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探索口腔医学教育椅旁教学中的建设性反馈实践:一个案例研究。

Exploration of constructive feedback practices in dental education chairside teaching: A case study.

机构信息

Faculty of Dentistry, Yarsi University, Jakarta, Indonesia.

Department of Medical Education, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.

出版信息

Eur J Dent Educ. 2020 Aug;24(3):580-589. doi: 10.1111/eje.12539. Epub 2020 Jun 26.

Abstract

BACKGROUND

Chairside teaching is one of the teaching-learning methods in clinical dental education in which direct care is provided to patients. When students have been deemed competent in carrying out procedures on a dental phantom, they need clinical experience on patients, with guidance and constructive feedback from clinical teachers. Constructive feedback is an important learning platform in helping students analyse the strong and the weak aspects of their performance in order to identify required improvements. This study aimed to explore the practice of giving constructive feedback in chairside teaching.

METHOD

A qualitative method with a case study design. Data were collected through in-depth interviews and focus group discussions (FGDs) with clinical teachers and students in clinical rotation. Data triangulation was carried out by observing the practice of giving constructive feedback in chairside teaching and document analysis from January to April 2019. Results of the in-depth interviews and FGDs were transcribed verbatim and analysed using a thematic analysis approach.

RESULT

In-depth interviews with five programme coordinators and FGDs with two groups of clinical teachers (N = 8 and N = 6) and two clinical student groups (N = 8 each). Three main themes emerged in this study: ways to provide feedback, challenges on feedback provision and challenges on feedback follow-up.

CONCLUSION

Differences in perception between clinical teachers and students were identified, influenced by students' interactions with the learning environment. Interventions are to be encouraged that involve teachers, students and institutions, and the interactions amongst the three.

摘要

背景

椅旁教学是临床牙科教育中的一种教学方法,学生在其中为患者提供直接护理。当学生被认为有能力在牙科模型上进行操作时,他们需要在患者身上获得临床经验,并接受临床教师的指导和建设性反馈。建设性反馈是帮助学生分析其表现的强弱方面,以确定需要改进的地方的重要学习平台。本研究旨在探讨椅旁教学中提供建设性反馈的实践。

方法

采用定性方法和案例研究设计。通过对临床教师和轮转临床学生的深入访谈和焦点小组讨论(FGD)收集数据。数据三角测量通过观察椅旁教学中提供建设性反馈的实践和 2019 年 1 月至 4 月的文献分析进行。深入访谈和 FGD 的结果逐字转录,并使用主题分析方法进行分析。

结果

对五名课程协调员进行了深入访谈,并对两组临床教师(N=8 和 N=6)和两组临床学生(每组 N=8)进行了 FGD。本研究出现了三个主要主题:提供反馈的方式、提供反馈的挑战和反馈跟进的挑战。

结论

临床教师和学生之间存在感知差异,这受到学生与学习环境互动的影响。鼓励涉及教师、学生和机构以及三者之间互动的干预措施。

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