Lee Joshua D, Triola Marc, Gillespie Colleen, Gourevitch Marc N, Hanley Kathleen, Truncali Andrea, Zabar Sondra, Kalet Adina
Division of General Internal Medicine, New York University School of Medicine, New York, NY, USA.
J Gen Intern Med. 2008 Jul;23(7):1006-9. doi: 10.1007/s11606-008-0557-5.
INTRODUCTION/AIMS: We designed an interactive web module to improve medical student competence in screening and interventions for hazardous drinking. We assessed its impact on performance with a standardized patient (SP) vs. traditional lecture.
First year medical school curriculum.
The web module included pre/posttests, Flash(c), and text didactics. It centered on videos of two alcohol cases, each contrasting a novice with an experienced physician interviewer. The learner free-text critiqued each clip then reviewed expert analysis.
First year medical students conveniently assigned to voluntarily complete a web module (N = 82) or lecture (N = 81) were rated by a SP in a later alcohol case. Participation trended higher (82% vs. 72%, p < .07) among web students, with an additional 4 lecture-assigned students crossing to the web module. The web group had higher mean scores on scales of individual components of brief intervention (assessment and decisional balance) and a brief intervention composite score (1-13 pt.; 9 vs. 7.8, p < .02) and self-reported as better prepared for the SP case.
A web module for alcohol use interview skills reached a greater proportion of voluntary learners and was associated with equivalent overall performance scores and higher brief intervention skills scores on a standardized patient encounter.
引言/目的：我们设计了一个交互式网络模块，以提高医学生对危险饮酒进行筛查和干预的能力。我们通过标准化病人（SP）评估了该模块与传统讲座相比对学生表现的影响。
医学院校一年级课程。
该网络模块包括课前/课后测试、Flash动画和文本教学内容。它以两个酒精相关病例的视频为核心，每个病例都对比了新手和经验丰富的医生访谈者的表现。学习者以自由文本形式对每个视频片段进行评论，然后查看专家分析。
方便抽样将一年级医学生分配为自愿完成网络模块（N = 82）或讲座（N = 81），之后由标准化病人对他们在一个酒精相关病例中的表现进行评分。网络模块组的参与率更高（82%对72%，p <.07），另外有4名分配参加讲座的学生转而参加了网络模块。在简短干预的各个组成部分（评估和决策平衡）量表以及简短干预综合评分（1 - 13分；9分对7.8分，p <.02）方面，网络模块组的平均得分更高，并且自我报告称对标准化病人病例准备得更好。
一个关于酒精使用访谈技巧的网络模块吸引了更大比例的自愿学习者，并且在标准化病人问诊中，该模块与总体表现得分相当，但简短干预技巧得分更高。
