Schulz Jonathan, Warrington Jake, Maguire Conal, Georgi Thomas, Hearn Russell
School of Population Health & Environmental Sciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
School of Population Health & Environmental Sciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
Wilderness Environ Med. 2020 Mar;31(1):63-70. doi: 10.1016/j.wem.2019.11.007. Epub 2020 Feb 7.
The UK General Medical Councils' approved curricula share only 3 topics with the Fellowship in the Academy of Wilderness Medicine core curriculum, suggesting an underrepresentation of wilderness medicine (WM) in medical education. We developed a 5-mo course to address the gaps between these curricula to run in parallel with the conventional curriculum. Our 71-h course is composed of lectures and practical exercises. We set out to evaluate the effectiveness of this concept and assess its suitability for use by other institutions. The course was undertaken by 18 medicine and healthcare undergraduates. Semiquantitative evaluation of the course was done using participants' self-reported WM knowledge and interest before and after the course using a Likert scale. Participants were further assessed with a WM objective structured clinical examination. Before the course, students had a lower understanding of WM (2.8/5.0) and were not confident in prehospital medicine (2.5/5.0). After the course, knowledge and confidence increased in all teaching categories, with a mean gain of 1.4/5.0 (P<0.05). Students demonstrated competence in a range of WM categories by completing the WM objective structured clinical examination, with a pass rate of 82%. Providing students with a WM course is effective in introducing components of the Fellowship in the Academy of Wilderness Medicine curriculum and inspiring future engagement in the field. We have developed a framework for successful implementation of WM teaching and shown that the concept may be used in other undergraduate settings.
英国医学总会批准的课程与荒野医学学会会员资格核心课程仅共享3个主题，这表明荒野医学（WM）在医学教育中的代表性不足。我们开发了一门为期5个月的课程，以弥补这些课程之间的差距，使其与传统课程并行开展。我们71小时的课程由讲座和实践练习组成。我们着手评估这一概念的有效性，并评估其是否适合其他机构使用。该课程由18名医学和医疗保健专业本科生参加。使用李克特量表，通过参与者在课程前后自我报告的荒野医学知识和兴趣对课程进行半定量评估。通过荒野医学客观结构化临床考试对参与者进行进一步评估。课程开始前，学生对荒野医学的了解较低（2.8/5.0），对院前医学也缺乏信心（2.5/5.0）。课程结束后，所有教学类别的知识和信心都有所提高，平均提高了1.4/5.0（P<0.05）。学生通过完成荒野医学客观结构化临床考试，在一系列荒野医学类别中展示了能力，通过率为82%。为学生提供荒野医学课程，对于引入荒野医学学会会员资格课程的内容并激发学生未来参与该领域是有效的。我们已经制定了一个成功实施荒野医学教学的框架，并表明这一概念可用于其他本科教学环境。
