习风格偏好。方法。这项横断面研究是在加纳两所大学的82名物理治疗本科生中进行的。数据采集表用于获取参与者的社会人口统计信息,而Kolb学习风格问卷用于确定学生的学习风格偏好。χ2统计用于确定性别与学习风格偏好之间的关联,以及学习水平与学习风格喜好之间的关联。后果参与者包括43名(52.4%)男生和39名(47.6%)女生。8名(9.8%)学生更喜欢适应型学习方式,46名(56.0%)学生更倾向于发散型学习方式、15名(18.3%)学生喜欢同化型学习方式和13名(15.9%)学生倾向于融合型学习方式。性别与偏好学习风格之间存在显著相关性(p=0.027),但学习水平与偏好学习方式之间没有显著相关性(p=0.179)。研究表明,发散式学习风格是最受欢迎的学习风格,其次是同化式学习风格。然而,性别与学习风格偏好、学习水平和学习风格偏好之间没有关联。应进一步研究学习环境与学习风格偏好之间的关系。
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引用次数: 0
Motivation to enrol in a Master of Public Health postgraduate programme at a South African university 参加南非一所大学公共卫生硕士研究生课程的动机
IF 0.3 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-20 DOI: 10.7196/ajhpe.2022.v14i3.1554
PhD V Mathews
Background. In the context of a curriculum embedded in social perspectives linked to validated Master of Public Health (MPH) competencies, blended learning is used for learning and teaching. However, in a changing technological environment and embarking on the Fourth Industrial Revolution, it becomes imperative to understand the target audience using blended learning as a postgraduate learning environment. Curriculum restructuring and redesign have to take into account changing patterns in the context, environment and target audience for postgraduate programmes in public health.Objectives. To determine the demographic profile of master’s-level postgraduate public health students and their motivation for enrolling into a postgraduate programme.Methods. The study is a retrospective quantitative descriptive research design using secondary data from the application forms of all registered MPH postgraduate students enrolled for the degree from 2015 to 2019. Secondary data analysis was performed using descriptive analysis to calculate frequency, percentages, means and ranking order.Results. One hundred and eighty-four student records were analysed over the study period, with a 55% female and 45% male gender representation. South African students comprised 38% of the total number of students enrolled during the study period. The motivation to enrol in the MPH programme was to improve public health practice, specifically in the field of promotive and preventive aspects of public health. Further research into the motivation to enrol in a distance-learning postgraduate programme is required.Conclusion. The MPH programme attracts regional and international students from multidisciplinary fields, thereby improving public health practice by moving beyond clinical practice.
背景。在嵌入与公共卫生硕士(MPH)能力相关的社会观点的课程背景下,混合式学习用于学习和教学。然而,在不断变化的技术环境和第四次工业革命中,利用混合学习作为研究生学习环境来了解目标受众变得势在必行。课程结构调整和重新设计必须考虑到公共卫生研究生课程的背景、环境和目标受众不断变化的模式。目的:确定公共卫生硕士研究生的人口学概况及其入读研究生课程的动机。本研究是一项回顾性定量描述性研究设计,使用了2015年至2019年注册的所有MPH研究生的申请表中的辅助数据。二次资料分析采用描述性分析计算频率、百分比、平均值和排序顺序。在研究期间,研究人员分析了184名学生的记录,其中女性占55%,男性占45%。南非学生占研究期间入学学生总数的38%。参加公共卫生硕士课程的动机是改善公共卫生实践,特别是在公共卫生的促进和预防方面。需要对参加远程学习研究生课程的动机进行进一步研究。公共卫生硕士课程吸引了来自多学科领域的地区和国际学生,从而通过超越临床实践来改善公共卫生实践。
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引用次数: 0
The development of research competence among specialist registrars in South Africa: Challenges and opportunities for research education and capacity development 南非专业注册商研究能力的发展:研究教育和能力发展的挑战和机遇
IF 0.3 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-07-18 DOI: 10.7196/ajhpe.2022.v14i2.1418
K. Moxley
To equip physicians with the competencies that support evidence-based healthcare, curriculum frameworks for medical education often promote scholarly activity as an essential component of training. Many medical schools worldwide expect medical trainees to participate in some form of research during their undergraduate and postgraduate training. This requirement is especially important in Africa, where there is also much need to develop clinical research capacity and an evidence base that is contextualised to the specific healthcare challenges on the continent. In South Africa, the requirement for specialist trainees to complete a research project (as part of a Master of Medicine, MMed) was made mandatory from 2011 and has introduced several difficulties for many training centres. There is concern that institutions are failing to develop medical specialists who are competent in their role as scholars, particularly in their ability to conduct research. In this article, I review the South African literature that discusses the research component of medical specialist registration. In addition to summarising the challenges associated with MMed projects and recent efforts to address them, I interrogate whether the current status of MMed research education is likely to be contributing to the successful development of research competence among this unique group of postgraduates. By consolidating the current debate, I hope to encourage a point of departure between criticising the challenges and adopting proactive strategies to address them. There is a great need for medical educators to design innovative and learner-centred research education strategies that can better develop research competence among African healthcare professionals.
为了使医生具备支持循证医疗保健的能力,医学教育的课程框架通常将学术活动作为培训的重要组成部分。世界各地的许多医学院都希望医学实习生在本科生和研究生培训期间参与某种形式的研究。这一要求在非洲尤为重要,那里也非常需要发展临床研究能力和与非洲大陆具体医疗挑战相适应的证据基础。在南非,从2011年起,要求专业受训人员完成一个研究项目(作为医学硕士的一部分)是强制性的,这给许多培训中心带来了一些困难。有人担心,各机构未能培养出能够胜任学者角色的医学专家,特别是在进行研究的能力方面。在这篇文章中,我回顾了南非的文献,这些文献讨论了医学专家注册的研究组成部分。除了总结与MMed项目相关的挑战和最近解决这些挑战的努力外,我还询问MMed研究教育的现状是否有可能有助于这一独特研究生群体研究能力的成功发展。通过巩固当前的辩论,我希望在批评挑战和采取积极主动的战略来应对挑战之间找到一个切入点。医学教育工作者非常需要设计创新的、以学习者为中心的研究教育策略,以更好地培养非洲医疗保健专业人员的研究能力。
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引用次数: 2
A journey through interprofessional education: Students’ perspectives of teamwork in a transforming curriculum 跨专业教育之旅:转变课程中学生的团队合作观
IF 0.3 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-07-18 DOI: 10.7196/ajhpe.2022.v14i2.1423
A. Hendricks, N. Hartman, L. Olckers
Background. Student engagement in curricular transformation is topical at the University of Cape Town (UCT), including in its Faculty of Health Sciences (FHS). Teamwork, which is essential to contemporary interprofessional healthcare, is an objective of transformative health sciences education. This study offers a contemporary contribution from the perspective of students to earlier work on shared learning at UCT FHS.  Objectives. There is a paucity of research literature on this study’s target population. Therefore, a qualitative design was used to explore first-year health sciences students’ perceptions and experiences of teamwork within an undergraduate shared learning programme.  Methods. The primary data collection method was focus group discussion. Two additional qualitative methods, free-listing and pile-sorting, were used to expand upon data collected in the focus groups. Results were analysed thematically.  Results. The study sample (N=32) included first-year audiology, medical, occupational therapy, physiotherapy, and speech and language pathology students. The findings revealed that although their experiences of teamwork varied, students had a comprehensive perception of what teamwork entailed in their educational context. Therefore, the findings were used to generate a heuristic for teamwork learning for undergraduate health sciences students.  Conclusion. The study positions students to contribute tangibly to the curricular transformation process at their university. Students’ perspectives of teamwork may be useful in the future design and delivery of entry-level interprofessional courses aiming to instil teamwork skills.
背景开普敦大学(UCT),包括其健康科学学院(FHS),学生参与课程改革是一个热门话题。团队合作对当代跨专业医疗保健至关重要,是变革性健康科学教育的目标。这项研究从学生的角度为UCT FHS早期的共享学习工作提供了当代贡献。目标。关于这项研究的目标人群的研究文献很少。因此,采用定性设计来探索健康科学一年级学生在本科生共享学习计划中对团队合作的看法和体验。方法。主要的数据收集方法是焦点小组讨论。使用了另外两种定性方法,即自由列表和成堆排序,来扩展在重点小组中收集的数据。结果按主题进行分析。结果。研究样本(N=32)包括一年级听力学、医学、职业治疗、物理治疗以及言语和语言病理学学生。研究结果表明,尽管他们的团队合作经历各不相同,但学生们对团队合作在他们的教育背景下意味着什么有着全面的认识。因此,研究结果被用于为健康科学本科生的团队合作学习生成启发式方法。结论。这项研究使学生能够为大学的课程改革过程做出切实的贡献。学生的团队合作观点可能有助于未来设计和提供旨在灌输团队合作技能的入门级跨专业课程。
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African Journal of Health Professions Education
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