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通过跟班见习进行跨专业学习:见解与经验教训

Interprofessional learning through shadowing: Insights and lessons learned.

作者信息

Kusnoor Anita V, Stelljes Linda A

机构信息

a Baylor College of Medicine , Houston , TX , USA.

出版信息

Med Teach. 2016 Dec;38(12):1278-1284. doi: 10.1080/0142159X.2016.1230186. Epub 2016 Sep 20.

Abstract

BACKGROUND

Interprofessional education (IPE) aims to improve patient outcomes. Interprofessional shadowing improves students' knowledge of different roles and attitudes toward other professionals.

AIM

This study evaluates (1) how pre-clinical medical students describe the roles of the healthcare professionals they shadowed, and (2) whether shadowing can be used to introduce medical students to the benefits of interprofessional collaboration, and if so, in what ways.

METHODS

Second-year medical students shadow another discipline and write a reflection on the shadowed discipline (SD)'s role and collaboration in patient care. A non-proportional stratified random sample of these reflections was coded during an iterative process. Any number of the 13 possible codes could be assigned to each reflection. Codes relevant to the research questions underwent narrative analysis.

RESULTS

The most frequent codes were "specific function of SD" (88%), "SD's general purpose" (86%), and "value of SD's role" (68%). One-third of reflections referenced "communication," and one-third mentioned "teamwork." Insights gained included an appreciation for interprofessional care and a global perspective on patient care, extending beyond the inpatient encounter.

CONCLUSION

Through shadowing, students achieve several IPE core competencies and a broader perspective on patient care. Shadowing is an effective pedagogical method for IPE in the pre-clerkship curriculum.

摘要

背景

跨专业教育(IPE)旨在改善患者治疗效果。跨专业跟班实习可提高学生对不同角色的认识以及对其他专业人员的态度。

目的

本研究评估(1)临床前医学生如何描述他们所跟班实习的医疗保健专业人员的角色,以及(2)跟班实习是否可用于向医学生介绍跨专业协作的益处,若可以,以何种方式。

方法

二年级医学生跟班实习另一学科,并就该被跟班实习学科(SD)在患者护理中的角色及协作撰写一篇反思。在一个迭代过程中,对这些反思的非比例分层随机样本进行编码。每篇反思可被赋予13种可能编码中的任意数量。与研究问题相关的编码进行叙事分析。

结果

最常见的编码是“SD的具体职能”(88%)、“SD的总体目的”(86%)和“SD角色的价值”(68%)。三分之一的反思提到了“沟通”,三分之一提到了“团队合作”。获得的见解包括对跨专业护理的认识以及对患者护理的全局观,超越了住院患者的接触范围。

结论

通过跟班实习,学生实现了多项IPE核心能力,并对患者护理有了更广阔的视角。跟班实习是临床前课程中IPE的一种有效教学方法。

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