Williams Adrienne A, Ntiri Shana O
Associate Professor, Department of Family Medicine, University of Illinois College of Medicine at Chicago.
Assistant Professor, Department of Family and Community Medicine, University of Maryland School of Medicine.
MedEdPORTAL. 2018 Jul 27;14:10732. doi: 10.15766/mep_2374-8265.10732.
Existing scholarly curricula often underemphasize basic research skills and do not address the individual learning needs of residents, whose level of prior exposure to research concepts varies widely. A supplemental educational experience was developed to address educational gaps in a family medicine residency curriculum, including systematic exploration and interpretation of the medical literature, development and exploration of clinically pertinent questions, and development of residents' written communication skills.
A 2-week, online, self-directed research curriculum was developed. The five-module curriculum included (I) Research Methods and Data Analysis, (II) Article Review, (III) Board Review, (IV) Literature Search, and (V) Literature Review and Proposal. Two years after implementation, residents who completed the curriculum were surveyed to assess the overall rotation and its success in meeting learning objectives.
Eighteen residents completed the new rotation and demonstrated objectives through assignment completion and review. Additionally, residents reported improved skills on all objectives and were satisfied with the new curriculum and its self-led, online format. Those planning to do research after graduation were more likely to report several benefits from the rotation, including learning more about data analyses and being more likely to complete a future scholarly project.
An online, self-directed curriculum can provide a feasible and effective educational approach to efficient use of faculty and resident time, allowing time to be focused on resident-specific knowledge gaps and learning needs, rather than presenting all learning material uniformly. The online, accessible format aligned with residents' existing reliance on the internet as a primary information source.
现有的学术课程往往对基础研究技能重视不足,且未满足住院医师的个性化学习需求,因为他们之前接触研究概念的程度差异很大。为弥补家庭医学住院医师课程中的教育差距,开发了一种补充教育体验,包括对医学文献进行系统的探索和解读、提出并探索临床相关问题,以及培养住院医师的书面沟通技巧。
开发了一个为期两周的在线自主研究课程。该五模块课程包括:(I)研究方法与数据分析,(II)文章评审,(III)委员会评审,(IV)文献检索,以及(V)文献综述与研究计划。实施两年后,对完成该课程的住院医师进行了调查,以评估整个轮转课程及其在实现学习目标方面的成效。
18名住院医师完成了新的轮转课程,并通过完成作业和评审展示了学习目标。此外,住院医师报告称在所有目标方面技能均有所提高,并对新课程及其自主在线形式感到满意。那些计划毕业后从事研究工作的住院医师更有可能报告从轮转课程中获得了多项益处,包括对数据分析有了更多了解,以及更有可能完成未来的学术项目。
在线自主课程可以提供一种可行且有效的教育方法,高效利用教师和住院医师的时间,使时间能够集中用于解决住院医师特定的知识差距和学习需求,而不是统一呈现所有学习材料。这种在线且易于获取的形式与住院医师现有的将互联网作为主要信息来源的依赖方式相契合。