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Acceptability of the human papillomavirus vaccine and reasons for non-vaccination among parents of adolescent sons.人乳头瘤病毒疫苗在青春期男孩家长中的可接受性及未接种原因
Vaccine. 2014 Jun 30;32(31):3883-5. doi: 10.1016/j.vaccine.2014.05.035. Epub 2014 May 18.
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A systematic review of interventions for reducing parental vaccine refusal and vaccine hesitancy.系统评价干预措施以减少父母对疫苗的拒绝和犹豫。
Vaccine. 2013 Sep 13;31(40):4293-304. doi: 10.1016/j.vaccine.2013.07.013. Epub 2013 Jul 13.
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Exploring the choice to refuse or delay vaccines: a national survey of parents of 6- through 23-month-olds.探讨拒绝或延迟接种疫苗的选择:对 6 至 23 个月大婴儿的父母进行的全国性调查。
Acad Pediatr. 2012 Sep-Oct;12(5):375-83. doi: 10.1016/j.acap.2012.06.007. Epub 2012 Aug 22.
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Human papillomavirus vaccination series initiation and completion, 2008-2009.2008-2009 年人乳头瘤病毒疫苗系列接种的启动和完成情况。
Pediatrics. 2011 Nov;128(5):830-9. doi: 10.1542/peds.2011-0950. Epub 2011 Oct 17.
5
Geographic clustering of nonmedical exemptions to school immunization requirements and associations with geographic clustering of pertussis.学校免疫要求的非医学豁免的地理聚集性以及与百日咳地理聚集性的关联。
Am J Epidemiol. 2008 Dec 15;168(12):1389-96. doi: 10.1093/aje/kwn263. Epub 2008 Oct 15.
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Parental perspectives on influenza immunization of children aged 6 to 23 months.父母对6至23个月大儿童流感疫苗接种的看法。
Am J Prev Med. 2005 Oct;29(3):210-4. doi: 10.1016/j.amepre.2005.05.010.
7
Missed opportunities for immunizations: a review of the evidence.免疫接种的错失机会:证据综述
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一种翻转课堂与案例式课程,用于让医学生为与家长进行疫苗相关对话做好准备。

A Flipped Classroom and Case-Based Curriculum to Prepare Medical Students for Vaccine-Related Conversations with Parents.

作者信息

Coleman Allison, Lehman Deborah

机构信息

Third-year Medical Student, University of California, Los Angeles David Geffen School of Medicine.

Pediatric Infectious Disease Specialist, University of California, Los Angeles David Geffen School of Medicine.

出版信息

MedEdPORTAL. 2017 May 16;13:10582. doi: 10.15766/mep_2374-8265.10582.

DOI:10.15766/mep_2374-8265.10582
PMID:30800784
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6338158/
Abstract

INTRODUCTION

Immunizations, one of the most significant public health successes in the last century, have recently been met with a resistance that has resulted in populations with falling immunity and outbreaks of vaccine-preventable diseases. In response to this, we conducted a needs assessment of medical students at the University of California, Los Angeles David Geffen School of Medicine to assess attitudes towards vaccines, knowledge of vaccines and vaccine-preventable diseases, and confidence in discussing vaccines. The results informed the development of this interactive, flipped-classroom and case-based curriculum for third-year pediatric clerkship students.

METHODS

In our two-part curriculum, students independently view a short podcast with an overview of vaccines and vaccine-preventable diseases, then participate in a case-based workshop. For the workshop, students divide into small groups and are presented with a case-based scenario surrounding a child with a parent who has concerns about recommended vaccines. Students discuss the case in small groups, find answers to directed questions, and present the case and findings to the larger group, with specific focus on their approach to the vaccine hesitant parent.

RESULTS

Anonymous student evaluations revealed that 93% of students enjoyed learning from this flipped classroom and case-based format. Likewise, 98% of students felt more confident in their approach to vaccine discussions.

DISCUSSION

Vaccine hesitancy is becoming an increasingly common and worrisome problem. Our curriculum provides students with knowledge about the importance of childhood immunizations as well as an opportunity to practice addressing common concerns and misconceptions they will encounter in clinical settings.

摘要

引言

免疫接种是上个世纪最重大的公共卫生成就之一,但最近却遭遇了抵制,导致人群免疫力下降以及疫苗可预防疾病的爆发。对此,我们对加州大学洛杉矶分校大卫·格芬医学院的医学生进行了一项需求评估,以评估他们对疫苗的态度、对疫苗及疫苗可预防疾病的了解,以及在讨论疫苗方面的信心。这些结果为为三年级儿科实习学生开发的这个互动式、翻转课堂和基于案例的课程提供了依据。

方法

在我们的两部分课程中,学生先独立观看一个关于疫苗和疫苗可预防疾病概述的简短播客,然后参加一个基于案例的研讨会。在研讨会上,学生分成小组,并面对一个基于案例的情景,即一个孩子的家长对推荐的疫苗有所担忧。学生们在小组中讨论该案例,找到针对特定问题的答案,并向大组展示案例及结果,特别关注他们应对对疫苗持犹豫态度的家长的方法。

结果

匿名的学生评估显示,93%的学生喜欢通过这种翻转课堂和基于案例的形式学习。同样,98%的学生在讨论疫苗时感到更有信心。

讨论

疫苗犹豫正成为一个越来越普遍且令人担忧的问题。我们的课程为学生提供了关于儿童免疫接种重要性的知识,以及一个机会来练习应对他们在临床环境中将会遇到的常见担忧和误解。