Field Samantha M, Burstow Nicholas J, Owen David R, Sam Amir H
Medical Education Research Unit, Imperial College London, London, UK.
Adv Med Educ Pract. 2019 Jul 10;10:501-506. doi: 10.2147/AMEP.S204435. eCollection 2019.
The Prescribing Safety Assessment (PSA) is an online assessment of safe and effective prescribing, taken by final-year UK medical students. To prepare students for the PSA, we used a modified form of team-based learning, team-based revision (TBR), in which students consolidate previously learned prescribing knowledge and skills across a broad range of topics. We evaluated students' response to TBR and their perceptions of team working.
Eight TBR sessions based on the PSA blueprint were conducted over two days by three faculty members for final year medical students. During TBR sessions, students worked in small groups answering individual multiple-choice questions, followed by group multiple-choice questions. They subsequently answered open-ended questions in their groups, with answers written on a drug chart to increase authenticity. Students completed surveys using Likert-type items to determine views on TBR and their confidence in prescribing.
The majority of respondents agreed that the sessions were useful for preparation both for the PSA (82%) and Foundation Year 1 (78%). 92% agreed that using drug-charts aided learning. Prescribing confidence increased significantly after TBR (median pre-TBR: 2, post-TBR: 5, <0.0001). TBR significantly improved attitudes towards "team experience" (<0.001), "team impact on quality of learning" (<0.01) and "team impact on clinical reasoning ability" (<0.001).
Team-based revision is a resource-efficient addition to undergraduate prescribing teaching and can help with preparation for the PSA. A short course of TBR was effective in influencing students' attitudes towards teamwork.
处方安全评估（PSA）是一项针对英国医学专业最后一年学生的安全有效处方在线评估。为帮助学生准备PSA，我们采用了一种基于团队学习的改进形式——团队复习（TBR），让学生巩固之前在广泛主题中学到的处方知识和技能。我们评估了学生对TBR的反应以及他们对团队协作的看法。
三位教员在两天内为医学专业最后一年的学生举办了八次基于PSA蓝图的TBR课程。在TBR课程中，学生分成小组回答个人多项选择题，然后是小组多项选择题。随后，他们在小组中回答开放式问题，并将答案写在药物图表上以增加真实性。学生使用李克特量表项目完成调查问卷，以确定他们对TBR的看法以及他们在处方方面的信心。
大多数受访者认为这些课程对准备PSA（82%）和第一年基础课程（78%）都很有用。92%的人认为使用药物图表有助于学习。TBR后处方信心显著提高（TBR前中位数：2，TBR后：5，<0.0001）。TBR显著改善了对“团队体验”（<0.001）、“团队对学习质量的影响”（<0.01）和“团队对临床推理能力的影响”（<0.001）的态度。
基于团队的复习是本科处方教学中一种资源高效的补充方式，有助于为PSA做准备。一个简短的TBR课程有效地影响了学生对团队合作的态度。
