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基于同伴评价的混合学习在药物相互作用教学中的应用。

Contributions of a blended learning based on peer evaluation for teaching drug-drug interactions to undergraduate pharmacy students.

机构信息

Département de pharmacologie, Univ. Limoges, Faculté de Pharmacie, Inserm U1248, F-87000, Limoges, France.

Faculté de Pharmacie, Université de Limoges, 2 rue du Dr Marcland, 87025, Limoges, France.

出版信息

BMC Med Educ. 2019 Nov 19;19(1):426. doi: 10.1186/s12909-019-1867-5.

Abstract

BACKGROUND

Numerous studies have pointed out the need for better training of healthcare professionals in drug-drug interactions management in order to minimize adverse drugs reactions impacts on patients. The aim of this study was to evaluate the benefits of a blended learning strategy based on peer evaluation (PE) for teaching drug-drug interactions to undergraduate pharmacy students.

METHODS

Third-year pharmacy students (n = 72) from the University of Limoges were involved in a hybrid teaching using the Moodle platform (2.9 version). After the theoretical lectures, an online activity was proposed to students. Each student submitted a report addressing a clinical case for peer evaluation. Students evaluated the pedagogical approach using an online survey. Quantitative benefits were assessed from students randomly assigned into two groups: PE in pharmacodynamics items (PE-PD) or PE in pharmacokinetics items (PE-PK). During this activity, three marks were given: one from peers for their evaluation work and two from teachers for oral group presentation of the clinical cases and for the final written examination. Statistics were performed using two-tailed unpaired t-test and significance was set for p < 0.05.

RESULTS

Only a few students (n = 14, 20.6%) were aware of the peer evaluation principle and even less, only one student (n = 1, 1.5%), had already encountered it. Students considered that they benefited from this evaluation (n = 65, 95.6%); from their work being reviewed (n = 62, 91.2%) and that they participated in improving their classmates understanding (n = 59, 86.8%). Peers' allocated marks were similar in the two PE groups (PE-PD = 17.4 ± 1.4; PE-PK = 17.3 ± 1.4). Teachers' marks for oral presentation were significantly lower for pharmacodynamics than for pharmacokinetics items (PE-PD = 15.2 ± 1.2; PE-PK = 16.1 ± 2.1; p < 0.05). The final examination marks were equivalent in both groups (PE-PD = 11.0 ± 2.1; PE-PK = 11.2 ± 1.9).

CONCLUSIONS

Besides the fact that a major short-term quantitative improvement was not detected, our teaching approach was qualified as being a positive and stimulating learning tool by students.

摘要

背景

许多研究指出,需要更好地培训医疗保健专业人员管理药物相互作用,以最大限度地减少药物不良反应对患者的影响。本研究的目的是评估基于同伴评价(PE)的混合学习策略在教授药学专业学生药物相互作用方面的益处。

方法

来自利摩日大学的三年级药学专业学生(n=72)参与了使用 Moodle 平台(版本 2.9)的混合教学。在理论讲座之后,向学生提出了一项在线活动。每位学生提交一份针对临床病例的报告,供同伴评估。学生使用在线调查评估教学方法。从随机分配到两组的学生中评估了定量收益:药效学项目的同伴评价(PE-PD)或药代动力学项目的同伴评价(PE-PK)。在此活动中,给出了三个分数:来自同伴的一个分数用于他们的评估工作,以及来自教师的两个分数,用于临床病例的口头小组展示和最终的书面考试。使用双侧非配对 t 检验进行统计学分析,p<0.05 为显著性水平。

结果

只有少数学生(n=14,20.6%)了解同伴评价原则,甚至更少,只有一名学生(n=1,1.5%)曾经遇到过。学生认为他们从这次评价中受益(n=65,95.6%);从他们的工作被审查(n=62,91.2%)和他们参与提高同学的理解(n=59,86.8%)中受益。在两个 PE 组中,同伴分配的分数相似(PE-PD=17.4±1.4;PE-PK=17.3±1.4)。对于药效学项目,教师对口头展示的评分明显低于药代动力学项目(PE-PD=15.2±1.2;PE-PK=16.1±2.1;p<0.05)。两组的期末考试成绩相同(PE-PD=11.0±2.1;PE-PK=11.2±1.9)。

结论

除了没有发现主要的短期定量提高之外,我们的教学方法被学生评为积极和有激励作用的学习工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/accb/6862800/e66b6aaf6855/12909_2019_1867_Fig1_HTML.jpg

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