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步行是否能改善不同医学专业水平下对皮肤疾病的诊断?

Does walking improve diagnosis of skin conditions at varying levels of medical expertise?

作者信息

Kaminska Malgorzata E, Rikers Remy M J P

机构信息

Northern Medical Program, University of Northern British Columbia, 3333 University Way, Prince George, BC, V2N 4Z9, Canada.

Department of Family Practice, University of British Columbia, 317-2194 Health Sciences Mall, Vancouver, BC, V6T 1Z3, Canada.

出版信息

Adv Health Sci Educ Theory Pract. 2021 May;26(2):405-416. doi: 10.1007/s10459-020-09992-9. Epub 2020 Sep 28.

DOI:10.1007/s10459-020-09992-9
PMID:32986221
Abstract

The use of walking workstations in educational and work settings has been shown to improve cognitive abilities. At the same time, it has been repeatedly shown that medical residents around the world do not meet exercise guidelines, mainly due to a scarcity of available free time. Our study investigates the boundaries of the previously observed phenomenon of improved cognitive performance with physical activity using materials that represent real life tasks. Participants had different level of expertise and involved second year psychology students, medical students, and family medicine residents. We examined the effect of being physically inactive (i.e., sitting) or active (i.e., walking) while diagnosing multiple complex presentations of four skin conditions. We assumed that being physically active, irrespective of the level of expertise, will bolster diagnostic performance. Our findings show, however, that being physically active does not change the performance level of participants with different levels of medical expertise. Implications for medical education and suggestions for further research will be discussed.

摘要

在教育和工作环境中使用步行工作站已被证明能提高认知能力。与此同时,世界各地反复表明,医学住院医师未达到运动指南要求,主要原因是可用的空闲时间稀缺。我们的研究使用代表现实生活任务的材料,调查了之前观察到的身体活动改善认知表现这一现象的界限。参与者具有不同的专业水平,包括二年级心理学学生、医学生和家庭医学住院医师。我们研究了在诊断四种皮肤疾病的多种复杂表现时,身体不活动(即坐着)或活动(即步行)的影响。我们假设,无论专业水平如何,身体活动都将增强诊断表现。然而,我们的研究结果表明,身体活动并不会改变具有不同医学专业水平参与者的表现水平。将讨论对医学教育的启示以及进一步研究的建议。

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