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实施一项跨专业团队学习计划,涉及来自两所大学的七个本科健康和社会关怀专业的学生,并对他们的跨专业学习准备情况进行评估。

Implementation of an interprofessional team-based learning program involving seven undergraduate health and social care programs from two universities, and students' evaluation of their readiness for interprofessional learning.

机构信息

The University of Hong Kong, Hong Kong, People's Republic of China.

School of Biomedical Sciences, Bau Institute of Medical and Health Sciences Education, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong, People's Republic of China.

出版信息

BMC Med Educ. 2017 Nov 21;17(1):221. doi: 10.1186/s12909-017-1046-5.

Abstract

BACKGROUND

Interprofessional learning is gaining momentum in revolutionizing healthcare education. During the academic year 2015/16, seven undergraduate-entry health and social care programs from two universities in Hong Kong took part in an interprofessional education program. Based on considerations such as the large number of students involved and the need to incorporate adult learning principles, team-based learning was adopted as the pedagogy for the program, which was therefore called the interprofessional team-based learning program (IPTBL). The authors describe the development and implementation of the IPTBL program and evaluate the effectiveness of the program implementation.

METHODS

Eight hundred and one students, who are predominantly Chinese, participated in the IPTBL. The quantitative design (a pretest-posttest experimental design) was utilized to examine the students' gains on their readiness to engage in interprofessional education (IPE).

RESULTS

Three instructional units (IUs) were implemented, each around a clinical area which could engage students from complementary health and social care disciplines. Each IU followed a team-based learning (TBL) process: pre-class study, individual readiness assurance test, team readiness assurance test, appeal, feedback, and application exercise. An electronic platform was developed and was progressively introduced in the three IUs. The students' self-perceived attainment of the IPE learning outcomes was high. Across all four subscales of RIPLS, there was significant improvement in student's readiness to engage in interprofessional learning after the IPTBL. A number of challenges were identified: significant time involvement of the teachers, difficulty in matching students from different programs, difficulty in making IPTBL count towards a summative assessment score, difficulty in developing the LAMS platform, logistics difficulty in managing paper TBL, and inappropriateness of the venue.

CONCLUSIONS

Despite some challenges in developing and implementing the IPTBL program, our experience showed that TBL is a viable pedagogy to be used in interprofessional education involving hundreds of students. The significant improvement in all four subscales of RIPLS showed the effects of the IPTBL program in preparing students for collaborative practice. Factors that contributed to the success of the use of TBL for IPE are discussed.

摘要

背景

跨专业学习正在改变医疗保健教育。在 2015/16 学年,香港两所大学的七个本科入学的健康和社会关怀专业参与了一个跨专业教育计划。基于涉及的学生人数众多以及需要纳入成人学习原则等考虑因素,采用团队学习作为该计划的教学法,因此该计划称为跨专业团队学习计划(IPTBL)。作者描述了 IPTBL 计划的开发和实施,并评估了计划实施的效果。

方法

801 名学生主要是中国人,参加了 IPTBL。采用定量设计(前测后测实验设计)来检查学生在参与跨专业教育(IPE)的准备方面的收益。

结果

实施了三个教学单元(IU),每个单元都围绕一个临床领域展开,能够吸引来自互补的健康和社会关怀学科的学生。每个 IU 都遵循团队学习(TBL)流程:课前学习、个人准备保证测试、团队准备保证测试、上诉、反馈和应用练习。开发了一个电子平台,并在三个 IU 中逐步引入。学生对 IPE 学习成果的自我感知实现程度较高。在 RIPLS 的所有四个分量表中,学生在参加 IPTBL 后在参与跨专业学习的准备方面都有显著提高。确定了一些挑战:教师需要投入大量时间、难以将来自不同课程的学生匹配、难以将 IPTBL 计入总结性评估分数、难以开发 LAMS 平台、管理纸质 TBL 的物流困难以及场地不合适。

结论

尽管在开发和实施 IPTBL 计划方面存在一些挑战,但我们的经验表明,TBL 是一种可行的教学法,可用于涉及数百名学生的跨专业教育。RIPLS 的所有四个分量表的显著提高表明了 IPTBL 计划在为学生进行协作实践做准备方面的效果。讨论了促成 TBL 在 IPE 中成功使用的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4690/5697117/185f4bfa3785/12909_2017_1046_Fig1_HTML.jpg

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