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二十一世纪的学习者与卢德分子:将循证医学教育引入麻醉学。

Learners and Luddites in the Twenty-first Century: Bringing Evidence-based Education to Anesthesiology.

机构信息

From the Department of Anesthesiology, University of North Carolina School of Medicine, Chapel Hill, North Carolina (S.M.M., R.S.I., F.C.) the Department of Anesthesiology, University of Kentucky College of Medicine, Lexington, Kentucky (R.M.S.) Beth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care and Pain Medicine, Harvard Medical School, Boston, Massachusetts, (J.D.M.) Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee (M.D.M.).

出版信息

Anesthesiology. 2019 Oct;131(4):908-928. doi: 10.1097/ALN.0000000000002827.

DOI:10.1097/ALN.0000000000002827
PMID:31365369
Abstract

Anesthesiologists are both teachers and learners and alternate between these roles throughout their careers. However, few anesthesiologists have formal training in the methodologies and theories of education. Many anesthesiology educators often teach as they were taught and may not be taking advantage of current evidence in education to guide and optimize the way they teach and learn. This review describes the most up-to-date evidence in education for teaching knowledge, procedural skills, and professionalism. Methods such as active learning, spaced learning, interleaving, retrieval practice, e-learning, experiential learning, and the use of cognitive aids will be described. We made an effort to illustrate the best available evidence supporting educational practices while recognizing the inherent challenges in medical education research. Similar to implementing evidence in clinical practice in an attempt to improve patient outcomes, implementing an evidence-based approach to anesthesiology education may improve learning outcomes.

摘要

麻醉医师既是教师也是学习者,在其职业生涯中不断转换这两种角色。然而,很少有麻醉医师接受过教育方法和理论方面的正规培训。许多麻醉学教育者通常按照他们被教授的方式进行教学,并且可能没有利用当前的教育证据来指导和优化他们的教学和学习方式。本综述描述了在教授知识、程序性技能和专业精神方面最新的教育证据。将介绍诸如主动学习、间隔学习、交错学习、检索练习、电子学习、体验式学习和认知辅助工具的使用等方法。我们努力说明支持教育实践的最佳现有证据,同时认识到医学教育研究中的固有挑战。类似于在临床实践中实施证据以尝试改善患者结局,在麻醉学教育中实施基于证据的方法可能会改善学习结局。

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