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增强临床教育者的榜样作用:一项随机对照试验。

Enhancement of role modelling in clinical educators: A randomized controlled trial.

机构信息

Department of Medical Education, Tehran University of Medical Sciences, Tehran, Iran.

Department of Internal Medicine, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Med Teach. 2020 Apr;42(4):436-443. doi: 10.1080/0142159X.2019.1691720. Epub 2019 Nov 26.

Abstract

Role models have an important impact on the professional behavior of medical students. Previous investigations help us understand how to improve role modelling. However, studies aiming at enhancing role modelling among clinical educators are very limited and generally lack comprehensive evaluations of the designed programs. We intended to gather robust evidence on the effectiveness of a longitudinal program for enhancing role modelling. Clinical educators were divided into intervention and control groups. The longitudinal program, developed based on the exposure phase of the 'Positive Doctor Role Modelling' framework, was delivered during three months of onsite and online sessions. The effectiveness of the program was assessed in three levels of reaction, learning, and behavior. In the intervention group ( = 18), the mean score of satisfaction was 4.7 ( = 0.5), and the learning (awareness about role modelling) improved significantly after the program (3.33-4.34), comparing to the control group (3.53-3.63). There was no significant difference in terms of behavior improvement between the two groups, before and after the program. Our findings indicate that our longitudinal faculty development program on role modelling was highly appreciated by clinical educators, and improved their awareness and deliberate role modelling.

摘要

榜样对医学生的专业行为有重要影响。既往研究有助于我们了解如何改进榜样示范。然而,旨在增强临床教育者榜样示范作用的研究非常有限,且通常缺乏对设计方案的全面评估。我们旨在收集关于增强榜样示范作用的纵向项目的有效性的有力证据。临床教育者分为干预组和对照组。基于“积极医生榜样示范”框架的暴露阶段开发的纵向项目在三个月的现场和在线课程中进行。该项目的效果在反应、学习和行为三个层面进行评估。在干预组(n=18)中,满意度平均得分为 4.7(=0.5),且与对照组(n=18)相比,项目后(3.33-4.34)对榜样示范的认识显著提高。项目前后两组在行为改善方面没有显著差异。我们的研究结果表明,我们的榜样示范纵向师资发展项目得到了临床教育者的高度认可,并提高了他们的意识和刻意榜样示范。

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