电子学习能否用于姑息治疗教学？- 医学生对电子学习后姑息治疗的接受程度、知识和自我估计能力。
Can elearning be used to teach palliative care? - medical students' acceptance, knowledge, and self-estimation of competence in palliative care after elearning.
机构信息
Institute of Psychiatry, Psychology and Neuroscience (IoPPN), Department of Psychological Medicine, King's College, London, UK.
St Christopher's Hospice London, Dusseldorf, UK.
出版信息
BMC Med Educ. 2018 Apr 27;18(1):82. doi: 10.1186/s12909-018-1186-2.
BACKGROUND
Undergraduate palliative care education (UPCE) was mandatorily incorporated in medical education in Germany in 2009. Implementation of the new cross-sectional examination subject of palliative care (QB13) continues to be a major challenge for medical schools. It is clear that there is a need among students for more UPCE. On the other hand, there is a lack of teaching resources and patient availabilities for the practical lessons. Digital media and elearning might be one solution to this problem. The primary objective of this study is to evaluate the elearning course Palliative Care Basics, with regard to students' acceptance of this teaching method and their performance in the written examination on the topic of palliative care. In addition, students' self-estimation in competence in palliative care was assessed.
METHODS
To investigate students' acceptance of the elearning course Palliative Care Basics, we conducted a cross-sectional study that is appropriate for proof-of-concept evaluation. The sample consisted of three cohorts of medical students of Heinrich Heine University Dusseldorf (N = 670). The acceptance of the elearning approach was investigated by means of the standard evaluation of Heinrich Heine University. The effect of elearning on students' self-estimation in palliative care competencies was measured by means of the German revised version of the Program in Palliative Care Education and Practice Questionnaire (PCEP-GR).
RESULTS
The elearning course Palliative Care Basics was well-received by medical students. The data yielded no significant effects of the elearning course on students' self-estimation in palliative care competencies. There was a trend of the elearning course having a positive effect on the mark in written exam.
CONCLUSIONS
Elearning is a promising approach in UPCE and well-accepted by medical students. It may be able to increase students' knowledge in palliative care. However, it is likely that there are other approaches needed to change students' self-estimation in palliative care competencies. It seems plausible that experience-based learning and encounters with dying patients and their relatives are required to increases students' self-estimation in palliative care competencies.
TRIAL REGISTRATION
Heinrich Heine University Medical School Clinical Trial Registry No. 4876 (date of approval 26.11.2014).
背景
2009 年，德国将本科姑息治疗教育（UPCE）纳入医学教育必修课程。实施新的姑息治疗横向考试科目（QB13）仍然是医学院校面临的一大挑战。显然，学生对 UPCE 的需求更多。另一方面，实践课程的教学资源和患者可用性都存在不足。数字媒体和电子学习可能是解决这个问题的一种方法。本研究的主要目的是评估姑息治疗基础电子学习课程，以了解学生对这种教学方法的接受程度以及他们在姑息治疗主题书面考试中的表现。此外，还评估了学生对姑息治疗能力的自我估计。
方法
为了调查学生对姑息治疗基础电子学习课程的接受程度，我们进行了一项适合概念验证评估的横断面研究。该样本由杜塞尔多夫海因里希·海涅大学（Heinrich Heine University Dusseldorf）的三个医学生队列组成（N=670）。通过海因里希·海涅大学的标准评估来调查电子学习方法的接受程度。通过德国姑息治疗教育和实践问卷（PCEP-GR）修订版来衡量电子学习对学生姑息治疗能力自我估计的影响。
结果
姑息治疗基础电子学习课程受到医学生的欢迎。数据显示，电子学习课程对学生姑息治疗能力自我估计没有显著影响。电子学习课程对书面考试成绩有积极影响的趋势。
结论
电子学习是 UPCE 中的一种有前途的方法，深受医学生的欢迎。它可能能够增加学生在姑息治疗方面的知识。然而，似乎需要其他方法来改变学生在姑息治疗能力方面的自我估计。似乎需要基于经验的学习以及与临终患者及其家属的接触，才能提高学生在姑息治疗能力方面的自我估计。
试验注册
海因里希·海涅大学医学院临床试验注册处第 4876 号（2014 年 11 月 26 日批准）。
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