Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Acad Psychiatry. 2020 Aug;44(4):408-412. doi: 10.1007/s40596-020-01215-y. Epub 2020 Mar 11.
This study assessed the impact of an online, self-directed learning module on medical student knowledge and attitudes regarding decision-making capacity.
The authors created a 15-min didactic video on decision-making capacity and sorted medical students on the psychiatry clerkship to teaching as usual or teaching as usual plus watching the video. The authors assessed student knowledge about and attitudes toward decisional capacity assessment using a pre/posttest design.
Thirty-eight students completed the study (24% of all psychiatry clerkship students in one academic year). Students who watched the video (n = 14) achieved higher scores on the posttest compared with students who did not watch the video (n = 24) (90% vs 84% on general knowledge and case examples), though this difference was small and not statistically significant. The degree of improvement from pretest to posttest was higher for students who watched the video but did not reach statistical significance.
Overall, students found the online teaching module to be a helpful augmentation strategy for learning decisional capacity assessment. The authors incorporated student feedback and additional review to create an enhanced video, which is available on ADMSEP's Clinical Simulation Initiative website.
本研究评估了在线自学模块对医学生关于决策能力的知识和态度的影响。
作者制作了一个关于决策能力的 15 分钟教学视频，并将精神病学实习医学生分为常规教学组和常规教学加观看视频组。作者采用前后测试设计评估学生对决策能力评估的知识和态度。
38 名学生完成了研究（占该学年所有精神病学实习医学生的 24%）。观看视频的学生（n=14）在后测中的得分高于未观看视频的学生（n=24）（一般知识和案例分析的 90%对 84%），尽管这一差异很小且无统计学意义。观看视频的学生从测试前到测试后的提高程度更高，但未达到统计学意义。
总体而言，学生认为在线教学模块是学习决策能力评估的有益补充策略。作者根据学生反馈和额外的审查，在 ADMSEP 的临床模拟倡议网站上创建了一个增强版视频。
