Schuh Lori, Burdette David E, Schultz Lonni, Silver Brian
Department of Neurology, Henry Ford Hospital, Detroit, Michigan 48202, USA.
J Clin Neurophysiol. 2008 Jun;25(3):167-9. doi: 10.1097/WNP.0b013e31817759b3.
We sought to find evidence for generalizability of a game and team oriented educational intervention in clinical neurophysiology in a neurology residency program. A prospective educational intervention was studied in a single neurology residency program and compared with a historical control. Seventeen PGY 2-4 residents studied neurophysiology in 2004-2005. The historical control was 20 PGY 2-4 residents from 1998 to 2002. The neurophysiology educational intervention consisted of weekly presentations, followed by a game show-type oral quiz which was team-based and required all residents to participate. The control group attended faculty-prepared didactic lectures. Outcome measures were percent correct subset neurophysiology Residency Inservice Training Examination scores. United States Medical Licensing Examination step 1 scores were also compared between the groups. Data were analyzed with analysis of variance methods accounting for multiple measurements. The mean+/-standard error neurophysiology subset percent correct Residency Inservice Training Examination score was 63.6+/-4.12 for the intervention group and 49.4+/-2.35 for the control (P=0.002). There was no difference in United States Medical Licensing Examination step 1 scores between the two groups (P=0.11). We found evidence for generalizability of the effectiveness of a team-oriented educational intervention in clinical neurophysiology with gaming and oral quizzing in improving subset Residency Inservice Training Examination performance compared with faculty prepared didactics.
我们试图在一个神经科住院医师培训项目中寻找证据，以证明一种以游戏和团队为导向的教育干预在临床神经生理学方面具有可推广性。在一个单一的神经科住院医师培训项目中对一项前瞻性教育干预进行了研究，并与一个历史对照组进行了比较。2004 - 2005年，17名PGY 2 - 4级住院医师学习神经生理学。历史对照组是1998年至2002年的20名PGY 2 - 4级住院医师。神经生理学教育干预包括每周的讲座，随后是一场基于团队的游戏节目式口头测验，要求所有住院医师参与。对照组参加由教员准备的说教讲座。结果测量指标是神经生理学住院医师在职培训考试子部分的正确百分比分数。还比较了两组之间的美国医学执照考试第一步的分数。使用考虑多次测量的方差分析方法对数据进行分析。干预组神经生理学子部分正确百分比的住院医师在职培训考试分数的平均值±标准误差为63.6±4.12，对照组为49.4±2.35（P = 0.002）。两组之间美国医学执照考试第一步的分数没有差异（P = 0.11）。我们发现，与教员准备的说教相比，一种以团队为导向的教育干预在临床神经生理学中采用游戏和口头测验的方式在提高住院医师在职培训考试子部分成绩方面具有有效性的可推广性证据。
