Berkoben Michael, Roberts John K
Associate Professor, Department of Medicine, Division of Nephrology, Duke University Medical Center.
Assistant Professor, Department of Medicine, Division of Nephrology, Duke University Medical Center.
MedEdPORTAL. 2019 Sep 27;15:10835. doi: 10.15766/mep_2374-8265.10835.
Metabolic acidosis is a dangerous and potentially life-threatening condition encountered in the inpatient and emergency department setting. Metabolic acidoses due to renal failure, bicarbonate losses, or lactic acidosis are common conditions, and the appropriate medical management of each is relevant to any inpatient medical provider. Therefore, we created a learning activity that utilizes blackboard-style videos followed by an interactive case-based learning session to help the medical student recognize, diagnose, and manage common causes of metabolic acidosis.
We organized this learning activity by assigning digital videos, followed by application in an interactive team-based format. We created electronic blackboard-style videos and a quiz to assess medical knowledge related to concepts discussed in the videos. Next, we created case resources that facilitate an interactive case-based teaching session so the learners could apply their knowledge and simulate the management of metabolic acidosis.
We implemented this activity for 34 medical students. All students viewed the videos prior to the in-class session. In a pre/post assessment of medical knowledge, we observed a significant improvement in quiz scores. Next, we successfully facilitated the case-based active learning session, allowing the assessment of higher-order cognitive skills related to management of patients with metabolic acidosis. Our medical students felt highly satisfied and competent at the completion of our course.
Our medical students rated this as an excellent learning activity. Others may find this activity useful within the context of any course or rotation related to patients with metabolic acidosis.
代谢性酸中毒是住院部和急诊科中遇到的一种危险且可能危及生命的病症。由肾衰竭、碳酸氢盐丢失或乳酸性酸中毒引起的代谢性酸中毒是常见病症，而对每种病症的适当医疗管理与任何住院医疗提供者都相关。因此，我们开展了一项学习活动，该活动利用黑板式视频，随后进行基于案例的互动学习课程，以帮助医学生识别、诊断和管理代谢性酸中毒的常见病因。
我们通过分配数字视频来组织这项学习活动，随后以基于团队的互动形式进行应用。我们制作了电子黑板式视频和一个测验，以评估与视频中讨论的概念相关的医学知识。接下来，我们创建了案例资源，以促进基于案例的互动教学课程，使学习者能够应用他们的知识并模拟代谢性酸中毒的管理。
我们为34名医学生实施了这项活动。所有学生在课堂教学前都观看了视频。在医学知识的课前/课后评估中，我们观察到测验成绩有显著提高。接下来，我们成功地促进了基于案例的主动学习课程，从而能够评估与代谢性酸中毒患者管理相关的高阶认知技能。我们的医学生在课程结束时感到非常满意且有能力应对。
我们的医学生将此评为一项优秀的学习活动。其他人可能会发现在与代谢性酸中毒患者相关的任何课程或轮转中，这项活动都很有用。
