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药学教育中的“锐评提问”:学生与教师观点的调查及比较

"Pimping" in Pharmacy Education: A Survey and Comparison of Student and Faculty Views.

作者信息

Williams Eric A, Miesner Andrew R, Beckett Emily A, Grady Sarah E

机构信息

1 Drake University College of Pharmacy & Health Sciences, Des Moines, IA, USA.

2 Broadlawns Medical Center, Des Moines, IA, USA.

出版信息

J Pharm Pract. 2018 Jun;31(3):353-360. doi: 10.1177/0897190017715393. Epub 2017 Jun 20.

Abstract

BACKGROUND

"Pimping" is an informal teaching technique that is widely used in medical education. Pimping is characterized by questioning the learner with the intent of reinforcing clinical hierarchy. To date, there are no studies of the use of pimping in pharmacy education.

OBJECTIVES

To describe the use of pimping as a teaching method in pharmacy education and to compare student and faculty perceptions of this technique.

METHODS

Faculty and fourth-year PharmD (P4) students from 2 colleges of pharmacy were invited to participate in a survey about experiences and perceptions of pimping. Faculty and P4 surveys each contained up to 17 items to assess personal experiences, utilization, perceived risks and benefits, and preferences regarding the role of the technique in pharmacy education.

RESULTS

The response rate was 49.5% (159 of 321). Of faculty, 74.1% reported they had been pimped in their training, but less than half (45.8%) use pimping themselves. Similarly, 73.7% of students reported that they had been pimped at some time in their pharmacy education. Students nearly equally viewed their experiences as positive (35.3%) versus negative (38.2%). Responses were similar between faculty and students recommending that the method should be avoided entirely ( P = .259), used sparingly ( P = .072), or used consistently ( P = .309). Perceived benefits and risks of pimping were similar between faculty and students, but there were many differences in rationales offered by faculty versus students' perceived rationales.

CONCLUSION

Pimping is common in pharmacy education and its use is controversial. The perceived rationale for use of pimping differs, which may undermine student/faculty relationships.

摘要

背景

“提问式教学”是一种广泛应用于医学教育的非正式教学方法。提问式教学的特点是通过向学习者提问来强化临床等级制度。迄今为止,尚无关于在药学教育中使用提问式教学的研究。

目的

描述提问式教学作为一种教学方法在药学教育中的应用情况,并比较学生和教师对该教学方法的看法。

方法

邀请两所药学院的教师和四年级药学博士(P4)学生参与一项关于提问式教学体验和看法的调查。教师和P4学生的调查问卷各包含多达17个项目,以评估个人经历、使用情况、感知到的风险和益处,以及对该教学方法在药学教育中作用的偏好。

结果

回复率为49.5%(321人中159人回复)。在教师中,74.1%报告他们在培训期间曾被提问式教学,但只有不到一半(45.8%)的教师自己使用提问式教学。同样,73.7%的学生报告他们在药学教育的某个阶段曾被提问式教学。学生几乎同等地将他们的经历视为积极的(35.3%)和消极的(38.2%)。在建议完全避免使用该方法(P = 0.259)、谨慎使用(P = 0.072)或持续使用(P = 0.309)方面,教师和学生的回答相似。教师和学生对提问式教学的感知益处和风险相似,但教师给出的理由与学生感知到的理由存在许多差异。

结论

提问式教学在药学教育中很常见,其使用存在争议。使用提问式教学的感知理由不同,这可能会破坏学生/教师关系。

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