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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
“I get higher marks via BYOD”: A descriptive qualitative study on student experiences using BYOD e-assessments to enhance the dimensions of administration and support for learning excellence. “我通过BYOD获得更高的分数”:一项关于学生使用BYOD电子评估的经验的描述性定性研究,以提高管理和支持卓越学习的维度。
Pub Date : 2023-10-11 DOI: 10.12688/mep.19721.1
Janus van As, Elizabeth Kanita Brits
Background: A Bring Your Own Device (BYOD) e-assessment strategy empowers students to use personal devices for digital exams, reducing the need for specialised facilities and enhancing learning excellence by simplifying by streamlining the administrative and support dimensions of the student experience. Despite its benefits, it remains underused. This study investigates student perceptions of BYOD for e-assessments within a Faculty of Medicine and Health Science. Methods: A descriptive qualitative approach was adopted, employing a survey with open-ended and Likert-scale questions to delve into student experiences. Results: The findings revealed that 82.7% of students had a positive experience due to the method's efficiency and convenience. However, 20.7% still preferred traditional pen-and-paper assessments. Various factors, such as technical difficulties, device quality and familiarity, and confidence in using technology, shaped these experiences. Students with older devices expressed worries about compatibility and performance. There were also issues related to connectivity and the specific device used. Interestingly, most students felt a sense of safety and were less stressed using a familiar device. However, those with outdated devices harboured performance concerns, and some lacked confidence in their technological skills. Conclusion: While BYOD for e-assessment offers a valuable means to enhance student experience and decrease administrative load, it is not a one-size-fits-all solution. Successful execution requires a mix of interventions, including faculty support, student training, and thoughtful planning. When implementing a BYOD e-assessment system, it is essential to consider student experiences and address their needs. Additionally, implementing BYOD for assessment requires multiple strategic actions to ensure effective integration. Furthermore, the study underlines the need for a comprehensive learning excellence approach that factors in student support and administration, affirming that technology can elevate the student experience. Therefore, conducting research on how technology can contribute to learning excellence warrants more research.
背景:自带设备(BYOD)电子评估策略使学生能够使用个人设备进行数字考试,减少了对专门设施的需求,并通过简化学生体验的管理和支持维度来提高学习质量。尽管它有好处,但它仍未得到充分利用。本研究调查了医学与健康科学学院学生对电子评估中自带设备的看法。方法:采用描述性定性方法,采用开放式和李克特量表的调查来深入研究学生的经历。结果:82.7%的学生对该方法的有效性和便捷性有积极的体验。然而,20.7%的学生仍然喜欢传统的纸笔评估。各种因素,如技术困难,设备质量和熟悉程度,以及使用技术的信心,形成了这些经验。使用旧设备的学生对兼容性和性能表示担忧。还有一些问题与连接和使用的特定设备有关。有趣的是,大多数学生在使用熟悉的设备时会感到安全感,压力也会减少。然而,那些使用过时设备的人担心性能,有些人对自己的技术技能缺乏信心。结论:虽然电子评估的BYOD提供了一种有价值的手段来提高学生的体验和减少管理负担,但它不是一个万能的解决方案。成功的执行需要多种干预措施,包括教师支持、学生培训和深思熟虑的规划。在实施BYOD电子评估系统时,必须考虑学生的经历并满足他们的需求。此外,实施BYOD评估需要采取多种战略行动,以确保有效整合。此外,该研究强调需要一种综合的卓越学习方法,将学生支持和管理因素考虑在内,肯定了技术可以提升学生的体验。因此,对技术如何促进卓越学习的研究需要更多的研究。
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引用次数: 0
Practical tips for a fast and successful transition to an online curriculum 快速成功过渡到在线课程的实用技巧
Pub Date : 2023-10-11 DOI: 10.12688/mep.19751.1
Chloé E.C. Bras, Remco C. Jongkind, Ellen L. van Veen, Kim Win Pang, Laura E. Olthof, Tobias B.B. Boerboom
The COVID-19 pandemic and the following lockdown forced educational institutions to transform their face-to-face curriculum into an online programme in a matter of weeks. In this article, we present 12 tips for a successful transition based on the challenges that we faced in the Bachelor of Medicine at Amsterdam Medical Centre. These tips are divided in four main themes: infrastructure, faculty development, student engagement, and teaching activities. The Community of Inquiry model is used as backbone in all tips, since teaching presence, social presence, and cognitive presence are essential factors in effective online education. These tips can be useful for everyone who wants to implement online education in their curriculum, whether borne out of necessity or by design.
新冠肺炎大流行和随后的封锁迫使教育机构在几周内将面对面的课程转变为在线课程。在这篇文章中,我们根据我们在阿姆斯特丹医疗中心医学学士学位中面临的挑战,提出了12个成功过渡的建议。这些建议分为四个主题:基础设施、教师发展、学生参与和教学活动。所有提示都以探究社区模型为骨干,因为教学在场、社会在场和认知在场是有效在线教育的必要因素。这些建议对每个想要在他们的课程中实施在线教育的人都很有用,无论是出于必要还是出于设计。
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引用次数: 0
Operationalizing competency-based assessment: Contextualizing for cultural and gender divides. 操作基于能力的评估:针对文化和性别差异的情境化。
Pub Date : 2023-10-11 eCollection Date: 2023-01-01 DOI: 10.12688/mep.19728.1
Samar Ahmed, Fouzia Shersad, Arina Ziganshina, Mariam Shadan, Abdelmoneim Elmardi, Yousif El Tayeb

Following current trends, educational institutions often decide to use a competency framework as an overarching structure in their assessment system. Despite the presence of a common understanding of how different examinations can contribute to the decision on attaining a particular competency, a detailed mapping of the data points appears to be a challenging area that remains to be explored. Faced with the newly emerged task of introducing the assessment of the attainment of UAE medical students against the EmiratesMEDs competency framework, Dubai Medical College for Girls (DMCG) attempted to operationalise the designed concept in the assessment system considering the cultural and gender divide. We believe that health professionals who attempt to implement contextualized competency-based assessment could benefit from being acquainted with our experience. The article offers a step-by-step guide on contextualized competency assessment operationalization, describing building the team, working with consultants and faculty development, estimating institutional assessment capacity, mapping and operationalizing the maps by using both human recourses and the software. We also offer the readers the list of enabling factors and introduce the scope of limitations in the process of developing the competency-based assessment system. We believe that following the present guide can allow educators to operationalize competency-based assessment in any context with respect to local culture and traditions.

根据目前的趋势,教育机构往往决定将能力框架作为其评估系统的总体结构。尽管人们对不同的考试如何有助于做出特定能力的决定有着共同的理解,但数据点的详细映射似乎是一个有待探索的具有挑战性的领域。面对新出现的任务,即根据阿联酋医学院的能力框架对阿联酋医学生的成绩进行评估,迪拜女子医学院(DMCG)试图在评估系统中实施设计的概念,考虑到文化和性别差异。我们相信,试图实施基于情境的能力评估的卫生专业人员可以从熟悉我们的经验中受益。这篇文章提供了一个关于情境化能力评估操作的分步指南,描述了团队建设、与顾问和教师发展合作、评估机构评估能力、通过使用人力资源和软件绘制和操作地图。我们还向读者提供了促成因素列表,并介绍了基于能力的评估系统开发过程中的限制范围。我们相信,遵循本指南可以让教育工作者在任何情况下根据当地文化和传统进行基于能力的评估。
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引用次数: 0
Medical education in Bangladesh from Student and Teacher’s Perspective: Impact and challenges of the COVID-19 pandemic 从学生和教师的角度看孟加拉国的医学教育:COVID-19大流行的影响和挑战
Pub Date : 2023-10-05 DOI: 10.12688/mep.19761.1
M. Wakilur Rahman, Md Mahfuzul Hasan, Md. Salauddin Palash, Md Asaduzzaman
Background: In low- and middle-income countries like Bangladesh, where medical education faces a range of challenges-such as lack of infrastructure, well-trained educators, and advanced technologies, abrupt changes in methodologies without adequate preparation are more challenging than in higher-income countries. This was worsened during the COVID-19 pandemic and these challenges have resulted in a change in medical education methodology. This study assesses the medical education procedure, impacts and adaptation strategies and challenges of the COVID-19 pandemic in the medical education system of Bangladesh from learners' as well as educators' perspectives. Methods: The study collected data from 22 Medical Colleges/Universities across 18 districts of eight divisions using quantitative and qualitative methods. A total of 408 samples were collected consisting of 316 from students and 92 from medical teachers. Descriptive analysis and probit model were performed for obtaining results. Results: The efficacy of online learning was questionable, but results showed that it was more effective for theory classes (92.4%) followed by clinical classes (75.63%) and the efficacy rate was low for practical classes (54.11%). All types of classes (theory, practical and clinical) are currently using mixed methods to some extent in medical education in Bangladesh. Regarding impacts and adaptation strategy, approximately 75.3% of the students surveyed expressed their acceptance of online education. Over 80% of the participants acknowledged the advantages of online learning, highlighting the freedom to learn from home, cost and time savings, and avoiding physical closeness with other students as major benefits. Conclusions: To address future challenges like the COVID-19 pandemic in medical education in Bangladesh, a comprehensive policy approach such as strengthening technological infrastructure, promoting blended learning approaches, enhancing faculty training and support, integrating telemedicine into the curriculum, and continuously evaluating and improving policies and interventions can enhance the resilience of its medical education system, and prepare for future challenges.
背景:在孟加拉国等低收入和中等收入国家,医学教育面临着一系列挑战,如缺乏基础设施、训练有素的教育工作者和先进技术,在没有充分准备的情况下突然改变方法比在高收入国家更具挑战性。在2019冠状病毒病大流行期间,这种情况进一步恶化,这些挑战导致医学教育方法发生了变化。本研究从学习者和教育者的角度评估了孟加拉国医学教育系统中COVID-19大流行的医学教育程序,影响和适应策略以及挑战。方法:采用定量和定性相结合的方法,对全国8个省18个区22所高等医学院校进行调查。共收集样本408份,其中学生316份,医学教师92份。对所得结果进行描述性分析和probit模型分析。结果:在线学习的效果尚存疑问,但结果显示理论课的效果最高(92.4%),其次是临床课(75.63%),实践课的效果较低(54.11%)。在孟加拉国的医学教育中,所有类型的课程(理论、实践和临床)目前都在某种程度上使用混合方法。在影响和适应策略方面,约75.3%的受访学生表示接受在线教育。超过80%的参与者承认在线学习的优势,强调在家学习的自由,节省成本和时间,避免与其他学生身体接触是主要好处。结论:为应对未来孟加拉国医学教育面临的COVID-19大流行等挑战,应采取综合政策措施,如加强技术基础设施、推广混合学习方法、加强教师培训和支持、将远程医疗纳入课程、不断评估和改进政策和干预措施,以增强其医学教育体系的弹性,并为未来的挑战做好准备。
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引用次数: 0
Determining current approaches to the evaluation of the quality of healthcare simulation-based education provision: a scoping review. 确定当前评估医疗保健模拟教育质量的方法:范围审查
Pub Date : 2023-10-05 DOI: 10.12688/mep.19758.1
Rachel Pogson, Helen Henderson, Matt Holland, Agnieszka Sumera, Kacper Sumera, Carl A. Webster
Background: With an increase in simulation being used in healthcare education, there is a need to ensure the quality of simulation-based education is high. This scoping review was conducted to answer the question: What are the current approaches to the evaluation of the quality of health-care simulation-based education provision? Methods: Databases PubMed, Cochrane, ERIC, CINAHL and Medline were searched in March 2023 to retrieve peer-reviewed healthcare research and review articles written in the English language within the last 20 years. All data were extracted from six studies, themed and presented in the main text and in tabular form. Results: Two scoping reviews, one systematic review and three research articles were included. Three main themes were found: adherence to existing design frameworks, lack of validation of these frameworks and lack of evaluation frameworks, and a proposed evaluation framework. Many of the excluded articles focussed on gaining participant feedback to evaluate simulation activities, rather than evaluating the quality of the design and implementation of the simulation. Conclusions: Benchmarking of current United Kingdom (UK) healthcare simulation against UK and international simulation standards is required to increase its quality, therefore, an agreed UK template framework to evaluate simulation packages is recommended.
背景:随着模拟在医疗保健教育中的应用越来越多,有必要确保模拟教育的高质量。进行这一范围审查是为了回答以下问题:目前评估保健模拟教育提供质量的方法是什么?方法:于2023年3月检索PubMed、Cochrane、ERIC、CINAHL和Medline数据库,检索近20年来用英文撰写的同行评议的医疗保健研究和综述文章。所有数据均从六项研究中提取,以正文和表格形式进行主题和呈现。结果:纳入2篇范围综述、1篇系统综述和3篇研究文章。发现了三个主要主题:遵守现有的设计框架,缺乏对这些框架的验证,缺乏评估框架,以及拟议的评估框架。许多被排除在外的文章侧重于获得参与者的反馈来评估模拟活动,而不是评估模拟设计和实现的质量。结论:需要根据英国和国际模拟标准对当前英国(UK)医疗保健模拟进行基准测试,以提高其质量,因此,建议采用商定的英国模板框架来评估模拟包。
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引用次数: 0
Practical Tips for using a Human Library approach In medical education 在医学教育中使用人类图书馆方法的实用技巧
Pub Date : 2023-10-05 DOI: 10.12688/mep.19746.1
Rebecca Malhi, Grace Perez, Javeria Shafiq, Aaron Johnston
A Human Library is a structured event that brings people from different groups together. It simulates the format of a customary library, with ‘Readers’ borrowing ‘Books’, who are human volunteers sharing their lived experiences and perspectives. Rooted in principles of social psychology, Human Libraries provide opportunities for Books and Readers to interact in meaningful dialogue. The goal of each interaction is to give the Reader new understanding of the Book’s life. The Human Library was originally developed as a strategy to challenge prejudice through conversation and personal connection, but the approach is remarkably versatile. We repurposed it for a medical education context in order to provide learners in medical school with information and inspiration, particularly about rural life and rural medicine. We organized and held two Human Library events where pre-medical and undergraduate medical students (Readers) engaged in dialogue with rural physicians (Books). However, the strategy could be used to address a wide variety of challenging subjects where the potential Readers are biased or lack experience. This article draws upon research literature and our own experiences of running Human Library events to give practical advice for other organizations who might want to use this novel approach in medical education.
人类图书馆是一个结构化的活动,将来自不同群体的人聚集在一起。它模拟了传统图书馆的形式,“读者”借“书”,这些人是人类志愿者,分享他们的生活经历和观点。基于社会心理学原理,人类图书馆为书籍和读者提供了进行有意义对话的机会。每次互动的目的都是让读者对这本书的生活有新的认识。人类图书馆最初是作为一种通过对话和个人联系来挑战偏见的策略而开发的,但这种方法非常通用。我们将其重新用于医学教育背景,以便为医学院的学习者提供信息和灵感,特别是关于农村生活和农村医学的信息和灵感。我们组织和举办了两次人类图书馆活动,医学预科和医学本科生(读者)与农村医生(书籍)进行对话。然而,该策略可用于解决潜在读者有偏见或缺乏经验的各种具有挑战性的主题。本文借鉴研究文献和我们自己运行人类图书馆活动的经验,为其他可能希望在医学教育中使用这种新方法的组织提供实用的建议。
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引用次数: 0
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