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Evaluating the Effectiveness of a First Aid Training Programme for Individuals Without a Background in Medical Education. 评估针对无医学教育背景人员的急救培训计划的效果。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.2147/AMEP.S471561
Diana Ygiyeva, Lyudmila Pivina, Assylzhan Messova, Nazarbek Omarov, Gulnara Batenova, Ulzhan Jamedinova, Almas Dyussupov

Objective: People without a medical education background who have the skills and knowledge to provide emergency care can be useful in emergencies, disasters, earthquakes, and pandemics to save or support the life of an injured person until hospitalization or the arrival of an emergency medical team. The purpose of the study is to assess the knowledge and skills of first aid in individuals without a medical education background within a year after training.

Materials and methods: The study sample included 643 people without a medical education background. The study participants attended basic first aid training, the sessions that lasted for 18 hours. Participants answered a 10-question skills test before and after completing the course, as well as 6 months and 1 year after training. SPSS version 20.0 (IBM Ireland Product Distribution Limited, Ireland) was used for the statistical assessment of data, employing Cochran's Q test. Pairwise comparisons were made between different periods using the Wilcoxon test with Bonferroni correction.

Results: The mean age of the participants was 36 for males, and 42 for females. In the sample, males accounted for 70% (n = 441) and females for 30% (n = 202). The first aid training provided to persons without a medical education background significantly increased their level of knowledge. After 6 and 12 months, their knowledge and abilities remained significantly higher than before the training. However, these results were lower than they had been immediately after training.

Conclusion: The study demonstrated that first aid training significantly increased the knowledge level of non-medical individuals immediately after training and remained elevated after 6 and 12 months. However, there was a decline in the level of knowledge and skills over time, indicating the need for refresher training.

目的:在紧急情况、灾难、地震和大流行病中,具备急救技能和知识的无医学教育背景的人可以发挥作用,挽救或支持伤者的生命,直到住院治疗或急救医疗队到来。本研究的目的是评估没有医学教育背景的人在接受培训后一年内的急救知识和技能:研究样本包括 643 名没有医学教育背景的人。研究参与者参加了为期 18 个小时的基本急救培训。参加者在完成课程前后以及培训后 6 个月和 1 年回答了 10 个问题的技能测试。研究使用 SPSS 20.0 版(IBM 爱尔兰产品分销有限公司,爱尔兰)对数据进行统计评估,并采用 Cochran's Q 检验。不同时期的数据采用 Wilcoxon 检验和 Bonferroni 校正进行配对比较:参与者的平均年龄为 36 岁(男性)和 42 岁(女性)。在样本中,男性占 70%(441 人),女性占 30%(202 人)。为没有医学教育背景的人提供的急救培训大大提高了他们的知识水平。6 个月和 12 个月后,他们的知识和能力仍明显高于培训前。然而,这些结果都低于培训后的水平:研究表明,急救培训能显著提高非医务人员在培训后的知识水平,并且在 6 个月和 12 个月后仍然保持较高水平。然而,随着时间的推移,知识和技能水平有所下降,这表明有必要进行复习培训。
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引用次数: 0
Cultural Appropriation for Improved Knowledge Acquisition in Medical Education [Response to Letter]. 文化挪用促进医学教育中的知识获取 [回信]。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.2147/AMEP.S490640
Samar Abdelazim Ahmed, Nagwa N Hegazy
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引用次数: 0
The Museum as a Shared Space: Developing Contextual and Cross-Disciplinary Approaches to Arts-Based Education. 作为共享空间的博物馆:开发基于艺术教育的情境和跨学科方法。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.2147/AMEP.S464634
Kain Kim, Elizabeth Hornor, Ali-John Zarrabi

Introduction: Despite the growing evidence favoring use of context-based interdisciplinary pedagogies in medical education, museum learning remains underutilized as a low-cost, replicable tool for introducing such constructs. We describe a novel approach to museum-based education building off the existing pedagogy of Visual Thinking Strategies that heightens the role of context.

Methods: Outside the Frame, an optional elective at Emory University School of Medicine, was piloted in two iterations for a total of 7 second-year medical students who voluntarily enrolled in the course for the fall 2022 and 2023 semesters. Participating students were transitioning from the preclinical classroom environment to clinical clerkships, a period associated with feelings of personal and professional instability that may particularly benefit from critical reflection. The course included didactic components, hands-on crafting activities, presentations, and discussion groups. Student feedback was collected through anonymous pre- and post-course surveys, as well as written narrative reflections.

Results: All post-course responses ranked their experience of the course as being "valuable" or "very valuable". Narrative reflections were overall positive and highlighted the role of context and cross-disciplinary input in shaping metacognitive awareness and cultivating comfort with uncertainty.

Discussion: This pilot innovation demonstrates that a methodical framework to arts-based learning can elevate the role of context in a standardized museum education curriculum. Future visual arts and medicine courses may incorporate this framework to chart more active collaborations with museum educators and humanities faculty, as well as engage a broader range of communities and professional disciplines beyond medicine.

导言:尽管越来越多的证据表明在医学教育中使用以情境为基础的跨学科教学法是可行的,但博物馆学习作为一种低成本、可复制的工具,在引入此类建构方面仍未得到充分利用。我们介绍了一种基于博物馆的新型教育方法,该方法以现有的 "视觉思维策略"(Visual Thinking Strategies)教学法为基础,加强了情境的作用:框架之外》是埃默里大学医学院的一门选修课,在 2022 年秋季和 2023 年秋季学期,共有 7 名二年级医学生自愿选修了这门课程。参与课程的学生正从临床前的课堂环境过渡到临床实习,这一时期学生会感到个人和职业的不稳定,批判性反思可能会使他们受益匪浅。课程包括授课、动手制作活动、演讲和小组讨论。通过匿名的课前和课后调查以及书面叙述性反思,收集了学生的反馈意见:结果:所有课后反馈都将课程体验评为 "有价值 "或 "非常有价值"。叙述性反思总体上是积极的,并强调了情境和跨学科输入在塑造元认知意识和培养对不确定性的适应能力方面的作用:这一试点创新表明,基于艺术的学习方法框架可以提升情境在标准化博物馆教育课程中的作用。未来的视觉艺术与医学课程可以结合这一框架,与博物馆教育工作者和人文学科教师开展更积极的合作,并让医学以外的更多社区和专业学科参与进来。
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引用次数: 0
Cultural Appropriation for Improved Knowledge Acquisition in Medical Education [Letter]. 在医学教育中通过文化挪用改进知识获取[信]。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-06 eCollection Date: 2024-01-01 DOI: 10.2147/AMEP.S485530
Ambar Hussain, Henna Ahmed, Warda Mansur
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引用次数: 0
Knowledge of Antibiotic Use and Resistance Among Medical Students in Saudi Arabia [Letter]. 沙特阿拉伯医学生对抗生素使用和耐药性的了解[信函]。
IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-05 eCollection Date: 2024-01-01 DOI: 10.2147/AMEP.S487860
Imran Rauf
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引用次数: 0
Reflecting on Experiences of Senior Medical Students’ External Clinical Teaching Visits in General Practice Placements: A Pilot Study [Letter] 反思高年级医学生在全科实习中参加校外临床教学访问的经历:一项试点研究 [信函]
IF 2 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.2147/amep.s487391
Muhammad Shah Zaib Ilyas, Mohammed Hasan Qureshi, Laiba Minhas
Letter for the article Reflecting on Experiences of Senior Medical Students’ External Clinical Teaching Visits in General Practice Placements: A Pilot Study
反思高年级医学生在全科实习中的校外临床教学访问经历》一文的来信:试点研究
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引用次数: 0
Development, Implementation, and Assessment of an Online Modular Telehealth Curriculum for Health Professions Students 开发、实施和评估面向卫生专业学生的在线模块化远程保健课程
IF 2 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-07-29 DOI: 10.2147/amep.s468833
Daniel A Ostrovsky, Mitchell T Heflin, Margaret T Bowers, Nicholas M Hudak, Erin R Leiman, Tracy Truong, Kathleen Waite
Purpose: Several national health profession organizations endorse or have developed competencies for telehealth, yet there is no standardized curriculum for teaching telehealth to health professions students. Additionally, implementing telehealth curricula is challenging due to limited curricular space and differing needs of various health profession programs. We describe the development, implementation, and pilot assessment of an online, modular telehealth curriculum for health professions students.
Methods: An online, modular telehealth curriculum for health professions students was developed in 2021– 2022. Nine modules were created, focusing on the logistics of performing a telehealth visit and system-based virtual assessments. In academic year 2022– 2023, course directors from the Duke doctor of medicine (MD), physician assistant (PA), and nurse practitioner (NP) programs utilized modules in their courses. For modules taken, students were surveyed and self-assessed their confidence, knowledge gained, and likelihood of utilizing the telehealth skills taught in the module(s).
Results: During the 2022– 2023 academic year, MD, NP, and PA students at Duke participated in one or more of the telehealth modules in an existing course. The median responses to self-assessed confidence questions for all health profession students to be in the “moderately” or “very confident” range. Similarly, students reported a median response of “moderate knowledge gained” for each module taken. NP students reported slightly lower levels of confidence and likelihood of utilizing telehealth skills than other professions. No other significant differences in the remainder of responses were observed between health professions.
Conclusion: Exposure of health professions students to telehealth through utilization of online, interactive modules may result in increased telehealth skill confidence and knowledge, and furthermore, a belief that they will utilize these skills in future practice. Larger scale implementation of the telehealth curriculum and development of outcome measures which assess clinical application of skills conveyed will provide more information about the efficacy of the curriculum.

Keywords: interprofessional education, web-based education, asynchronous education, curricula innovation
目的:一些国家卫生专业组织认可或已制定了远程保健的能力要求,但目前还没有向卫生专业学生教授远程保健的标准化课程。此外,由于有限的课程空间和各种卫生专业课程的不同需求,实施远程保健课程具有挑战性。我们介绍了针对卫生专业学生的在线模块化远程保健课程的开发、实施和试点评估:方法:2021-2022 年,我们为卫生专业学生开发了在线模块化远程保健课程。共创建了九个模块,重点是进行远程保健访问的后勤工作和基于系统的虚拟评估。2022-2023 学年,来自杜克大学医学博士 (MD)、助理医师 (PA) 和执业护士 (NP) 课程的课程主任在他们的课程中使用了这些模块。对于所使用的模块,学生们接受了调查,并对自己的信心、获得的知识以及使用模块中教授的远程医疗技能的可能性进行了自我评估:在 2022-2023 学年期间,杜克大学的医学博士、护师和助理医师学生参加了现有课程中的一个或多个远程保健模块。所有健康专业学生对自我评估信心问题的回答中位数都在 "一般 "或 "非常有信心 "的范围内。同样,学生们对每个模块的回答中位数都是 "获得了适度的知识"。与其他专业相比,护士专业学生对使用远程保健技能的信心和可能性略低。在其余的回答中,没有观察到卫生专业之间有其他明显的差异:结论:通过利用在线互动模块让健康专业学生接触远程保健,可能会增强他们对远程保健技能的信心和知识,并进一步增强他们在未来实践中运用这些技能的信念。在更大范围内实施远程保健课程,并开发评估所传授技能临床应用的结果测量方法,将为课程的有效性提供更多信息。 关键词:跨专业教育、基于网络的教育、异步教育、课程创新
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引用次数: 0
Potential Impact of COVID-19 on Medical Career Aspirations of Prospective Students COVID-19 对未来学生医学职业志向的潜在影响
IF 2 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-07-29 DOI: 10.2147/amep.s457473
Md Anwarul Azim Majumder, Abdulmuhaimin Aslam Khatib, Taha Alhassan, Mohammed S Razzaque
Abstract: This article describes the evolving landscape of medical education in the wake of the COVID-19 pandemic, emphasizing the renewed importance of public health, mental well-being, and career choices among medical students. The pandemic has prompted a significant shift in medical student’s career aspirations, highlighting the need for mental health support mechanisms within the medical education framework. Medical students’ career choices are influenced directly and indirectly by the challenges and experiences of the pandemic era, which are discussed in this article under four key themes: traditional values, global health interests and disparities, developing trends, and digital healthcare. There is an urgent need to adjust medical training to the new reality and share the future directions of the medical education landscape by embracing diverse career paths in medicine, integrating technology into medical training, adapting to the changing context of medicine, and strengthening collaboration and communication. The pandemic underscores the importance of evidence-based patient care, necessitating the preparation of tomorrow’s doctors to address the emerging healthcare challenges with resilience, adaptability, and a comprehensive understanding of both local and global health challenges.

Keywords: COVID-19 pandemic, mental health, career aspirations, medical students, impact
摘要:本文描述了 COVID-19 大流行后医学教育的演变情况,强调了公共卫生、心理健康和职业选择在医学生中的新重要性。大流行促使医学生的职业理想发生了重大转变,凸显了在医学教育框架内建立心理健康支持机制的必要性。医学生的职业选择直接或间接地受到大流行病时代的挑战和经验的影响,本文将在四个关键主题下讨论这些挑战和经验:传统价值观、全球健康利益和差异、发展趋势和数字医疗。目前迫切需要调整医学培训以适应新的现实,并通过接受多样化的医学职业道路、将技术融入医学培训、适应不断变化的医学环境以及加强合作与交流来分享医学教育的未来发展方向。此次大流行强调了循证病人护理的重要性,要求未来的医生做好准备,以应对新出现的医疗挑战,具备应变能力、适应能力以及对当地和全球健康挑战的全面了解:COVID-19 大流行、心理健康、职业抱负、医学生、影响
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引用次数: 0
Response to “Medical Education Electives Can Promote Teaching and Research Interests Among Medical Students” [Response to Letter] 对 "医学教育选修课可促进医学生的教学和研究兴趣 "的回复[回信]
IF 2 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-07-22 DOI: 10.2147/amep.s486611
Sateesh B Arja, Sireesha Bala Arja, Praveen Kottath Veetil, Simi Paramban
Response to Letter in regards to Response to “Medical Education Electives Can Promote Teaching and Research Interests Among Medical Students” [Letter]
关于"“医学教育选修课可促进医学生的教学和研究兴趣”的回信 [信件]
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引用次数: 0
Refresh of a Clinical Skills Assessment for Physician Trainees 刷新医师培训生临床技能评估方法
IF 2 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-07-22 DOI: 10.2147/amep.s463223
Elizabeth Whiting, A Curtis Lee, Balakrishnan R Nair
Purpose: The Royal Australasian College of Physicians (RACP) oversees physician training across Australia and Aotearoa New Zealand. Success in a written examination and clinical skills assessment (known as the clinical examination) at the mid-point of training is a requirement to progress from basic to advanced training. The clinical examination had evolved over many years without a review process. This paper describes the approach taken, the changes made and the evaluation undertaken as part of a formal review.
Methods: A working party that included education experts and examiners experienced in the assessment of clinical skills was established. The purpose of the clinical examination and competencies being assessed were clarified and were linked to learning objectives. Significant changes to the marking and scoring approaches resulted in a more holistic approach to the assessment of candidate performance with greater transparency of standards. Evaluation over a 2-year period was undertaken before the adoption of the new approach in 2019.
Results: In 2017 testing of a new marking rubric occurred during the annual examination cycle which confirmed feasibility and acceptability. The following year an extensive trial utilising the new marking rubric and a new scoring approach took place involving 1142 examiners, 880 candidates and 5280 scoresheets which led to some minor modifications to the scoring system. The final marking and scoring approaches resulted in unchanged pass rates and improved inter-rater reliability. Feedback from examiners confirmed that the new marking and scoring approaches were easier to use and enabled better feedback on performance for candidates.
Conclusion: The refresh of the RACP clinical examination has resulted in an assessment that has clarity of purpose, is linked to learning objectives, has greater transparency of expected standards, has improved inter-rater reliability, is well accepted by examiners and enables feedback on examination performance to candidates.

Keywords: physician assessment, reliability, clinical assessment, long case, short case
目的:澳大利亚皇家内科学院(RACP)负责监督澳大利亚和新西兰的医师培训。培训中期的笔试和临床技能评估(称为临床考试)是由基础培训晋升为高级培训的必要条件。临床考试经历了多年的发展,却没有一个审查过程。本文介绍了作为正式审查的一部分所采取的方法、做出的改变和进行的评估:方法:成立了一个工作小组,成员包括教育专家和在临床技能评估方面经验丰富的考官。明确了临床考试的目的和所评估的能力,并将其与学习目标联系起来。对评分和计分方法进行了重大改革,从而以更全面的方法评估考生的表现,提高了标准的透明度。在 2019 年采用新方法之前,进行了为期两年的评估:2017 年,在年度考试周期内对新的评分标准进行了测试,确认了其可行性和可接受性。第二年,对新评分标准和新评分方法进行了广泛的试用,共有 1142 名考官、880 名考生和 5280 份评分表参与,最终对评分系统进行了一些小的修改。最终的评分和计分方法使及格率保持不变,并提高了评分者之间的可靠性。考官的反馈证实,新的评分和计分方法更易于使用,并能为考生提供更好的成绩反馈:RACP临床考试更新后的评估目的明确,与学习目标相关联,预期标准的透明度更高,评分者之间的可靠性得到了提高,得到了考官的认可,并能够向考生提供考试成绩反馈。
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引用次数: 0
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Advances in Medical Education and Practice
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