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教员是否遵循针对麻醉住院医师的新型基于课堂的每日正式教学课程的推荐结构?

Does Faculty Follow the Recommended Structure for a New Classroom-based, Daily Formal Teaching Session for Anesthesia Residents?

作者信息

Anwar Anjum, Tanaka Pedro, Madsen Matias V, Macario Alex

机构信息

Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine.

Department of Anesthesiology, Herlev and Gentofte Hospital, University of Copenhagen.

出版信息

Cureus. 2016 Oct 6;8(10):e818. doi: 10.7759/cureus.818.

Abstract

BACKGROUND

A newly implemented 15-minute classroom-based, formal teaching session for anesthesia residents is given three times daily by the same faculty. The faculty member was provided a suggested template for the presentation. The template structure was developed by a group of residents and faculty to include best teaching practices. The goal of the current study was to measure how frequently the faculty teaching these sessions followed the template.

METHODS

From February 20, 2015 to February 6, 2016, a research assistant trained in education mapped a total of 48 teaching sessions to determine how frequently the teaching sessions included each of the elements in the recommended template structure. The assistant was chosen from outside the anesthesia department so as to minimize biases.

RESULTS

It was found that 98% of the sessions used the teaching template's suggestion of using computer slides (e.g., a Powerpoint presentation). We observed that 75% of the sessions provided specific recommendations about patient care, 65% had reinforcement of learning points, 56% had a test or a quiz, 49% provided references and directions for further reading, 44% provided take-home messages, and 31% used a clinical case vignette presentation to introduce the keyword. The most common visuals were the use of a picture (38%) and a chart or a graph (35%). We also saw that 65% of the sessions had active involvement of residents. With respect to time and slide limitations mentioned in the template, we saw that 35% of the sessions finished within the recommended time limit of 15 mins and 21% had the recommended 10 or fewer slides.  Conclusion: Compliance by the faculty to the recommended structure was variable. Despite this, the sessions have been well received and have become a permanent part of the residency curriculum more than two years after their implementation.

摘要

背景

针对麻醉住院医师新开展了一项基于课堂的15分钟正式教学课程,由同一位教员每天授课三次。为教员提供了一份演示文稿建议模板。该模板结构由一组住院医师和教员共同制定,纳入了最佳教学实践方法。本研究的目的是衡量授课教员遵循该模板的频率。

方法

从2015年2月20日至2016年2月6日,一名接受过教育培训的研究助理对总共48次教学课程进行了记录,以确定教学课程中包含推荐模板结构中各项内容的频率。该助理从麻醉科以外挑选,以尽量减少偏差。

结果

发现98%的课程采用了教学模板中使用电脑幻灯片(如PowerPoint演示文稿)的建议。我们观察到,75%的课程提供了关于患者护理的具体建议,65%的课程强化了学习要点,56%的课程进行了测试或小测验,49%的课程提供了参考文献和进一步阅读的方向,44%的课程给出了要点提示,31%的课程使用临床病例 vignette 演示来引入关键词。最常见的视觉元素是图片(38%)和图表(35%)。我们还发现,65%的课程中有住院医师的积极参与。关于模板中提到的时间和幻灯片限制,我们发现35%的课程在推荐的15分钟时间限制内完成,21%的课程有10张或更少的推荐幻灯片。结论:教员对推荐结构的遵循情况各不相同。尽管如此,这些课程受到了好评,并且在实施两年多后已成为住院医师培训课程的固定组成部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ae5/5096946/69416696b8c9/cureus-0008-00000000818-i01.jpg

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