Fleetwood J, Vaught W, Feldman D, Gracely E, Kassutto Z, Novack D
Division of Medical Humanities, MCP Hahnemann School of Medicine, 2900 Queen Lane, Philadelphia, PA 19129, USA.
Teach Learn Med. 2000 Spring;12(2):96-104. doi: 10.1207/S15328015TLM1202_7.
Bioethics education often focuses on lectures and discussions to set a foundation for ethical decision making. Our goal was to bridge the gap between classroom learning and bedside competence through computer-assisted instruction. This article assesses the efficacy of MedEthEx Online, a computer-based learning program as part of a required Bioethics course.
Of 173 American medical students, 89 in Section 1 attended 8 bioethics lectures and 8 small-group discussions. Eighty-four in Section 2 had a similar course, although two group discussions were replaced with computerized learning. We compared (a) final exam scores, (b) topic-specific question scores, (c) performance with standardized patients, (d) self-assessments, and (e) course evaluations.
Exam scores were comparable, although computerized-learning students scored higher in specific exam areas, felt somewhat more clinically prepared, and rated the course slightly better. Standardized patient interactions differed, although they were comparable overall.
MedEthEx Online is a viable option for fostering effective communication and problem resolution skills.
生物伦理学教育通常侧重于讲座和讨论,为道德决策奠定基础。我们的目标是通过计算机辅助教学弥合课堂学习与床边实践能力之间的差距。本文评估了作为生物伦理学必修课程一部分的基于计算机的学习程序MedEthEx Online的效果。
在173名美国医学生中,第1组的89名学生参加了8次生物伦理学讲座和8次小组讨论。第2组的84名学生参加了类似的课程,不过有两次小组讨论被计算机化学习取代。我们比较了(a)期末考试成绩、(b)特定主题问题得分、(c)与标准化病人的表现、(d)自我评估以及(e)课程评价。
考试成绩相当,不过采用计算机化学习的学生在特定考试领域得分更高,感觉在临床准备方面略胜一筹,对课程的评价也略高。与标准化病人的互动有所不同,不过总体相当。
MedEthEx Online是培养有效沟通和问题解决能力的可行选择。