Mayo School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Mayo Clinic, Rochester, Minnesota.
Program in Physical Therapy, Mayo Clinic School of Health Sciences, Mayo Clinic College of Medicine and Science, Mayo Clinic, Rochester, Minnesota.
Anat Sci Educ. 2018 Jan;11(1):94-99. doi: 10.1002/ase.1731. Epub 2017 Sep 15.
Quality of healthcare delivery is dependent on collaboration between professional disciplines. Integrating opportunities for interprofessional learning in health science education programs prepares future clinicians to function as effective members of a multi-disciplinary care team. This study aimed to create a modified team-based learning (TBL) environment utilizing ultrasound technology during an interprofessional learning activity to enhance musculoskeletal anatomy knowledge of first year medical (MD) and physical therapy (PT) students. An ultrasound demonstration of structures of the upper limb was incorporated into the gross anatomy courses for first-year MD (n = 53) and PT (n = 28) students. Immediately before the learning experience, all students took an individual readiness assurance test (iRAT) based on clinical concepts regarding the assigned study material. Students observed while a physical medicine and rehabilitation physician demonstrated the use of ultrasound as a diagnostic and procedural tool for the shoulder and elbow. Following the demonstration, students worked within interprofessional teams (n = 14 teams, 5-6 students per team) to review the related anatomy on dissected specimens. At the end of the session, students worked within interprofessional teams to complete a collaborative clinical case-based multiple choice post-test. Team scores were compared to the mean individual score within each team with the Wilcoxon signed-rank test. Students scored higher on the collaborative post-test (95.2 ±10.2%) than on the iRAT (66.1 ± 13.9% for MD students and 76.2 ±14.2% for PT students, P < 0.0001). Results suggest that this interprofessional team activity facilitated an improved understanding and clinical application of anatomy. Anat Sci Educ 11: 94-99. © 2017 American Association of Anatomists.
医疗服务质量取决于专业学科之间的协作。在卫生科学教育计划中整合机会进行跨专业学习,可以使未来的临床医生能够作为多学科护理团队的有效成员发挥作用。本研究旨在创建一个改良的基于团队的学习(TBL)环境,利用超声技术在跨专业学习活动中增强医学生和物理治疗学生的肌肉骨骼解剖知识。在上肢结构的超声演示被纳入了一年级医学生(n = 53)和物理治疗学生(n = 28)的大体解剖课程中。在学习经验之前,所有学生都根据与指定学习材料相关的临床概念参加了个体准备保证测试(iRAT)。在演示过程中,物理医学和康复医师向学生展示了超声作为肩部和肘部诊断和程序工具的使用方法。演示结束后,学生以跨专业团队(n = 14 个团队,每个团队 5-6 名学生)的形式合作复习相关解剖学。在课程结束时,学生以跨专业团队的形式合作完成基于协作临床案例的多项选择后测。团队分数与团队内每个成员的平均个人分数进行比较,使用 Wilcoxon 符号秩检验。学生在协作后的测试中得分更高(95.2 ±10.2%),而在 iRAT 中的得分(医学生为 66.1 ±13.9%,物理治疗学生为 76.2 ±14.2%,P <0.0001)。结果表明,这种跨专业团队活动促进了对解剖学的更好理解和临床应用。解剖科学教育 11: 94-99. © 2017 美国解剖学家协会。