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实施三年级急诊医学医学生课程。

Implementing a third-year emergency medicine medical student curriculum.

作者信息

Tews Matthew C, Ditz Wyte Collette Marie, Coltman Marion, Hiller Kathy, Jung Julianna, Oyama Leslie C, Jubanyik Karen, Khandelwal Sorabh, Goldenberg William, Wald David A, Zun Leslie S, Zinzuwadia Shreni, Pandit Kiran, An Charlene, Ander Douglas S

机构信息

Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.

Department of Emergency Medicine, Oakland University, William Beaumont School of Medicine, Royal Oak, Michigan.

出版信息

J Emerg Med. 2015 Jun;48(6):732-743.e8. doi: 10.1016/j.jemermed.2014.12.063. Epub 2015 Mar 29.

Abstract

BACKGROUND

Emergency medicine (EM) is commonly introduced in the fourth year of medical school because of a perceived need to have more experienced students in the complex and dynamic environment of the emergency department. However, there is no evidence supporting the optimal time or duration for an EM rotation, and a number of institutions offer third-year rotations.

OBJECTIVE

A recently published syllabus provides areas of knowledge, skills, and attitudes that third-year EM rotation directors can use to develop curricula. This article expands on that syllabus by providing a comprehensive curricular guide for the third-year medical student rotation with a focus on implementation.

DISCUSSION

Included are consensus-derived learning objectives, discussion of educational methods, considerations for implementation, and information on feedback and evaluation as proposed by the Clerkship Directors in Emergency Medicine Third-Year Curriculum Work Group. External validation results, derived from a survey of third-year rotation directors, are provided in the form of a content validity index for each content area.

CONCLUSIONS

This consensus-derived curricular guide can be used by faculty who are developing or revising a third-year EM medical student rotation and provide guidance for implementing this curriculum at their institution.

摘要

背景

由于人们认为在急诊科复杂多变的环境中需要更有经验的学生,急诊医学(EM)通常在医学院第四年开设。然而,没有证据支持急诊医学轮转的最佳时间或时长,许多机构提供三年级的轮转课程。

目的

最近发布的一份教学大纲提供了知识、技能和态度等方面的内容,三年级急诊医学轮转课程主任可据此制定课程。本文通过为三年级医学生轮转提供一份全面的课程指南(重点在于实施)对该教学大纲进行了扩展。

讨论

内容包括急诊医学三年级课程工作小组的实习主任提出的基于共识得出的学习目标、教育方法讨论、实施考量以及反馈和评估信息。通过对三年级轮转课程主任的调查得出的外部验证结果,以每个内容领域的内容效度指数的形式呈现。

结论

这份基于共识得出的课程指南可供正在制定或修订三年级急诊医学医学生轮转课程的教师使用,并为在其机构实施该课程提供指导。

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