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综合性住院医师教育课程以适应现代耳鼻喉科住院医师。

Integrative resident education curriculum to adapt to the modern otolaryngology trainee.

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, U.S.A.

出版信息

Laryngoscope. 2020 Mar;130(3):615-621. doi: 10.1002/lary.28069. Epub 2019 May 17.

Abstract

OBJECTIVES/HYPOTHESIS: To examine the perspectives of current otolaryngology-head and neck surgery residents and faculty members on educational formats and approaches. To assess the effects of a novel integrative educational curriculum for residents by examining results from the otolaryngology training examination (OTE). We hypothesized that altering the current curriculum to accentuate resident participation would result in improved performance on the OTE.

STUDY DESIGN

Prospective cohort study.

METHODS

We conducted a study from June 2015 to July 2018. All faculty attendings and residents were asked to participate in the study and were included. A novel educational curriculum founded on the principles of experiential learning and utilizing the PulseQD app to facilitate collaborative learning was implemented. The results of a questionnaire distributed within the department and yearly OTE scores were collected.

RESULTS

Residents and faculty attendings reported comparable exposure to educational formats throughout their training, although residents had more experience with flipped classroom settings. Both groups had similar attitudes toward the importance and effectiveness of educational opportunities. There was a statistically significant improvement in OTE scores in each of the 2 years after implementation of the educational changes (P = .0296 and P = .00237, respectively), with all current residents improving their scores on the most recent OTE.

CONCLUSIONS

Through implementation of this integrative educational curriculum our residents showed significant improvement in OTE scores. Our results suggest that this type of curriculum, which combines a variety of approaches including a flipped classroom model with active participation and integrates app technology, can improve resident performance on educational assessments.

LEVEL OF EVIDENCE

2 Laryngoscope, 130:615-621, 2020.

摘要

目的/假设:研究当前耳鼻喉科-头颈外科住院医师和教师对教育形式和方法的看法。通过检查耳鼻喉科培训考试(OTE)的结果,评估新的综合教育课程对住院医师的影响。我们假设改变当前课程以强调住院医师的参与将导致 OTE 成绩的提高。

研究设计

前瞻性队列研究。

方法

我们进行了一项从 2015 年 6 月至 2018 年 7 月的研究。要求所有教师和住院医师参与研究并被纳入。实施了一种新的教育课程,该课程基于体验式学习的原则,并利用 PulseQD 应用程序促进协作学习。收集了部门内分发的问卷和每年的 OTE 分数。

结果

住院医师和教师报告说,在整个培训过程中,他们接触到的教育形式相似,尽管住院医师在翻转课堂环境中经验更多。两组对教育机会的重要性和有效性的态度相似。在实施教育改革后的每一年,OTE 分数都有显著提高(分别为 P =.0296 和 P =.00237),所有当前的住院医师在最近的 OTE 中都提高了分数。

结论

通过实施这种综合教育课程,我们的住院医师在 OTE 分数上有了显著提高。我们的结果表明,这种课程类型,结合了多种方法,包括翻转课堂模式、积极参与和整合应用程序技术,可以提高住院医师在教育评估中的表现。

证据水平

2 级喉镜,130:615-621,2020。

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