使用互动学习模块向全美医疗保健专业学生教授基于价值的医疗保健知识。
Using Interactive Learning Modules to Teach Value-Based Health Care to Health Professions Trainees Across the United States.
机构信息
C. Moriates is assistant dean for health care value, Department of Medical Education, and associate chair for quality, safety, and value and associate professor of internal medicine, Department of Internal Medicine, Dell Medical School, University of Texas at Austin, Austin, Texas. V. Valencia is assistant director for health care value, Department of Medical Education, Dell Medical School, University of Texas at Austin, Austin, Texas. S. Stamets is an instructional designer, Department of Medical Education, Dell Medical School, University of Texas at Austin, Austin, Texas. J. Joo is a fourth-year medical student, Texas A&M College of Medicine, Bryan, Texas. J. MacClements is associate dean of graduate medical education and professor of medical education, Department of Medical Education, and professor of population health, Department of Population Health, Dell Medical School, University of Texas at Austin, Austin, Texas. L. Wilkerson is associate dean for evaluation and faculty development and professor, Department of Medical Education, Dell Medical School, University of Texas at Austin, Austin, Texas. E.A. Nelson is associate dean of undergraduate medical education, Department of Medical Education, and associate professor, Department of Internal Medicine, Dell Medical School, University of Texas at Austin, Austin, Texas. K. Bozic is chair and professor, Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, Austin, Texas. S.M. Cox is executive vice dean of academics, Dean's Office, and chair, Department of Medical Education, Dell Medical School, University of Texas at Austin, Austin, Texas.
出版信息
Acad Med. 2019 Sep;94(9):1332-1336. doi: 10.1097/ACM.0000000000002670.
PROBLEM
Despite prominent calls to incorporate value-based health care (VBHC) into medical education, there is still a global need for robust programs to teach VBHC concepts throughout health professions training.
APPROACH
In June 2017, Dell Medical School released the first collection (three modules) of a set of free interactive online learning modules, which aim to teach the basic foundations of VBHC to health professions learners at any stage of training and can be incorporated across diverse educational settings. These modules were designed by an interprofessional team based on principles of cognitive engagement for active learning.
OUTCOMES
From June 2017 to September 2018, the website received 130,098 pageviews from 8,546 unique users (2,072 registered users), representing 45 states in the United States and 10 foreign countries. As of October 15, 2018, 568 (27%) of registered users completed modules 1-3. Five-hundred thirty-five of these users completed a survey (94% response rate). Nearly all (484/535; 90%) reported overall satisfaction with the curriculum, 522/535 (98%) agreed "after completing the modules, I can define value in health care," and 520/535 (97%) agreed "after completing the modules, I can provide examples of low- and high-value care." Second-year Dell Medical School students reported that they have incorporated value into their clinical clerkships (e.g., by discussing VBHC with peers [43/45; 96%]) as a result of completing the modules.
NEXT STEPS
Future plans for the curriculum include the release of additional modules, more robust knowledge assessment, and an expanded learning platform that allows for further community engagement.
问题
尽管人们强烈呼吁将基于价值的医疗保健（VBHC）纳入医学教育，但在全球范围内仍需要强有力的计划来教授 VBHC 概念，贯穿整个医疗保健专业培训。
方法
2017 年 6 月，戴尔医学院发布了一套免费互动在线学习模块的第一集（三个模块），旨在向任何培训阶段的医疗保健专业学习者传授 VBHC 的基本基础，并可在不同的教育环境中进行整合。这些模块是由一个跨专业团队根据主动学习的认知参与原则设计的。
结果
从 2017 年 6 月到 2018 年 9 月，该网站收到了来自 8546 位唯一用户（2072 位注册用户）的 130098 次页面浏览量，代表了美国 45 个州和 10 个外国。截至 2018 年 10 月 15 日，有 568 位（27%）注册用户完成了模块 1-3。其中 535 位用户完成了一项调查（94%的回应率）。几乎所有人（484/535；90%）对课程表示总体满意，522/535（98%）同意“完成模块后，我可以定义医疗保健中的价值”，520/535（97%）同意“完成模块后，我可以提供低价值和高价值护理的例子”。戴尔医学院二年级学生报告说，由于完成了这些模块，他们已经将价值纳入了他们的临床实习（例如，与同伴讨论 VBHC[43/45；96%]）。
下一步
课程的未来计划包括发布更多模块、更强大的知识评估以及扩展学习平台，以允许进一步的社区参与。
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