急诊医学实习中的社区参与教学法:通过同伴辅助学习案例教授创伤知情成瘾护理和减少伤害。

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES AEM Education and Training Pub Date : 2024-05-18 DOI:10.1002/aet2.10989
Callan Fockele MD, MS, Elsa Lindgren MD, Jordan Ferreira MD, Dena Salehipour, Jamie Shandro MD, MPH, Joshua Jauregui MD
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引用次数: 0

摘要

背景:阿片类药物使用障碍(OUD)在美国的影响持续上升,但大多数医学院课程对这一主题的覆盖范围有限。本研究与学术界和社区减低伤害专家合作,设计了一个阿片类药物戒断的同伴辅助学习案例,在四年级医学生的急诊医学实习期间,向他们传授有关创伤知情的 OUD 护理和减低伤害服务的知识:方法:学术界和社区减低伤害专家与研究小组合作,反复设计了这一案例。社区参与教学法为这一过程提供了信息,以通过教育促进社会行动和权力分享。该案例被整合到现有的每周同伴辅助学习课程中(即医学生通过结构化案例教授医学生),供所有四年级医学生在急诊医学临床轮转时使用。参与者完成了病例后评估调查:64 名医学生在 2022 年 6 月至 11 月期间完成了调查。98.5%的参与者认为该教育课程与他们的医学教育相当或极为相关,87.5%的参与者认为该案例在实现学习目标方面相当或极为有效。共有 45.3% 的参与者最初认为自己在与病人谈论其吸毒问题时相当或非常胜任,而 53.2% 的参与者在参与案例后认为自己相当或非常胜任。最后,21.9%的受访者最初认为自己完全或非常有能力为吸毒患者提出治疗方案,而 62.5%的受访者在参与案例后认为自己完全或非常有能力提出治疗方案:本研究支持将有生活经验者的声音纳入医学院课程开发的可行性和重要性。这个以急诊科治疗 OUD 为重点的同伴辅助学习案例与现有课程无缝衔接,深受医学生欢迎。通过当地专家的参与,该案例很容易被改编并推广到其他地方。
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Community-engaged pedagogy in an emergency medicine clerkship: Teaching trauma-informed addiction care and harm reduction through a peer-assisted learning case

Background

The impact of opioid use disorder (OUD) in the United States continues to rise, yet this topic has limited coverage in most medical school curricula. The study partnered with academic and community harm reductionists to design a peer-assisted learning case of opioid withdrawal to teach fourth-year medical students about trauma-informed OUD care and harm reduction services during their emergency medicine clerkship.

Methods

Academic and community harm reductionists iteratively codesigned this case in partnership with the research team. Community-engaged pedagogy informed this process to promote social action and power sharing through education. This case was integrated into the existing weekly peer-assisted learning curriculum (i.e., medical students teaching medical students through a structured case) for all fourth-year medical students during their required emergency medicine clinical rotation. Participants completed a postcase evaluation survey.

Results

Sixty-four medical students completed the survey between June and November 2022. A total of 98.5% of participants found the educational session quite or extremely relevant to their medical education, and 87.5% believed the case to be quite or extremely effective in achieving the learning objectives. A total of 45.3% initially felt quite or extremely competent in talking with patients about their drug use, whereas 53.2% felt quite or extremely more competent after participating in the case. Finally, 21.9% initially felt quite or extremely competent in proposing a treatment plan for a patient who uses drugs, whereas 62.5% felt quite or extremely more competent after participating in the case.

Conclusions

This study supports the feasibility and importance of incorporating the voices of people with lived and living experience into medical school curricular development. This peer-assisted learning case focused on the treatment of OUD in the emergency department was seamlessly integrated into the existing curriculum and well received by medical students. By engaging local experts, it could easily be adapted and expanded to other sites.

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来源期刊
AEM Education and Training
AEM Education and Training Nursing-Emergency Nursing
CiteScore
2.60
自引率
22.20%
发文量
89
期刊最新文献
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