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间隔式教育改善了外科住院医师给医学生的反馈:一项随机试验。

Spaced education improves the feedback that surgical residents give to medical students: a randomized trial.

作者信息

Matzie Kimberly A, Kerfoot B Price, Hafler Janet P, Breen Elizabeth M

机构信息

Department of Surgery, Brigham & Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.

出版信息

Am J Surg. 2009 Feb;197(2):252-7. doi: 10.1016/j.amjsurg.2008.01.025. Epub 2008 Aug 22.

DOI:10.1016/j.amjsurg.2008.01.025
PMID:18722585
Abstract

BACKGROUND

Surgery residents teach medical students; feedback is one critical teaching skill. We investigated whether feedback given by surgery residents to students could be improved through an online spaced education program.

METHODS

Surgery residents were randomized to receive either a weekly spaced education e-mail during a 9-month period containing teaching bullets on how to provide effective feedback, or no intervention. Medical students rated the frequency and quality of feedback they received from the residents.

RESULTS

Students reported 45% (67 of 149) of the spaced education residents gave frequent feedback, compared with 31% (55 of 175) of control residents (relative risk [RR], 1.43; P = .016). Students reported resident feedback was "helpful in their learning" in 92% (132 of 143) of their evaluations of spaced education residents, compared with 82% (132 of 161) of their evaluations of control residents (RR, 1.13; P = .01).

CONCLUSIONS

Educational programs using feedback bullets e-mailed weekly can significantly improve the frequency and quality of feedback that surgical residents provide medical students.

摘要

背景

外科住院医师负责教导医学生;反馈是一项关键的教学技能。我们调查了通过在线间隔教育项目是否可以改善外科住院医师给学生的反馈。

方法

将外科住院医师随机分为两组,一组在9个月期间每周收到一封包含关于如何提供有效反馈的教学要点的间隔教育电子邮件,另一组不接受干预。医学生对他们从住院医师那里收到的反馈的频率和质量进行评分。

结果

学生报告称,45%(149名中的67名)接受间隔教育的住院医师经常给予反馈,而对照组住院医师这一比例为31%(175名中的55名)(相对风险[RR],1.43;P = .016)。在对接受间隔教育的住院医师的评价中,92%(143名中的132名)的学生报告住院医师的反馈“对他们的学习有帮助”,而在对对照组住院医师的评价中这一比例为82%(16%名中的132名)(RR,1.13;P = .01)。

结论

使用每周通过电子邮件发送反馈要点的教育项目可以显著提高外科住院医师向医学生提供反馈的频率和质量。

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Am J Surg. 2009 Feb;197(2):252-7. doi: 10.1016/j.amjsurg.2008.01.025. Epub 2008 Aug 22.
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