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Practical tips for organizing challenge-based learning in biomedical education 在生物医学教育中组织基于挑战的学习的实用技巧
Pub Date : 2023-11-08 DOI: 10.12688/mep.19755.1
Farah R. W. Kools, Heleen van Ravenswaaij
Challenge-based learning (CBL) in biomedical education can prepare health professionals to handle complex challenges in their work environments through the development and practice of problem-solving skills. This paper provides twelve practical tips for biomedical educators to implement CBL in their education. The intricacies of CBL are explained together with organizational tips, and multiple levels of student support to help students achieve CBL learning goals. Our aim is to promote CBL in biomedical education and to help students acquire valuable skills for post-graduation while working towards solving real societal needs.
生物医学教育中的基于挑战的学习(CBL)可以通过发展和实践解决问题的技能,使卫生专业人员为处理工作环境中的复杂挑战做好准备。本文为生物医学教育工作者在教学中实施CBL提供了12条实用技巧。本书解释了CBL的复杂性,并提供了组织技巧和多层次的学生支持,以帮助学生实现CBL的学习目标。我们的目标是促进生物医学教育中的CBL,帮助学生获得毕业后的宝贵技能,同时努力解决实际的社会需求。
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引用次数: 0
Twelve Tips for using Learning Curves in Health Professions Education Research 在卫生专业教育研究中使用学习曲线的12个技巧
Pub Date : 2023-11-07 DOI: 10.12688/mep.19723.1
Neva Howard, Roger Edwards, Kathy Boutis, Seth Alexander, Martin Pusic
Learning curves can be used to design, implement, and evaluate educational interventions. Attention to key aspects of the method can improve the fidelity of this representation of learning as well as its suitability for education and research purposes. This paper addresses when to use a learning curve, which graphical properties to consider, how to use learning curves quantitatively, and how to use observed thresholds to communicate meaning. We also address the associated ethics and policy considerations. We conclude with a best practices checklist for both educators and researchers seeking to use learning curves in their work.
学习曲线可用于设计、实施和评估教育干预措施。注意该方法的关键方面可以提高这种学习表现的保真度,以及它对教育和研究目的的适用性。本文讨论了何时使用学习曲线,要考虑哪些图形属性,如何定量地使用学习曲线,以及如何使用观察阈值来传达意义。我们还讨论了相关的道德和政策考虑。最后,我们为寻求在工作中使用学习曲线的教育工作者和研究人员提供了一个最佳实践清单。
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引用次数: 0
Successful implementation of Medical Education Faculty Development Project at Saint George University of Beirut in the immediate post triple blow to Beirut 贝鲁特圣乔治大学成功实施医学教育师资发展项目后,立即对贝鲁特进行了三重打击
Pub Date : 2023-11-02 DOI: 10.12688/mep.19519.2
Alexandre Nehme, Rachel Btaiche, Marc Jreij, Jizel Jahjah, George Karam, Anne Belcher
Background The aim of this study is to explore the efficacy of the Faculty Development Program (FDP) implemented at the Saint George University of Beirut-Faculty of Medicine (SGUB FM) under exceptional circumstances as the triple blow to Beirut. Methods The Faculty Development, directed towards a cohort of 35 faculty members, is composed of two major components: methodology of teaching and techniques of assessment. The Kirkpatrick’s assessment model, in combination with a specifically designed psychological questionnaire, were chosen to assess the effectiveness of the faculty development initiative. Results Results of the different questionnaires were interpreted individually, then through the lens of the psychological questionnaire. A majority of faculty (55%) were significantly affected psychologically by Beirut’s triple blow and 77% of all participants found the workshops to be of excellent quality (Kirkpatrick’s Level I). Moreover, Kirkpatrick’s level II results yielded a 76% mean percentage of correct answers to post-workshops MCQs and a significant improvement in the mean results of the self-assessment questionnaires, administered before and after each workshop. Results also show that the more a trainee is psychologically affected, the less he/she performs as evidenced by a decrease in the satisfaction rate as well as in the score of the cognitive MCQs and of the self-assessment questionnaires. Conclusions This study was able to highlight that significant learning can occur amidst exceptional circumstances like the Beirut triple blow and administration should invest in professional growth to retain its faculty.
本研究旨在探讨贝鲁特圣乔治大学医学院(SGUB FM)实施的教师发展计划(FDP)在特殊情况下对贝鲁特的三重打击的效果。针对35名教师的教师发展,由两个主要部分组成:教学方法和评估技术。柯克帕特里克的评估模型,结合专门设计的心理问卷,被用来评估教师发展倡议的有效性。结果分别对不同问卷的结果进行解释,然后通过心理问卷的视角进行分析。大多数教师(55%)在心理上受到贝鲁特三重打击的显著影响,77%的参与者认为讲习班质量优良(Kirkpatrick 's Level I)。此外,Kirkpatrick 's Level II的结果产生了76%的讲习班后mcq的平均正确答案百分比,并且在每次讲习班前后进行的自我评估问卷的平均结果显着改善。结果还表明,受心理影响越大,学员的表现就越差,满意度、认知mcq和自我评估问卷的得分都有所下降。这项研究能够强调,在特殊情况下,如贝鲁特三重打击,重要的学习可以发生,管理部门应该投资于专业发展,以留住其教师。
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引用次数: 0
An Evaluation of Mentorship for Hospital Residents in Saudi Arabia: A Qualitative study using Semi-structured Interviews 沙特阿拉伯住院医师的师友评估:一个半结构化访谈的质性研究
Pub Date : 2023-10-31 DOI: 10.12688/mep.19364.2
Patricia McWalter, Abdullah AlKhenizan, Marium Ahmad
Background In this study, we explore how doctors in training perceive mentorship and leadership and whether they believed that mentoring influences the development of leadership skills. The study also addressed whether certain leadership styles lend themselves better to mentoring. Methods A qualitative research method was employed in this study and ethical approval was granted by the Research Ethics Committee (REC) at King Faisal Specialist Hospital and Research Centre (KFSH&RC), after which twelve hospital residents were recruited using purposive sampling. Semi-structured interviews were conducted by the authors and thematic data analysis was performed. Results Three themes emerged and were later refined, using Braun and Clarke’s 2006 thematic analysis method: 1. Purpose of mentorship, with sub themes: a. Expectations, b. Perception of mentorship as supervision, and c. The role of mentorship, including informal mentoring in leadership development 2. Role of mentorship in leadership development. 3. Perceptions of a leader, with sub-themes: a. The leader as a manager, b. The leader as a role model, and c. The merits of different leadership styles. Discussion Most of the residents (doctors in training) viewed mentorship in a positive way. However, when the mentor was perceived more as a supervisor, the usefulness of mentoring was less clear. However, they found that informal mentoring would contribute to leadership skills and would inspire them to become leaders themselves. They were likely to be influenced positively when they saw the leader as a role model, rather than a manager.
本研究旨在探讨实习医生对师徒关系与领导关系的认知,以及他们是否认为师徒关系会影响领导技能的发展。该研究还探讨了某些领导风格是否更适合指导。方法本研究采用定性研究方法,经费萨尔国王专科医院和研究中心(KFSH&RC)研究伦理委员会(REC)批准后,采用目的抽样方法招募12名住院医师。作者进行半结构化访谈,并进行专题数据分析。结果采用Braun和Clarke的2006主题分析方法对三个主题进行提炼:指导目的,分主题:a.期望;b.对指导作为监督的感知;c.指导的作用,包括领导力发展中的非正式指导。导师在领导力发展中的作用。3.对领导者的看法,分主题:a.作为管理者的领导者,b.作为榜样的领导者,c.不同领导风格的优点。大多数住院医师(实习医生)对师徒关系持积极态度。然而,当导师被更多地视为管理者时,指导的有用性就不那么明显了。然而,他们发现,非正式的指导有助于提高领导技能,并激励他们自己成为领导者。当他们把领导者视为榜样而不是管理者时,他们可能会受到积极的影响。
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引用次数: 0
Development of a national point-of-care ultrasound training course for physicians in Japan: A 3-year evaluation 日本医师的全国定点超声培训课程的发展:3年评估
Pub Date : 2023-10-25 DOI: 10.12688/mep.19679.1
Toru Yamada, Taro Minami, Yuka Kitano, Shunpei Yoshino, Suguru Mabuchi, Nilam J. Soni
Purpose: Point-of-care ultrasound (POCUS) allows bedside clinicians to acquire, interpret, and integrate ultrasound images into patient care. Although the availability of POCUS training courses has increased, the educational effectiveness of these courses is unclear. Methods: From 2017 to 2019, we investigated the educational effectiveness of a standardized 2-day hands-on POCUS training course and changes in pre- and post-course exam scores in relationship to participants’ (n = 571) clinical rank, years of POCUS experience, and frequency of POCUS use in clinical practice. Results: The mean pre- and post-course examination scores were 67.2 (standard deviation [SD] 12.3) and 79.7 (SD 9.7), respectively. Higher pre-course examination scores were associated with higher clinical rank, more years of POCUS experience, and more frequent POCUS use (p < 0.05). All participants showed significant changes in pre- to post-course exam scores. Though pre-course scores differed by clinical rank, POCUS experience, and frequency of POCUS use, differences in post-course scores according to participant baseline differences were non-significant. Conclusion: A standardized hands-on POCUS training course is effective for improving POCUS knowledge regardless of baseline differences in clinical rank, POCUS experience, or frequency of POCUS use. Future studies shall evaluate changes in POCUS use in clinical practice after POCUS training.
目的:点护理超声(POCUS)允许床边临床医生获取、解释和整合超声图像到患者护理中。虽然POCUS培训课程的提供有所增加,但这些课程的教育效果尚不清楚。方法:从2017年到2019年,我们调查了为期2天的标准化POCUS实践培训课程的教育效果,以及课程前和课程后考试成绩的变化与参与者(n = 571)的临床级别、POCUS经验年限和临床实践中使用POCUS的频率的关系。结果:课程前和课程后的平均考试成绩分别为67.2(标准差[SD] 12.3)和79.7 (SD 9.7)。较高的课前考试分数与较高的临床等级、较长的POCUS经验和较频繁的POCUS使用相关(p <0.05)。所有的参与者在课前和课后的考试成绩上都有显著的变化。尽管课程前得分因临床级别、POCUS经验和POCUS使用频率而异,但根据参与者基线差异,课程后得分差异无统计学意义。结论:无论临床级别、POCUS经验或POCUS使用频率的基线差异如何,标准化的POCUS实践培训课程对提高POCUS知识是有效的。未来的研究将评估POCUS培训后临床实践中使用POCUS的变化。
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引用次数: 0
A narrative review of adaptive testing and its application to medical education 适应性测试及其在医学教育中的应用述评
Pub Date : 2023-10-24 DOI: 10.12688/mep.19844.1
Steven A. Burr, Thomas Gale, Jolanta Kisielewska, Paul Millin, José M. Pêgo, Gergo Pinter, Iain M. Robinson, Daniel Zahra
Adaptive testing has a long but largely unrecognized history. The advent of computer-based testing has created new opportunities to incorporate adaptive testing into conventional programmes of study. Relatively recently software has been developed that can automate the delivery of summative assessments that adapt by difficulty or content. Both types of adaptive testing require a large item bank that has been suitably quality assured. Adaptive testing by difficulty enables more reliable evaluation of individual candidate performance, although at the expense of transparency in decision making, and requiring unidirectional navigation. Adaptive testing by content enables reduction in compensation and targeted individual support to enable assurance of performance in all the required outcomes, although at the expense of discovery learning. With both types of adaptive testing, candidates are presented a different set of items to each other, and there is the potential for that to be perceived as unfair. However, when candidates of different abilities receive the same items, they may receive too many they can answer with ease, or too many that are too difficult to answer. Both situations may be considered unfair as neither provides the opportunity to demonstrate what they know. Adapting by difficulty addresses this. Similarly, when everyone is presented with the same items, but answer different items incorrectly, not providing individualized support and opportunity to demonstrate performance in all the required outcomes by revisiting content previously answered incorrectly could also be considered unfair; a point addressed when adapting by content. We review the educational rationale behind the evolution of adaptive testing and consider its inherent strengths and limitations. We explore the continuous pursuit of improvement of examination methodology and how software can facilitate personalized assessment. We highlight how this can serve as a catalyst for learning and refinement of curricula; fostering engagement of learner and educator alike.
适应性测试有很长的历史,但在很大程度上没有得到承认。计算机测试的出现为将适应性测试纳入传统的学习计划创造了新的机会。相对而言,最近开发的软件可以根据难度或内容自动交付总结性评估。这两种类型的自适应测试都需要一个质量得到适当保证的大型题库。通过难度进行的自适应测试能够更可靠地评估单个候选人的表现,尽管这是以决策的透明度为代价的,并且需要单向导航。通过内容进行自适应测试可以减少补偿和有针对性的个人支持,从而保证所有所需结果的性能,尽管这是以发现学习为代价的。在这两种类型的适应性测试中,候选人会被呈现出不同的项目,这可能会被认为是不公平的。然而,当不同能力的考生收到相同的问题时,他们可能会收到太多他们可以轻松回答的问题,或者太多太难回答的问题。这两种情况都可能被认为是不公平的,因为他们都没有机会展示自己所知道的东西。根据难度进行调整可以解决这个问题。同样地,当每个人都面对相同的问题,但却回答错了不同的问题时,不提供个性化的支持和机会,让他们通过重访之前回答错的内容来展示自己在所有要求结果中的表现,也可能被认为是不公平的;按内容改编时要解决的问题。我们回顾了适应性测试发展背后的教育原理,并考虑了其固有的优势和局限性。我们探讨了不断追求改进的考试方法,以及软件如何促进个性化评估。我们强调这如何成为学习和改进课程的催化剂;促进学习者和教育者的共同参与。
{"title":"A narrative review of adaptive testing and its application to medical education","authors":"Steven A. Burr, Thomas Gale, Jolanta Kisielewska, Paul Millin, José M. Pêgo, Gergo Pinter, Iain M. Robinson, Daniel Zahra","doi":"10.12688/mep.19844.1","DOIUrl":"https://doi.org/10.12688/mep.19844.1","url":null,"abstract":"<ns4:p>Adaptive testing has a long but largely unrecognized history. The advent of computer-based testing has created new opportunities to incorporate adaptive testing into conventional programmes of study. Relatively recently software has been developed that can automate the delivery of summative assessments that adapt by difficulty or content. Both types of adaptive testing require a large item bank that has been suitably quality assured. Adaptive testing by difficulty enables more reliable evaluation of individual candidate performance, although at the expense of transparency in decision making, and requiring unidirectional navigation. Adaptive testing by content enables reduction in compensation and targeted individual support to enable assurance of performance in all the required outcomes, although at the expense of discovery learning. With both types of adaptive testing, candidates are presented a different set of items to each other, and there is the potential for that to be perceived as unfair. However, when candidates of different abilities receive the same items, they may receive too many they can answer with ease, or too many that are too difficult to answer. Both situations may be considered unfair as neither provides the opportunity to demonstrate what they know. Adapting by difficulty addresses this. Similarly, when everyone is presented with the same items, but answer different items incorrectly, not providing individualized support and opportunity to demonstrate performance in all the required outcomes by revisiting content previously answered incorrectly could also be considered unfair; a point addressed when adapting by content. We review the educational rationale behind the evolution of adaptive testing and consider its inherent strengths and limitations. We explore the continuous pursuit of improvement of examination methodology and how software can facilitate personalized assessment. We highlight how this can serve as a catalyst for learning and refinement of curricula; fostering engagement of learner and educator alike.</ns4:p>","PeriodicalId":74136,"journal":{"name":"MedEdPublish (2016)","volume":"35 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135274095","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
Faculty development in competency-based education 能力本位教育中的教师发展
Pub Date : 2023-10-23 DOI: 10.12688/mep.19890.1
William Murdoch
Competency-based education (CBE) has started to change the medical education process from a time-based, teacher-focused approach to an outcomes-based, learner-centered, and population-sensitive philosophy. The International Competency-Based Medical Education Collaborators (ICBME) first convened in 2009 and released a series of scholarly papers that laid the conceptual foundation for CBE in medical education. CBE is intended to address many of the shortcomings in our current medical education system. Prominent among such concerns is the disconnect between topics emphasized in the education process, and the health needs of the populations that learners intend to serve.
以能力为基础的教育(CBE)已经开始改变医学教育过程,从以时间为基础、以教师为中心的方法转向以结果为基础、以学习者为中心和对人口敏感的哲学。国际基于能力的医学教育合作者(ICBME)于2009年首次召开会议,并发表了一系列学术论文,为医学教育中的CBE奠定了概念基础。CBE旨在解决我们当前医学教育体系中的许多缺陷。在这些关切中,突出的是教育过程中强调的主题与学习者打算服务的人群的健康需求之间的脱节。
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引用次数: 0
Pediatric standardized residency training faculty’s perceptions of medical education research: a questionnaire survey 儿科规范化住院医师培训教师对医学教育研究的认知:问卷调查
Pub Date : 2023-10-18 DOI: 10.12688/mep.19777.1
Mu-Xue Yu, Xiao-Yun Jiang, Xiao-Yu Li, Zhi-Hui Yue, Ying Mo, Wang-Kai Liu, Yu-Fen Gu
Background Rigorous medical education research (MER) conducted by faculty in pediatric standardized residency training (SRT) can contribute to the promotion of child health care. This study aimed to assess the perceptions of pediatric SRT faculty regarding MER in Guangdong Province, China. Methods In August 2022, an anonymous questionnaire survey was conducted during a medical education conference in Guangzhou, Guangdong. A total of 40 pediatric SRT clinical teachers from 10 teaching hospitals in Guangdong Province attended the pediatric session of the medical education conference and completed the questionnaire during the conference. The questionnaire covered various topics related to MER conducted in SRT, the challenges they encountered in MER, and their perceptions of grants on MER. Results Among the 40 teachers, 16 (40.00%) stated that they did not participate in any MER activities. The main challenges they encountered in conducting MER were the lack of training (72.50%), limited time (80.00%), and lack of grants funding (60.00%). Only 10 (25.00%) teachers were reported to have received grants for MER projects. Conclusions The findings highlight the importance of providing support and training to pediatric SRT faculty in Guangdong Province, China, to enhance their engagement in MER. Addressing these challenges can lead to significant improvements in child health care promotion through evidence-based educational practices.
背景:在儿科标准化住院医师培训(SRT)中,教师进行严格的医学教育研究(MER)有助于促进儿童保健。本研究旨在评估中国广东省儿科SRT教师对MER的看法。方法于2022年8月在广东广州举行的医学教育会议期间采用匿名问卷调查。来自广东省10家教学医院的40名儿科SRT临床教师参加了医学教育大会儿科分会,并在会议期间完成了问卷调查。调查问卷涵盖了与SRT进行的市场营销相关的各种主题,他们在市场营销中遇到的挑战,以及他们对市场营销拨款的看法。结果40名教师中有16名(40.00%)表示没有参加过任何MER活动。他们在进行MER时遇到的主要挑战是缺乏培训(72.50%)、时间有限(80.00%)和缺乏资助(60.00%)。据报道,只有10名教师(25.00%)获得了市场营销项目的资助。研究结果强调了为中国广东省的儿科SRT教师提供支持和培训的重要性,以提高他们对MER的参与。应对这些挑战可通过循证教育实践显著改善儿童保健促进工作。
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引用次数: 0
Practical tips for teaching the undifferentiated medical student in the emergency department 在急诊科教授未分化医科学生的实用技巧
Pub Date : 2023-10-18 DOI: 10.12688/mep.19776.1
Allan D. Winger, Dimitrios Papanagnou
Emergency medicine clerkships have become more prevalent in the third year of medical school, a time when students are immersed in the core clinical training of their undergraduate medical education. There is little guidance for clinician educators, however, on how to effectively scaffold learning for third-year medical students when rotating in the emergency department (ED) during core clerkships. The authors sought to provide best practices in teaching to leverage the rich learning environment of the ED – regardless of their specialty selections. Based on an extensive review of the literature spanning on-shift teaching, feedback, clinical medicine, and bedside teaching, the following twelve tips are offered to guide the instruction of the undifferentiated third-year medical student in the ED.
急诊医学见习在医学院三年级变得更加普遍,这是学生沉浸在本科医学教育核心临床训练的时期。然而,对于如何在核心实习期间在急诊科(ED)轮岗时有效地指导三年级医学生的学习,临床医生教育工作者的指导很少。作者试图在教学中提供最佳实践,以利用ED丰富的学习环境-无论他们的专业选择如何。在对轮班教学、反馈、临床医学和床边教学等方面的文献进行广泛回顾的基础上,本文提出了以下12条建议,以指导急诊科三年级医学生的教学。
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引用次数: 0
Practical tips to improve bedside teaching using learning theories and critical reasoning 运用学习理论和批判性推理提高床边教学的实用技巧
Pub Date : 2023-10-12 DOI: 10.12688/mep.19826.1
Thomas Rotthoff
Bedside teaching offers the opportunity to integrate the different professional roles and competencies of doctors and medical students with one another. It should not be delivered uniformly to all students but must be adapted to the level of experience of the students. Students at an early stage of their studies need a greater degree of structure and scaffolding than advanced students, as they may still feel insecure regarding a variety of factors. It therefore seems useful to take a closer look at the cognitive theories behind bedside teaching while bearing in mind that, in comparison to other teaching and learning formats, findings about emotion, epistemic beliefs, visual thinking strategies, theories of cognitive load, experiential learning and scripting, critical reasoning, structured briefing and debriefing can improve bedside teaching. This paper provides practical tips to reveal the processes of clinical reasoning and decision-making in a more rational, structured, analytical and critical manner.
床边教学提供了将医生和医学生的不同专业角色和能力相互整合的机会。它不应该统一地提供给所有的学生,而必须适应学生的经验水平。与高年级学生相比,处于学习早期阶段的学生需要更大程度的组织和支撑,因为他们可能仍然会对各种因素感到不安全。因此,仔细研究床边教学背后的认知理论似乎是有用的,同时要记住,与其他教学和学习形式相比,关于情感、认知信念、视觉思维策略、认知负荷理论、体验式学习和脚本、批判性推理、结构化简报和汇报的发现可以改善床边教学。本文提供了实用的提示,揭示临床推理和决策过程中更理性,结构化,分析和批判的方式。
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引用次数: 0
期刊
MedEdPublish (2016)
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