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在线学习:探索住院医师第一年医生的实践情况。

Online-learning: exploring practices among Foundation doctors.

作者信息

Kashora Florence Kudzai, Charles Debbie-Anne

机构信息

Core Surgical Trainee/CT2, University Hospitals of Leicester NHS Trust, Infirmary Square, Leicester LE1 5WW, UK.

Consultant, General Medicine/Endocrinology, Queen Elizabeth Hospital Woolwich, London, SE18 4QH, UK.

出版信息

J Adv Med Educ Prof. 2019 Jan;7(1):14-19. doi: 10.30476/JAMP.2019.41040.

Abstract

INTRODUCTION

Postgraduate medical education involves the use of online-learning tools. However, there is a paucity of data on the use of online-learning among doctors who are in their 1 and 2 years of professional work after graduating from medical school (also known as Foundation doctors). Our aim was to explore the use of online-learning among Foundation doctors.

METHODS

A cross-sectional study was carried out, using convenience sampling. During one month, 66 Foundation doctors from across 2 district hospitals and 1 teaching hospital in Southeast England filled out a specially designed questionnaire. Data were collected and analyzed using Microsoft Excel™, and reported in numbers and percentages.

RESULTS

The majority of Foundation doctors (86.4% (n=57)) reported using online-learning packages. These are the tools which consist of key information on a particular topic, and may be interactive and broken down into several smaller modules. Less than half embarked on online-learning in their 1st month of employment, with a decline in the numbers who started in the later months. Of those who reported completing online-learning packages, 57.9% (n=33) reported completing non-compulsory modules, 66.7% (n=38) reported completing a range of 0-15 modules per week, and 75.4% (n=43) completed the modules without skipping components. More Foundation doctors reported using online-learning for lifelong learning (63.6% (n=42)) and filling knowledge gaps (51.5% (n=34)) than improving their practice following a mistake (24.2% (n=16)). Additionally, online-learning was used less frequently than medical websites or search engines, for the aforementioned purposes.

CONCLUSION

Most Foundation doctors use online-learning, but this needs to be incorporated into their postgraduate learning activities earlier in their career and directed more towards improving their clinical practice.

摘要

引言

研究生医学教育涉及在线学习工具的使用。然而,对于医学院毕业后从事1至2年专业工作的医生(也称为住院医生)使用在线学习的数据却很少。我们的目的是探讨住院医生对在线学习的使用情况。

方法

采用便利抽样进行横断面研究。在一个月内,来自英格兰东南部2家地区医院和1家教学医院的66名住院医生填写了一份专门设计的问卷。使用Microsoft Excel™收集和分析数据,并以数字和百分比形式报告。

结果

大多数住院医生(86.4%(n = 57))报告使用在线学习包。这些工具包含特定主题的关键信息,可能具有交互性,并可分解为几个较小的模块。不到一半的人在入职的第一个月开始在线学习,且在随后几个月开始学习的人数有所下降。在那些报告完成在线学习包的人中,57.9%(n = 33)报告完成了非必修模块,66.7%(n = 38)报告每周完成0至15个模块,75.4%(n = 43)完成模块时没有跳过任何部分。更多的住院医生报告使用在线学习是为了终身学习(63.6%(n = 42))和填补知识空白(51.5%(n = 34)),而不是在犯错后改进实践(24.2%(n = 16))。此外,出于上述目的,在线学习的使用频率低于医学网站或搜索引擎。

结论

大多数住院医生使用在线学习,但这需要在他们职业生涯的早期纳入研究生学习活动中,并更多地指向改善他们的临床实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf6/6341455/1dae79181cec/JAMP-7-14-g001.jpg

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