Bradley Sara M, Heiman Heather L, Bierman Jennifer A, O'Brien Katherine, Cohen Elaine R, Wayne Diane B
Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Department of Medical Education, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Gerontol Geriatr Educ. 2022 Jan-Mar;43(1):84-91. doi: 10.1080/02701960.2019.1651725. Epub 2019 Aug 3.
Mastery learning is a form of competency-based education in which learning time varies but outcomes are uniform. Trainees must meet a minimum passing standard (MPS) before completing a mastery learning curriculum. The objective of this study was to establish a curriculum for fall risk and gait assessment for medical students, determine an MPS for a fall risk and gait assessment clinical skills examination (CSE), and apply the MPS to a sample of medical students completing a fall risk and gait assessment CSE. Medical students completed an interactive session about fall risk and gait assessment including the Timed Up and Go (TUG) test and completed deliberate practice with 3 patients. Skills were evaluated using an 18-item skills checklist. A panel of clinical experts set the MPS at 82%. Eighty-seven medical students participated. The average score on the checklist was 14.7 of 18 (81.4%.) Although almost all performed the TUG correctly, only 61% met the MPS for the checklist. Our results suggest that a mastery learning approach may better prepare the 39% of students that did not meet MPS to complete a fall risk and gait assessment.
掌握式学习是一种基于能力的教育形式，其中学习时间各不相同，但学习成果是统一的。学员在完成掌握式学习课程之前必须达到最低及格标准（MPS）。本研究的目的是为医学生建立一个跌倒风险和步态评估课程，确定跌倒风险和步态评估临床技能考试（CSE）的MPS，并将MPS应用于完成跌倒风险和步态评估CSE的医学生样本。医学生完成了一个关于跌倒风险和步态评估的互动课程，包括计时起立行走（TUG）测试，并与3名患者进行了刻意练习。使用一份包含18项内容的技能清单对技能进行评估。一组临床专家将MPS设定为82%。87名医学生参与其中。清单上的平均得分为18分中的14.7分（81.4%）。虽然几乎所有人都正确地进行了TUG测试，但只有61%的人达到了清单的MPS。我们的结果表明，掌握式学习方法可能会更好地帮助那39%未达到MPS的学生完成跌倒风险和步态评估。
