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评估大体解剖课程中的解剖学操作:实验室解剖学操作质量与学生学习成果之间的相关性。

Evaluating dissection in the gross anatomy course: Correlation between quality of laboratory dissection and students outcomes.

机构信息

Mayo Medical School, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota.

出版信息

Anat Sci Educ. 2015 Jan-Feb;8(1):45-52. doi: 10.1002/ase.1458. Epub 2014 May 2.

Abstract

Anatomy learned by active exploration through dissection has many proven benefits including improvement of anatomic knowledge. Decreased laboratory time may affect the quality of dissection and ultimately lower student performance in anatomy translating to lower knowledge acquisition. The aim of this study was to determine whether the quality of students' dissection in teams correlates with their performance in the gross anatomy course. Quality of dissections for each team enrolled in a gross anatomy course at Mayo Medical School was evaluated biweekly using a five-point rubric based on course learning objectives. Assessment of anatomic knowledge was based on sequential laboratory practice practical examination scores, achievements on daily audience response system (ARS) quizzes, and final practical, written, and National Board of Medical Examiners(®) (NBME(®) ) Gross Anatomy and Embryology Subject Examinations. Twelve teams comprising 48 students were included in the study. There was a positive correlation between dissection quality and practice practical examination score (R = 0.83) and a negative correlation between dissection quality and ARS quizzes (R = -0.985). Dissection teams with a passing score on their dissection evaluations (>70%) performed better on their final examinations. Based on an end of course survey, students agreed that dissection evaluations should continue to be a part of the course. This study showed that better quality of dissection was associated with higher scores on practice practical examinations, final practical, written, and NBME examinations. The study demonstrated a positive correlation between dissection evaluations, accompanied by formative feedback during the course, and higher scores on final course assessments.

摘要

通过解剖进行主动探索而习得的解剖学具有许多已被证实的益处,包括提高解剖学知识。实验室时间的减少可能会影响解剖的质量,最终导致学生在解剖学方面的表现下降,从而导致知识获取量降低。本研究旨在确定学生在团队中的解剖质量是否与其在大体解剖课程中的表现相关。在 Mayo 医学院的一门大体解剖课程中,每个团队的解剖质量每周评估两次,评估标准基于课程学习目标的五分制评分表。解剖学知识的评估基于连续的实验室实践考试成绩、每日观众反应系统 (ARS) 测验成绩以及最终的实践、书面和美国医师执照考试委员会 (NBME) 大体解剖学和胚胎学科目考试成绩。本研究共纳入了 12 个团队,每个团队有 48 名学生。解剖质量与实践考试成绩之间呈正相关(R = 0.83),与 ARS 测验成绩之间呈负相关(R = -0.985)。解剖评估得分及格(>70%)的解剖团队在期末考试中表现更好。根据课程结束时的一项调查,学生们一致认为解剖评估应该继续作为课程的一部分。本研究表明,解剖质量更高的学生在实践考试、期末考试的实践、书面和 NBME 考试中的得分更高。研究表明,解剖评估与形成性反馈之间存在正相关,这与期末考试成绩的提高有关。

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