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Kolb's Experiential Learning in Action: A Curriculum for Residents 科尔布的体验式学习在行动:为住院医师设计的课程。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-26 DOI: 10.1111/tct.70344
Kelci Butler, Sarah Klein, Danny Mackenzie, Najla Zayed, Mariane Cindy Ndiaye, Melanie Marsh

Background

Although there is a growing number of children dependent on medical technology, graduating paediatric residents are underprepared to adequately care for these patients.

Objective

We aimed to help fill this educational gap by piloting a novel hands-on medical device curriculum and assessing learner-driven outcomes.

Methods

We used Kern's six-step approach to develop, implement, and evaluate our curriculum. Five educational workshops (central lines, chest tubes, enteral feeds, tracheostomies, shunts) were designed using Kolb's experiential learning theory. Workshops were led by multidisciplinary content experts and integrated into a noon conference series. We studied the curricular impact by measuring feasibility and learner relevance as well as competency-based outcomes via self-evaluations, board-style knowledge assessments and Accreditation Council for Graduate Medical Education (ACGME) Milestones.

Results

Thirteen postgraduate year 1 (PGY1) paediatric residents participated in the curriculum. Thematic analysis highlighted the value of practical application of skills with improved comfort managing medical devices. Exposed residents demonstrated statistical improvement in self-assessed skills associated with 3/5 devices and in 9/10 Milestones. These residents also scored higher on the knowledge assessment compared to nonexposed peers, though this was not statistically significant.

Discussion

Our study demonstrates the value of a hands-on medical device curriculum in formal paediatric resident education. While this curriculum was successfully integrated into a traditional didactic series, was universally enjoyed, and had a meaningful impact on acquired skills and knowledge, further research on patient-level outcomes may be valuable for programmes interested in adapting a similar learning experience into their current educational model.

背景:虽然有越来越多的儿童依赖于医疗技术,毕业儿科住院医师准备不足,以充分照顾这些病人。目的:我们旨在通过试点一种新颖的动手医疗器械课程和评估学习者驱动的结果来帮助填补这一教育差距。方法:我们使用Kern的六步法来开发、实施和评估我们的课程。五个教育工作坊(中央静脉导管、胸管、肠内喂养、气管切开术、分流术)采用Kolb的体验式学习理论设计。讲习班由多学科内容专家主持,并纳入了午间系列会议。我们通过测量可行性和学习者相关性来研究课程影响,并通过自我评估、董事会式知识评估和研究生医学教育认证委员会(ACGME)里程碑来研究基于能力的结果。结果:13名研究生一年级(PGY1)儿科住院医师参加课程。专题分析强调了实际应用技能的价值,并提高了管理医疗设备的舒适度。暴露的居民在与3/5设备和9/10里程碑相关的自我评估技能方面表现出统计上的改善。这些居民在知识评估方面的得分也高于未接触过的同龄人,尽管这在统计上并不显著。讨论:我们的研究证明了在正规儿科住院医师教育中实践医疗器械课程的价值。虽然该课程成功地融入了传统的教学系列,受到普遍欢迎,并对获得的技能和知识产生了有意义的影响,但对患者水平结果的进一步研究可能对有兴趣将类似学习经验融入其当前教育模式的项目有价值。
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引用次数: 0
‘Dragon's Den’: Gamifying Handover Skills Teaching “龙穴”:游戏化交接技能教学。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-25 DOI: 10.1111/tct.70338
Mary Catherine Mina, Mu'Azzamah Ahmad, Janet Skinner

Background

Effective communication during patient handovers is critical to ensuring patient safety. While previous teaching methods locally have been successful, they have typically relied on substantial faculty input and resources. Drawing inspiration from contemporary approaches to small group learning, this study explores the impact of a gamified clinical simulation—delivered through an interactive, ‘Dragon’s Den’-style format—on medical students’ self-reported confidence and preparedness in handover and referral skills.

Approach

A 90-min workshop was developed incorporating a ‘Dragon’s Den’-inspired activity. Students assumed the role of ‘investors’, in teams, using a structured checklist to evaluate pre-recorded video handovers. This was followed by paired practice of referrals with fictional clinical scenarios, during which students gave and received peer feedback, using the same checklist. Paired pre- and postsession responses were collected via Wooclap to assess changes in self-reported confidence and preparedness. An anonymous free-text feedback form was also distributed following the session.

Evaluation

Quantitative analysis revealed a statistically significant improvement in both confidence and preparedness. Thematic analysis of qualitative feedback highlighted that students found the session engaging, relevant, and valuable; however, some expressed a desire for additional resources and suggested the session may be beneficial if scheduled earlier in the curriculum.

Implications

This study supports the use of gamified clinical simulation as an effective method for teaching handover skills. The peer-led, experiential format offers a scalable, low-resource approach that aligns well with the constraints of modern medical curricula. Moreover, this model carries potential for broader application in wider educational settings.

背景:在病人交接过程中有效的沟通是确保病人安全的关键。虽然以前的教学方法在当地取得了成功,但它们通常依赖于大量的教师投入和资源。从当代小组学习方法中获得灵感,本研究探讨了游戏化临床模拟的影响——通过互动的“龙穴”式的形式——对医学生自我报告的信心和准备移交和转诊技能的影响。方法:开发了一个90分钟的研讨会,其中包括“龙穴”的灵感活动。学生们在团队中扮演“投资者”的角色,使用结构化的清单来评估预先录制的视频移交。接下来是虚构临床场景的推荐配对练习,在此期间,学生使用相同的检查表给出和接收同伴反馈。通过Wooclap收集成对的会前和会后反应,以评估自我报告的信心和准备的变化。会议结束后还分发了一份匿名的免费文本反馈表格。评价:定量分析显示在信心和准备方面有统计学上的显著改善。对定性反馈的专题分析强调,学生们认为会议具有吸引力、相关性和价值;然而,有些人表示希望获得额外的资源,并建议如果将该会议安排在课程的早期,可能会有好处。意义:本研究支持使用游戏化临床模拟作为教学交接技能的有效方法。同行主导的经验形式提供了一种可扩展的、低资源的方法,很好地符合现代医学课程的限制。此外,这种模式具有在更广泛的教育环境中得到更广泛应用的潜力。
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引用次数: 0
Preparing Medical Students for the Operating Theatre Using Video-Based Learning 利用视频学习为医学生准备手术室。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-21 DOI: 10.1111/tct.70351
Lachlan Dick, Katie Hughes, Lewis Turmeau, Rohan Burla, Ben Morrison, Lorraine Close, Kirsty Dundas

Background

The complexities of the operating theatre present barriers to learning, particularly for medical students. Enhanced preparation, focusing on the expectations, behaviours and environment of the operating theatre, is essential to ensure students feel confident when attending. Traditional teaching modalities are often limited by resources required, highlighting the need for an engaging, standardised, and resource-efficient approach.

Approach

Multiple video-based modalities were leveraged: (1) a brief educational video showcasing appropriate and examples of inappropriate theatre attire, (2) a 360° tour of a typical operating theatre at our institution and (3) Shadowbox simulation videos depicting frequent challenges students face in this environment. A 60-min session was embedded within the existing induction programme for early clinical year students. Students interacted with each video, with interactive polling and quizzes used to reinforce key learning points.

Evaluation

Students rated the session as enjoyable and relevant to their learning. Across a number of domains, self-perceived preparedness significantly improved after the session. Qualitative analysis revealed that following the session, students' intended future behaviours in the operating theatre included engaging with preoperative practices, being primed for active participation and seeking learning opportunities beyond the operating theatre.

Implications

The model is low-cost, easily updated, and transferable across institutions, supporting scalability and sustainability in diverse educational settings. The next phase will focus on evaluating the longitudinal impact of this intervention on student experiences during clinical placements and developing video-based resources to guide students through the process of surgical hand preparation and gowning.

背景:手术室的复杂性给学习带来了障碍,尤其是对医学生。加强准备,关注手术室的期望、行为和环境,对于确保学生在参加手术时感到自信至关重要。传统的教学模式往往受到所需资源的限制,因此需要一种吸引人的、标准化的和资源高效的方法。方法:多种基于视频的模式被利用:(1)一个简短的教育视频,展示合适的和不合适的剧院服装的例子,(2)在我们机构的一个典型手术室的360°之旅,(3)Shadowbox模拟视频,描述学生在这种环境中经常面临的挑战。一个60分钟的课程被嵌入到现有的临床学年早期学生的入门课程中。学生们与每个视频互动,通过互动投票和测验来加强关键的学习要点。评价:学生们认为课程是愉快的,与他们的学习相关。会议结束后,在许多领域,自我感知的准备情况显著改善。定性分析显示,课程结束后,学生在手术室的预期未来行为包括参与术前实践,为积极参与做好准备,并寻求手术室以外的学习机会。启示:该模型成本低,易于更新,可跨机构转移,支持在不同教育环境中的可扩展性和可持续性。下一阶段将重点评估这种干预对学生临床实习经历的纵向影响,并开发基于视频的资源,指导学生完成手术手准备和更衣的过程。
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引用次数: 0
Effectiveness of a Combined PBL-SBL Training Model for Emergency Management of Iodinated Contrast Media Allergic Reactions PBL-SBL联合培训模式在碘造影剂过敏反应应急管理中的有效性
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-21 DOI: 10.1111/tct.70346
Ping Yin, Ying Liu, Shuping Xiao, Ling Fu

Objective

The objective of this study is to evaluate the effectiveness of a novel training model that integrates problem-based learning (PBL) and simulation-based learning (SBL) in improving the emergency response of radiology staff to iodinated contrast media (ICM) allergic reactions.

Methods

A sequential exploratory mixed-methods design was employed. First, qualitative data from semi-structured interviews with nine radiology staff members (June–August 2024) were analysed using Colaizzi's method to inform the development of a contextually relevant PBL-SBL training model. Subsequently, a randomised controlled trial (September–December 2024) was conducted with 60 radiology staff (physicians, technologists and nurses), who were assigned to either an observation group (PBL-SBL training) or a control group (traditional lectures and skill demonstration). The primary outcome was emergency skills performance, assessed via a structured practical simulation. Secondary outcomes included critical thinking disposition, measured by the Critical Thinking Disposition Inventory (CTDI-CV), and training satisfaction.

Results

Compared to the control group, the observation group performed significantly better in emergency procedures, medication use and teamwork (Z = −6.544 to −6.667, p < 0.05) and scored higher across all critical thinking dimensions (Z = −5.660 to −6.654, p < 0.01). They also reported higher satisfaction with teaching methods, stronger teamwork and self-directed learning, improved learning quality and greater learning interest (Z = −2.149 to −5.161, p < 0.05).

Conclusion

The integrated PBL-SBL model is more effective than traditional methods in enhancing emergency skills, critical thinking and learner satisfaction, supporting its adoption for training healthcare providers in managing ICM allergies.

目的:本研究的目的是评估结合基于问题的学习(PBL)和基于模拟的学习(SBL)的新型培训模式在提高放射科工作人员对碘造影剂(ICM)过敏反应的应急反应方面的有效性。方法:采用顺序探索性混合方法设计。首先,使用Colaizzi的方法分析了对9名放射科工作人员(2024年6月至8月)进行的半结构化访谈的定性数据,以建立与环境相关的PBL-SBL培训模型。随后,对60名放射科工作人员(医生、技术人员和护士)进行了随机对照试验(2024年9月至12月),他们被分配到观察组(PBL-SBL培训)或对照组(传统讲座和技能演示)。主要结果是应急技能表现,通过结构化的实际模拟进行评估。次要结果包括批判性思维倾向(由批判性思维倾向量表(CTDI-CV)测量)和培训满意度。结果:与对照组相比,观察组在急救程序、药物使用和团队合作方面的表现显著优于对照组(Z = -6.544 ~ -6.667, p)。结论:PBL-SBL综合模型在提高急救技能、批判性思维和学习者满意度方面比传统方法更有效,支持将其用于ICM过敏管理培训。
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引用次数: 0
Navigating Metacognitive Disorientation: Medical Students' Experiences of Complex Tasks 导航元认知迷失:医学生复杂任务体验。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-21 DOI: 10.1111/tct.70339
Jennifer F. Zepf, Elizabeth Koltz, Alycia Chinai, Lara Varpio, Miriam Hoffman, Jerusalem Merkebu

Purpose

Medical training is full of challenging moments due to the increasing volume and complexity of medical knowledge and skills. Thus, an understanding of how learners experience moments of knowledge deficits is important. This study sought to gain insight into medical students' metacognitive reflections when they encounter knowledge gaps.

Methods

In July 2023, 12 medical students from five cohorts at a private US medical school were recruited via email after providing informed consent. This constructivist study analyzed participants' thoughts and emotions when confronted with a complex clinical scenario using think-alouds and debriefing interviews. Interviews were recorded, transcribed and analyzed using Braun and Clark's thematic coding approach.

Results

Our analysis suggests that while participants had disorienting metacognitive experiences in the face of challenging clinical scenarios, they also displayed awareness of their limitations. This awareness was accompanied by a sense of responsibility and efficacy to address those limitations. Additionally, participants' knowledge deficits were characterized by disorganized reasoning and feelings of uncertainty, which for some could then grow into frustration, embarrassment and various kinds of emotional discomfort. Participants reported feeling ill-equipped to move past these moments.

Conclusions

Given that medical students must engage in complex tasks that highlight their knowledge gaps, metacognitive reflection training can provide the tools learners need to regulate emotions. Specifically, training in monitoring, regulation and control could equip students to manage discomfort and stay engaged in effortful learning. This insight will be helpful in determining how to design and teach layered metacognitive reflection skills within medical curricula.

目的:由于医学知识和技能的数量和复杂性不断增加,医学培训充满了挑战。因此,了解学习者如何经历知识缺失的时刻是很重要的。本研究旨在了解医学生在遇到知识空白时的元认知反思。方法:在提供知情同意后,于2023年7月通过电子邮件从美国一所私立医学院的五个队列中招募12名医学生。这个建构主义研究分析了参与者在面对复杂的临床场景时的想法和情绪,使用了大声思考和汇报访谈。访谈记录,转录和分析使用布劳恩和克拉克的主题编码方法。结果:我们的分析表明,虽然参与者在面对具有挑战性的临床场景时有迷失方向的元认知体验,但他们也表现出对自己局限性的意识。这种认识还伴随着一种责任感和解决这些限制的效能感。此外,参与者的知识缺陷以推理混乱和不确定感为特征,对一些人来说,这可能会发展成沮丧、尴尬和各种各样的情绪不适。参与者报告说,他们觉得自己没有准备好度过这些时刻。结论:鉴于医学生必须从事复杂的任务,突出他们的知识差距,元认知反思训练可以提供学习者调节情绪所需的工具。具体来说,监测、监管和控制方面的培训可以让学生掌握管理不适的能力,并保持努力学习的状态。这一见解将有助于确定如何在医学课程中设计和教授分层元认知反射技能。
{"title":"Navigating Metacognitive Disorientation: Medical Students' Experiences of Complex Tasks","authors":"Jennifer F. Zepf,&nbsp;Elizabeth Koltz,&nbsp;Alycia Chinai,&nbsp;Lara Varpio,&nbsp;Miriam Hoffman,&nbsp;Jerusalem Merkebu","doi":"10.1111/tct.70339","DOIUrl":"10.1111/tct.70339","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Medical training is full of challenging moments due to the increasing volume and complexity of medical knowledge and skills. Thus, an understanding of how learners experience moments of knowledge deficits is important. This study sought to gain insight into medical students' metacognitive reflections when they encounter knowledge gaps.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In July 2023, 12 medical students from five cohorts at a private US medical school were recruited via email after providing informed consent. This constructivist study analyzed participants' thoughts and emotions when confronted with a complex clinical scenario using think-alouds and debriefing interviews. Interviews were recorded, transcribed and analyzed using Braun and Clark's thematic coding approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our analysis suggests that while participants had disorienting metacognitive experiences in the face of challenging clinical scenarios, they also displayed awareness of their limitations. This awareness was accompanied by a sense of responsibility and efficacy to address those limitations. Additionally, participants' knowledge deficits were characterized by disorganized reasoning and feelings of uncertainty, which for some could then grow into frustration, embarrassment and various kinds of emotional discomfort. Participants reported feeling ill-equipped to move past these moments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Given that medical students must engage in complex tasks that highlight their knowledge gaps, metacognitive reflection training can provide the tools learners need to regulate emotions. Specifically, training in monitoring, regulation and control could equip students to manage discomfort and stay engaged in effortful learning. This insight will be helpful in determining how to design and teach layered metacognitive reflection skills within medical curricula.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47324,"journal":{"name":"Clinical Teacher","volume":"23 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020957","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 Paramedic Perspectives of the Skills, Knowledge and Attributes Required to be a Preceptor: A Cross-Sectional Survey 学生护理人员的技能,知识和属性的观点,需要成为一个导师:横断面调查。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-20 DOI: 10.1111/tct.70348
Andrew Van Noordenburg, Elisabeth Jacob, Scott Devenish

Introduction

Clinical placement provides a valuable opportunity for healthcare students to apply their theoretical knowledge in a real-world setting. In paramedicine, factors such as the number and variety of clinical cases can affect the learning experience. The ability of paramedics to effectively undertake the preceptor role can also impact student learning. Therefore, improving the effectiveness of paramedic preceptors may enhance clinical placements for students. This study explored student perspectives on the skills, knowledge and attributes required to be an effective paramedic preceptor.

Methods

Using convenience and snowball sampling, in September 2024, a cross-sectional online survey was conducted with second-, third- and fourth-year undergraduate and postgraduate students enrolled in an Australian entry-to-practice university paramedicine programs. Students were required to have completed a formally assessed clinical placement to be eligible to participate.

Results

Survey responses were received from seventy-five (N = 75) student paramedics. Descriptive data analysis revealed that the key personal attributes paramedic preceptors require are being respectful, approachable and enthusiastic. Knowing how to provide constructive feedback and develop critical thinking skills in students was also viewed as highly important. Additionally, paramedic preceptors are expected to be skilled communicators in high-stress situations.

Conclusion

These findings may help improve student clinical placement experiences by outlining the skills, knowledge and attributes required of paramedic preceptors. Further research is needed to understand paramedics' views on this topic and the best way to prepare them for the preceptor role.

简介:临床实习为医疗保健学生提供了一个宝贵的机会,将他们的理论知识应用到现实世界中。在辅助医学中,临床病例的数量和种类等因素会影响学习体验。护理人员有效承担导师角色的能力也会影响学生的学习。因此,提高护理教师的有效性可能会增加学生的临床实习。本研究探讨了学生的观点,技能,知识和属性,需要成为一个有效的护理教师。方法:采用便利抽样和滚雪球抽样的方法,于2024年9月对澳大利亚一所初入执业大学辅助医学专业的二、三、四年级本科生和研究生进行横断面在线调查。学生需要完成正式的临床实习评估才有资格参加。结果:共收到75名(N = 75)护理专业学生的调查回复。描述性数据分析显示,关键的个人属性护理教师要求是尊重,平易近人和热情。知道如何提供建设性的反馈和培养学生的批判性思维技能也被认为是非常重要的。此外,护理人员应在高压力情况下成为熟练的沟通者。结论:这些发现可能有助于通过概述护理教师所需的技能、知识和属性来改善学生的临床实习经验。需要进一步的研究来了解护理人员对这一主题的看法,以及为他们的导师角色做好准备的最佳方式。
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引用次数: 0
Head-Mounted Cameras in Virtual Clinical Learning 虚拟临床学习中的头戴式摄像机。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-20 DOI: 10.1111/tct.70341
Tessa A. Mulder, Soufian Meziyerh, Argho Ray, Arianne D. Pieterse, Johannes W. de Fijter, Peter G. M. de Jong, Floris M. van Blankenstein, Esther C. Hamoen

Background

Clinical workplace learning was severely disrupted during the COVID-19 pandemic because of social distancing measures. In response, we developed a Virtual Clinic using head-mounted cameras to preserve authentic patient contact and clinical team interaction for medical students. Our aim was to create virtual teaching activities that allowed participation in real-time patient care and facilitated peer learning and feedback.

Approach

The Virtual Clinic was established in a separate space with live video connections to the hospital ward. Students rotated between wearing head-mounted cameras during rounds, teaching visits and consultations, whereas peers observed remotely in small groups. Educational design was informed by principles of authentic and active learning strategies. Remote students contributed through discussion, documentation tasks and peer feedback.

Evaluation

Twenty-seven medical students participated in the Virtual Clinic during their internal medicine clerkship. Data were collected through 37 Likert-scale items and 13 open-ended questions. Students reported that Virtual Patient Rounds and Virtual Teaching Visits were both engaging and intellectually stimulating. Despite remote engagement, students reported a strong sense of integration within the medical team. Limitations included occasional connectivity issues.

Implications

This innovation supported continued clinical education during pandemic restrictions while fostering student autonomy and team integration. The approach is transferable to other disciplines and contexts, such as interprofessional or global health education. Key lessons include the potential for virtual bedside learning beyond COVID-19.

背景:COVID-19大流行期间,由于社会距离措施,临床工作场所学习严重中断。为此,我们开发了一个虚拟诊所,使用头戴式摄像机为医学生保留真实的患者接触和临床团队互动。我们的目标是创建虚拟教学活动,允许参与实时患者护理,并促进同伴学习和反馈。方法:虚拟诊所建立在一个独立的空间,与医院病房进行实时视频连接。学生们轮流戴着头戴式摄像头进行查房、教学访问和咨询,而同龄人则以小组形式远程观察。教育设计遵循真实和主动学习策略的原则。远程学生通过讨论、文档任务和同伴反馈做出贡献。评价:27名医科学生在内科实习期间参与了虚拟诊所。数据通过37个李克特量表项目和13个开放式问题收集。学生们报告说,虚拟查房和虚拟教学访问既吸引人又能激发智力。尽管远程参与,但学生们报告说,他们在医疗团队中有很强的融合感。限制包括偶尔的连接问题。启示:这一创新支持在疫情限制期间继续进行临床教育,同时培养学生的自主性和团队整合能力。该方法可转移到其他学科和背景,如跨专业或全球健康教育。关键的经验教训包括COVID-19之外的虚拟床边学习的潜力。
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引用次数: 0
Response to Peer Mentoring as a Community of Practice in Medical Education 对同侪辅导作为医学教育实践社群的回应。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-19 DOI: 10.1111/tct.70330
Rebecca O'Dell, Muskan Sharma, Stephen Ho, Gabriela Bodero Jimenez
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引用次数: 0
Implementing an Interprofessional Simulation Program for Paediatric Patient Safety 实施儿科患者安全的跨专业模拟程序。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-07 DOI: 10.1111/tct.70301
David D'Arienzo, Mylene Dandavino, Andrée-Anne Matte, Stephanie Welsh, Catherine Rich, Nadine Korah

Background

Simulation-based medical education is a widely recognised tool to improve patient safety culture and outcomes. Many preventable clinic errors are specific to the unit where they occur. We planned and conducted an interprofessional in situ simulation program aligned with unit-specific errors and report its design, implementation and evaluation.

Approach

This prospective, survey-based study was conducted at a paediatric tertiary care centre on a medical–surgical inpatient ward. Incident and accident reports were reviewed; the most frequent and/or severe events were identified. Eight in situ simulations were implemented over 8 months. Participants, including residents, medical students, nurses, pharmacists and physicians completed a survey exploring perceptions of the program's ability to improve patient safety.

Evaluation

Incident reports over 12 months were reviewed (n = 329). Four most frequent and serious errors were identified: intravenous solutions selection, enteral feeding rate or type selection, medication transcription and IV infiltration. Simulation participation rate was 86%; survey response rate was 65%. We evaluated the program using Kirkpatrick's model of educational training, assessing reaction through self-reported surveys and results through changes in incident report frequency. Overall, 86% of participants responded positively regarding the program's potential impact to enhance patient safety. This is supported by an increase in incident reporting the year following program implementation and a decrease in each simulation-targeted medical error, albeit not statistically significant.

Implications

Our experience in creating an in situ simulation program that aligns with unit-specific needs and addresses implementation challenges may provide valuable insights for other centres seeking enhance patient safety.

背景:基于模拟的医学教育是一种广泛认可的工具,可以改善患者安全文化和结果。许多可预防的临床错误是特定于他们发生的单位。我们计划并实施了一个针对特定单元错误的跨专业现场模拟程序,并报告了其设计、实施和评估。方法:这项前瞻性的,基于调查的研究是在儿科三级保健中心的内科-外科住院病房进行的。检讨事件及意外报告;确定了最频繁和/或最严重的事件。在8个月内进行了8次原位模拟。包括住院医生、医学生、护士、药剂师和医生在内的参与者完成了一项调查,以了解该计划改善患者安全的能力。评估:回顾了过去12个月的事件报告(n = 329)。确定了四种最常见和最严重的错误:静脉输液选择、肠内给药速度或类型选择、药物转录和静脉滴注。模拟参与率为86%;调查回应率为65%。我们使用Kirkpatrick的教育培训模型来评估这个项目,通过自我报告的调查来评估反应,通过事件报告频率的变化来评估结果。总体而言,86%的参与者对该计划在提高患者安全方面的潜在影响做出了积极的回应。这一点得到了项目实施后一年事件报告数量增加和每个针对模拟的医疗错误减少的支持,尽管在统计上并不显著。启示:我们在创建符合单位特定需求和解决实施挑战的现场模拟程序方面的经验可能为其他寻求提高患者安全的中心提供有价值的见解。
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引用次数: 0
The Educator-in-the-Loop: Intentional Integration of Generative Artificial Intelligence in Health Professions Education 教育工作者在循环中:生成性人工智能在卫生专业教育中的有意整合。
IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-01 DOI: 10.1111/tct.70324
Galina Gheihman, Hange Li, Gergely Csaba, Stephen Bacchi, Kathleen Huth, Traci A. Wolbrink
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引用次数: 0
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