BMC Medical Education最新文献

Background: Self-Directed Learning (SDL) is a theory of andragogy in which adult learners take their own initiative to identify and tailor their individual learning process and outcomes. In undergraduate medical education, SDL aims to develop medical students into lifelong learners. This study aims to estimate the overall effectiveness of self-directed learning compared to traditional didactic learning (TDL).

Methods: We performed a systematic review and meta-analysis according to the PRISMA statement. A systematic search was used across PubMed, Scopus, Embase and Google Scholar to identify peer-reviewed articles spanning from January 1, 2014, to May 30, 2024. Key words used were "self-directed learning" AND "undergraduate medical education." Forest plots were generated with the Open Meta-analyst Software, comparing SDL and TDL.

Results: A total of 2,955 titles and abstracts were screened for eligibility, of which 95 articles met the eligibility criteria for full-text review. Following a more detailed screening, 19 articles met the criteria for inclusion in the systematic review and 14 articles met the criteria for inclusion in the meta-analysis. The systematic review included 2,098 students while the meta-analysis included 1,792 students. The overall mean difference for all studies was 2.399, 95% CI [0.121-4.678], and I² = 98.56%.

Conclusion: Self-directed learning compared to traditional didactic learning is an effective learning strategy in medical undergraduate education and has the potential to aid in students' learning and improve their cognitive performance. Moreover, SDL nurtures qualities such as autonomy, curiosity, and self-regulation, which are essential for success in the ever-evolving field of medicine.

Background: The aim of this study was to investigate how facilitators approach and use nursing students' mistakes in simulation-based training as learning resources in the simulation debriefing phase. Facilitators are responsible for raising students' awareness of their performances during the debriefing and facilitating reflections on their performances, including satisfactory behaviours and performance gaps. Research on facilitators' work during debriefing has highlighted various challenges, such as providing a safe and constructive climate among novice students while simultaneously teaching them the correct procedures, methods, and knowledge of caring practices to become professional nurses. There is a lack of research on how facilitators approach, handle, and use students' mistakes as a learning resource. Thus, this study investigated facilitators' assumptions about providing feedback to nursing students when they made mistakes during simulation-based training METHOD: Individual semi-structured interviews were conducted with nine experienced facilitators from three universities in Norway. Data were analyzed following the principles of thematic analysis (TA).

Results: Facilitators made varying assumptions about the simulations and debriefings as learning processes. These differences were evident in their accounts of how feedback was provided to students when they made mistakes during the simulation-based training.

Conclusion: Facilitators' statements about their practices reflect assumptions about how they make simulation activities a resource for meaningful learning, including how to use students' mistakes as learning opportunities during debriefing discussions. Consequently, these assumptions regarding learning provide valuable insights into the ambiguous and complex praxis of using simulation-based training as a professional educational tool.

Background: It is high time we acknowledged that the IT industry will determine our destiny given its rapid development. The demand to use smartphones and other forms of technology into healthcare is growing in tandem with the population. A great deal has been accomplished because of developments in computer science. This also needs to be a part of our educational practices. It would be incredibly beneficial to use cellphones to improve the learning possibilities for our medical students, since nearly all students and faculty members use them in some form. We need to gauge the faculty's openness to new technologies and their thoughts on smartphones as a teaching tool before we can move forward with formal adoption.

Methodology: The faculty members of all the dental colleges in KPK were given a verified questionnaire. The survey was divided into two parts. The first one included data on population composition. The second survey enquired about the faculty's present smartphone use to support their teaching.

Results: Our research found that teachers are already making use of smartphones in the classroom (Mean 2.65). Regardless, neither the college nor the university have formally launched using smartphones as a learning device.

Conclusions: Our investigation found moderate smartphone adoption among dental faculty in KPK (mean = 2.65/5.0), with significant variations across institutions and departments. While faculty members recognize potential benefits, current usage patterns suggest the need for structured implementation approaches and further infrastructure development.

Background: The field of health sciences is constantly evolving, presenting significant challenges to student learning performance. Therefore, it is crucial to identify the factors influencing students' learning style preferences, as these relate to how they acquire, understand, interpret, organize, and process information from their courses. In this study, we evaluated whether there is a relationship between students' learning style preferences and their learning gains.

Methods: A cross-sectional study was conducted between 2021 and 2022 using a convenience sampling approach with students of the School of Medicine and Health Sciences at the Mexico City Campus of Tecnológico de Monterrey. Students completed online questionnaires to assess normalized learning gains, as well as preference questionnaires from the VARK inventory (Visual, Auditory, Reading/Writing, and Kinesthetic types of learning preferences) and the Felder-Silverman learning style model, which is a framework that categorizes learners based on their preferences across several dimensions: active/reflective, sensing/intuitive, visual/verbal, and sequential/global. Descriptive statistics and Spearman's correlation were used to analyze the data.

Results: In relation to the VARK inventory, students exhibited a tendency to prefer multimodal sensory learning, particularly favoring the kinesthetic style. The number of VARK styles and the preference for kinesthetic learning were significantly correlated with learning gains. The Felder-Silverman test indicated that students preferred sensing, visual, and sequential learning; however, the levels of preference for active, intuitive, and sequential learning were associated with higher learning gains. Reflective learning demonstrated an inverse correlation with learning gains.

Conclusion: Our results indicate the importance of incorporating experience and practical skills in the classroom. Additionally, it is recommended that students work collaboratively, share and discuss learning materials, foster innovation and abstract learning, and follow logical and sequential approaches to optimize their educational achievements. It is fundamental to find learning models that improve the academic performance of students with a reflective learning preference.

Introduction: Chronic pain negatively impacts on quality of life and is often underreported and undertreated. Therefore, it is essential for medical schools to provide education in pain management for students. This study evaluated the current state of pain education in the Portuguese medical schools, focusing on integrating pain-related topics into the curriculum.

Methods: A cross-sectional study was employed, involving all the eight public medicals schools in Portugal. The study, approved by the Ethics Committee of the Faculty of Medicine of the University of Porto, utilized a previous validated questionnaire sent via electronic mail. The data collection spanned from January 2023 to October 2023, and responses were analysed using the SPSS software for descriptive statistics.

Results: All eight public medical schools responded to the questionnaire, providing insights into their pain education practices. Over the six years of medical education, 50% of the schools offered dedicated course content on chronic pain within the curriculum. This instruction is primarily provided in the second year, with variations in the hours for both theoretical and practical teaching. Additionally, 62.5% integrate pain-related topics into other discipline-based courses, predominantly in the fourth year. Post-graduate pain education activities were reported in only three of the eight schools (37.5%).

Conclusions: These findings represent the first analysis of pain education in public Portuguese Medical Schools. The findings indicate that enhancements in pain education through the introduction of mandatory pain topics, curriculum integration, and investment in post-graduation courses are needed. These improvements aim to provide medical students the essential knowledge and skills to proficiently manage the intricate challenges of chronic pain, thereby enhancing patients' quality of life and reducing social burdens.

Purpose: Both clinical knowledge and patient care ownership (PCO) are crucial to the provision of quality patient care and should be acquired during training. However, the association between these two concepts is under-examined. Here, we conducted a nationwide cross-sectional study to investigate the association between clinical knowledge and PCO among resident physicians in Japan.

Methods: From January 17 to March 31, 2024, we conducted an anonymous, online, self-administered survey for a series of PCO research projects. The survey targeted medical residents who took the General Medicine In-Training Examination (GM-ITE). The mean of the Japanese version of the PCO Scale was used as outcome variable. The primary explanatory variable was total GM-ITE score, while the secondary explanatory variables were GM-ITE category scores in medical knowledge. We conducted multivariable linear regression analysis, controlling for postgraduate years, sex, number of assigned inpatients, weekly working hours, type of hospital, and size of hospital.

Results: We included 1836 participants in our statistical analysis. Multivariable linear regression analysis revealed that after adjustment for possible confounders, GM-ITE total scores showed a significantly negative association with PCO in the highest score quartile (adjusted mean difference - 0.20, 95% confidence interval (CI) -0.33 to -0.07, compared with the lowest score quartile). Additionally, after controlling for possible confounding factors, scores for symptomatology and clinical reasoning showed a dose-dependent negative association with PCO (adjusted mean difference - 0.17, 95% CI -0.30 to -0.03 for the highest score quartile compared with the lowest score quartile). No significant dose-dependent associations were found for the other categories.

Conclusions: These findings suggest the presence of potential challenges in the simultaneous fostering of clinical knowledge and PCO during residency training. This underscores the need for educators to actively engage in the reconsideration of current postgraduate training strategies, with the aim of effectively cultivating both clinical knowledge and PCO among medical residents.

Background: Public health professionals (PHPs) have increasing information needs to inform evidence-based public health decisions and practice, which requires good information literacy. A comprehensive and reliable assessment tool is necessary to assess PHPs' literacy and guide future promotion programs. However, there is a lack of measurement tools specifically for the information literacy of PHPs.

Objectives: This study aimed to develop an information literacy assessment tool for PHPs and test its psychometric properties among PHPs.

Methods: A 34-item Information Literacy Measurement Scale (ILMS-34) for PHPs was developed based on an extensive literature review, the Delphi method, and pilot testing. The ILMS-34 was further validated among 526 PHPs recruited from four cities in Guangdong Province, China, using convenience sampling. The sample was randomly divided into two equal groups for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), respectively. Other psychometric testing included item analysis, Cronbach's α coefficient, three-week test-retest reliability, and known-group validity.

Results: EFA yielded four dimensions for the ILMS-34: information consciousness, information knowledge, information ability, and information ethics. Subsequent CFA showed a good model fit of the four-factor structure (χ²/df = 1.485, RMSEA = 0.043, SRMR = 0.038, TLI = 0.977, CFI = 0.979). There were significant differences in each item between the high and low-scoring groups (p < 0.001), indicating good item discrimination. The ILMS-34 demonstrated good internal consistency with a Cronbach's α coefficient of 0.97 for the total scale (four subscales: 0.92, 0.92, 0.98, and 0.91, respectively). It also showed good test-retest reliability after three weeks with an ICC coefficient of 0.67. The DSE-MS scores varied by various sample characteristics, verifying the known-group validity.

Conclusion: The ILMS-34 is a multidimensional instrument with good psychometric properties and can be used as an effective tool to measure information literacy among PHPs. Further validation in other samples across various cultures is needed to test its broad application.

This narrative review investigates the current implementation and future potential of Peer-Assisted Learning (PAL) in medical education, specifically emphasizing its role in enhancing medical English proficiency. The article analyzes the effectiveness of PAL across various medical education contexts, including primary medical courses, doctor-patient communication, and standardized residency training. The findings indicate that PAL positively impacts student learning outcomes and promotes professional development, highlighting the necessity of its application in medical English instruction. However, implementing PAL faces several obstacles, such as limitations in student cognition and a singular interaction model. This review presents several application prospects, including scenario simulation and the integration of PAL with pedagogical methods such as Problem-Based Learning (PBL), Case-Based Learning (CBL), and Team-Based Learning (TBL). Ultimately, this review underscores the importance of PAL in medical English teaching and recommends future research directions to develop effective teaching models that optimize its implementation.

Background: Pursuing excellence in healthcare delivery systems is an ongoing process. In this process, continuing medical education (CME) is essential for medical professionals to maintain high standards of patient care. In China, where the healthcare sector is undergoing considerable reforms and faces challenges owing to socioeconomic development and demographic shifts, an effective CME system is vital for general practitioners (GPs).

Methods: A cross-sectional survey of CME programs was conducted between 2016 and 2023. The external characteristics of the programs were systematically gathered and statistically analyzed. The programs were subsequently subjected to a competency-based assessment by using the six core competencies outlined by the American Board of Medical Specialties and the Accreditation Council for Graduate Medical Education as a framework. Furthermore, keywords were extracted for the CME program names based on the International Classification of Primary Care. Visual analysis was performed via VOSviewer software, facilitating a content-based evaluation of the programs.

Results: A total of 6,607 items were obtained. A total of 3,815 CME programs were subjected to statistical analysis, and 2,895 CME programs were comprehensively evaluated for content and capability. A diverse range of CME providers were identified, with hospitals and publishing/education companies being the primary providers. Since 2019, a significant increase in online CME offerings has been noted. However, the regional distribution of the CME programs was uneven, with Shanghai, Zhejiang, and Beijing leading but western China lagging. Furthermore, most programs focused on patient care and medical knowledge in competency-based CME evaluations, with less emphasis on interpersonal and communication skills. Content-based CME evaluations revealed that the teaching focus is the diagnosis, treatment, and primary care management of elderly patients and chronic diseases such as diabetes and hypertension.

Conclusions: Our findings underscore the essential role of CME in equipping GPs with the competencies required to navigate the evolving landscape of medical knowledge and practice, suggesting a more systematic, relevant, and individualized approach to training GPs. Therefore, there is an opportunity to increase the quality of primary care and contribute to the Healthy China 2030 Plan.

Background: With the continuous development of educational methods, desktop virtual reality technology has gradually attracted widespread attention. Although current research has shown that this technology can promote learning among nursing students, the mechanism and intrinsic factors are not yet clear. This study aims to explore the mechanisms and factors of the application of desktop virtual reality technology in nursing students' education and discuss the possible outcomes.

Methods: The realist review accords with the Realist and Meta-narrative Evidence Syntheses-Evolving Standards (RAMESES). The steps are mainly divided into the following three stages: (1) To determine the initial project theory; (2) To screen the published research and grey literature according to the inclusion criteria; (3) To analyze, extract, and synthesize the evidence of the included studies and then come to a conclusion.

Data sources: This study included the original research from the following 8 databases from the establishment of the database to November 2024: CNKI, Wanfang Database, CBMdisc, VIP database, Pubmed, Cochrane, Web of Science, Embase.

Results: A total of 14 papers were included. Six mechanisms and six Context-Mechanism-Outcome combinations were identified, which explained the favourable factors related to the application of desktop virtual reality technology to the education of nursing students. Mechanisms include (1) personalized education, (2) clinically relevant cases, (3) dynamic visualization, (4) good education conditions, (5) gaming education, and (6) interactive education.

Conclusion: This realist review demonstrates the underlying mechanisms, context, and outcomes, which will guide educators in using virtual reality technology to educate nursing students better.