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如何自信地进行循证医学现场教学:基于网络的电子学习课程的开发与评估

How to confidently teach EBM on foot: development and evaluation of a web-based e-learning course.

作者信息

Weberschock Tobias, Sorinola Olanrewaju, Thangaratinam Shakila, Oude Rengerink Katrien, Arvanitis Theodoros N, Khan Khalid S

机构信息

Institute for General Practice, Goethe-University, Frankfurt, Germany.

出版信息

Evid Based Med. 2013 Oct;18(5):170-2. doi: 10.1136/eb-2012-100801. Epub 2012 Aug 4.

Abstract

BACKGROUND

Scarcity of well-trained clinical tutors is a key constraint in integrating teaching of evidence-based medicine (EBM) into clinical activities.

OBJECTIVES

We developed a web-based educational course for clinical trainers to confidently teach EBM principles in everyday practice. Its e-learning modules defined the learning objectives and incorporated video clips of practical and effective EBM teaching methods for exploiting educational opportunities in six different clinical settings.

METHODS

We evaluated the course with clinical tutors in different specialties across six European countries using a questionnaire to capture learning achievement against preset objectives.

RESULTS

Among 56 tutors, 47 participants (84%) improved their scores from baseline. The mean pre-course score was 69.2 (SD=10.4), which increased to 77.3 (SD=11.7) postcourse (p<0.0001). The effect size was moderate with a Cohen's d of 0.73.

CONCLUSIONS

An e-learning approach incorporating videos of applied EBM teaching and learning based on real clinical scenarios in the workplace can be useful in facilitating EBM teaching on foot. It can be integrated in the continuing professional development programmes for clinical trainers.

摘要

背景

训练有素的临床教师短缺是将循证医学(EBM)教学融入临床活动的关键制约因素。

目的

我们为临床培训师开发了一门基于网络的教育课程,以便他们在日常实践中自信地教授循证医学原则。其电子学习模块明确了学习目标,并纳入了实用且有效的循证医学教学方法的视频片段,用于在六种不同临床环境中把握教育机会。

方法

我们使用问卷调查评估了该课程,调查对象为来自六个欧洲国家不同专业的临床教师,以根据预设目标衡量学习成果。

结果

在56名教师中,47名参与者(84%)的分数较基线有所提高。课程前的平均分数为69.2(标准差=10.4),课程后提高到77.3(标准差=11.7)(p<0.0001)。效应量中等,科恩d值为0.73。

结论

一种结合基于工作场所真实临床场景的循证医学应用教学视频的电子学习方法,有助于推动循证医学现场教学。它可纳入临床培训师的继续职业发展计划。

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