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修订后的以临床神经学和肌肉骨骼护理为重点的课程对医学生四年级必修的物理医学与康复实习的影响。

Impact of a Revised Curriculum Focusing on Clinical Neurology and Musculoskeletal Care on a Required Fourth-Year Medical Student Physical Medicine and Rehabilitation Clerkship.

作者信息

Norbury John W, Faulk Clinton E, Harrell Kelly M, Lawson Luan E, Moore Daniel P

机构信息

Department of Physical Medicine and Rehabilitation, Brody School of Medicine at East Carolina University, Greenville, NC, USA.

Department of Anatomy and Cell Biology, Brody School of Medicine at East Carolina University, Greenville, NC, USA.

出版信息

Rehabil Res Pract. 2016;2016:6197961. doi: 10.1155/2016/6197961. Epub 2016 Nov 29.

DOI:10.1155/2016/6197961
PMID:28025624
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5153487/
Abstract

. A Required Fourth-Year Medical Student Physical Medicine and Rehabilitation (PM&R) Clerkship was found to increase students' knowledge of PM&R; however the students' overall rotation evaluations were consistently lower than the other 8 required clerkships at the medical school. . To describe the impact of a revised curriculum based upon Entrustable Professional Activities and focusing on basic pain management, musculoskeletal care, and neurology. . Academic Medical Center. . 73 fourth-year medical students. . The curriculum changes included a shift in the required readings from rehabilitation specific topics toward more general content in the areas of clinical neurology and musculoskeletal care. Hands-on workshops on neurological and musculoskeletal physical examination techniques, small group case-based learning, an anatomy clinical correlation lecture, and a lecture on pain management were integrated into the curriculum. . Student evaluations of the clerkship. . Statistically significant improvements were found in the students' evaluations of usefulness of lecturers, development of patient interviewing skills, and diagnostic and patient management skills ( ≤ 0.05). . This study suggests that students have a greater satisfaction with a required PM&R clerkship when lecturers utilize a variety of pedagogic methods to teach basic pain, neurology and musculoskeletal care skills in the rehabilitation setting rather than rehabilitation specific content.

摘要

. 一项针对医学院四年级医学生的物理医学与康复(PM&R)必修实习被发现能增加学生对PM&R的知识;然而,学生对该轮转的总体评价一直低于医学院其他8项必修实习。. 描述基于可托付专业活动并聚焦于基本疼痛管理、肌肉骨骼护理和神经学的修订课程的影响。. 学术医疗中心。. 73名四年级医学生。. 课程变化包括将必读材料从康复特定主题转向临床神经学和肌肉骨骼护理领域更通用的内容。将神经和肌肉骨骼体格检查技术的实践工作坊、基于小组病例的学习、解剖学临床关联讲座以及疼痛管理讲座纳入课程。. 学生对实习的评价。. 在学生对讲师的有用性评价、患者访谈技能发展以及诊断和患者管理技能方面发现了统计学上的显著改善(≤0.05)。. 这项研究表明,当讲师采用多种教学方法在康复环境中教授基本疼痛、神经学和肌肉骨骼护理技能而非康复特定内容时,学生对必修的PM&R实习满意度更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dd4/5153487/46a6f4464ed0/RERP2016-6197961.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dd4/5153487/2bcf14316f0e/RERP2016-6197961.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dd4/5153487/46a6f4464ed0/RERP2016-6197961.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dd4/5153487/2bcf14316f0e/RERP2016-6197961.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dd4/5153487/46a6f4464ed0/RERP2016-6197961.002.jpg

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Musculoskeletal Medicine Is Underrepresented in the American Medical School Clinical Curriculum.肌肉骨骼医学在美国医学院临床课程中的占比不足。
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