Fog-Petersen Cecilie, Borgnakke Karen, Hemmingsen Ralf, Gefke Maria, Arnfred Sidse
Department of Clinical Medicine, University of Copenhagen and Psychiatry est, Slagelse, Denmark.
Department of Media, Cognition and Communication, University of Copenhagen, Copenhagen, Denmark.
Nord J Psychiatry. 2020 May-Jul;74(5):332-339. doi: 10.1080/08039488.2019.1709892. Epub 2020 Jan 6.
Fewer patient encounters and diminished bedside teaching pose a challenge to medical students' opportunity to learn during clinical clerkships in psychiatry. Videos can be used for close examination of signs and symptoms and to increase engagement and recall. A video library holding recordings of psychiatric patients with mental status examinations were prepared. We explored the students' use of this library during their clerkships. The video library was introduced to three rotations of medical students and made accessible on hospital computers. Four students volunteered as key informants and were followed daily throughout the clerkship by the first author, using the ethnographic method of participant observation. At the end of the clerkship, group interviews were conducted with each rotation of students, including the key informants. Twelve students participated in the study. Field notes taken during participant observation and the transcribed interviews were merged in a thematic analysis. The analysis reveals the students' autonomous and arbitrary use of the video library. Creatively extending the use of the videos, they scheduled their video sessions according to their individual needs. The students furthermore blended experiences gained from the library and in the ward, thus coping in various ways with the shortcomings of the video library. The medical students felt they benefited from the simplified learning situation offered by the video library. Their frequent shortcuts through the videos during sessions highlighted weaknesses in the feedback and reflection processes occasioned by the library.
较少的患者接触和床边教学的减少对医学生在精神病学临床实习期间的学习机会构成了挑战。视频可用于仔细检查体征和症状，并提高参与度和记忆力。我们准备了一个视频库，其中包含对精神状态检查的精神病患者的记录。我们探讨了学生在实习期间对这个视频库的使用情况。该视频库被介绍给三轮医学生，并可在医院电脑上访问。四名学生自愿作为关键信息提供者，第一作者在整个实习期间每天对他们进行跟踪，采用参与观察的人种学方法。在实习结束时，对每一轮学生，包括关键信息提供者，进行了小组访谈。12名学生参与了这项研究。将参与观察期间所做的实地笔记和转录的访谈合并进行主题分析。分析揭示了学生对视频库的自主和随意使用。他们创造性地扩展了视频的用途，根据个人需求安排视频观看时间。学生们还将从视频库和病房中获得的经验结合起来，从而以各种方式应对视频库的不足。医学生们觉得他们从视频库提供的简化学习环境中受益。他们在观看视频时频繁地跳过部分内容，凸显了视频库在反馈和反思过程中的弱点。
