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医学本科教育中基于知识的跨专业沟通技能培训的益处。

Benefits of knowledge-based interprofessional communication skills training in medical undergraduate education.

作者信息

Buczacki Simon, Shalhoub Joseph, George Peter M, Vearncombe Laura M, Byrne Patrick D, Alazawi William

机构信息

University of Cambridge , Cambridge , UK.

出版信息

JRSM Short Rep. 2011 Aug;2(8):67. doi: 10.1258/shorts.2011.011065. Epub 2011 Aug 17.

Abstract

OBJECTIVES

Good interprofessional communication is fundamental to effective teamworking in medicine. Finalmed is a private course that teaches the principles and methods of clinical presenting as an iterative technique of reasoning though clinical data. We have tested the efficacy of this technique using a questionnaire-based study.

DESIGN

An anonymized 10-point Likert scale questionnaire was designed.

SETTING

Questionnaires were distributed at five UK courses and two UAE courses.

PARTICIPANTS

Questionnaires were given to all students attending these courses.

MAIN OUTCOME MEASURES

The questionnaire included pre- and post-course questions addressing self-reported confidence in clinical presenting (CCP) and effectiveness in clinical presenting (ECP). We also asked whether attendees felt that clinical presenting should be integrated formally into medical school curricula.

RESULTS

A total of 331/395 questionnaires were returned. Median improvement in CCP was 50% (P < 0.0001) and in ECP was 40% (P < 0.0001), irrespective of country of study, graduate entry status and whether the student felt that they had been exposed to these techniques previously. Students recorded a strong opinion in favour of integrating the content and style of the Finalmed course into their medical school curriculum, with 286 students (86%) recording a score of ≥8.

CONCLUSION

Our study suggests that after a two- or three-day dedicated course, both self-reported confidence and effectiveness in clinical presenting significantly improve. Furthermore, students in the UK and the UAE returned a desire for integration into medical school curricula of IPC through the teaching of clinical presenting.

摘要

目的

良好的跨专业沟通是医学领域有效团队合作的基础。Finalmed是一门私立课程,教授临床陈述的原则和方法,这是一种通过临床数据进行迭代推理的技术。我们通过一项基于问卷的研究测试了该技术的有效性。

设计

设计了一份匿名的10分李克特量表问卷。

背景

问卷在英国的五门课程和阿联酋的两门课程中分发。

参与者

向所有参加这些课程的学生发放问卷。

主要观察指标

问卷包括课程前后关于自我报告的临床陈述信心(CCP)和临床陈述有效性(ECP)的问题。我们还询问了参与者是否认为临床陈述应正式纳入医学院课程。

结果

共收回331/395份问卷。无论学习国家、研究生入学状态以及学生是否觉得自己以前接触过这些技术,CCP的中位数改善为50%(P<0.0001),ECP的中位数改善为40%(P<0.0001)。学生们强烈支持将Finalmed课程的内容和风格纳入医学院课程,286名学生(86%)的得分≥8分。

结论

我们的研究表明,经过为期两到三天的专门课程后,自我报告的临床陈述信心和有效性均显著提高。此外,英国和阿联酋的学生都希望通过临床陈述教学将跨专业沟通纳入医学院课程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ca2/3166267/a7f2b0bf99e9/SHORTS-11-06501.jpg

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本文引用的文献

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Medical student gender and issues of confidence.医学生的性别与自信心问题。
Patient Educ Couns. 2008 Sep;72(3):374-81. doi: 10.1016/j.pec.2008.05.021. Epub 2008 Jul 24.
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Feedback.反馈
Acad Emerg Med. 2004 Dec;11(12):e1-5. doi: 10.1197/j.aem.2004.08.036.

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