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适应疫情带来的教育挑战:COVID-19 期间新型虚拟泌尿外科实习的开展。

Adapting to the Educational Challenges of a Pandemic: Development of a Novel Virtual Urology Subinternship During the Time of COVID-19.

机构信息

Perelman School of Medicine University of Pennsylvania, Philadelphia, PA.

Division of Urology, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

出版信息

Urology. 2021 Feb;148:70-76. doi: 10.1016/j.urology.2020.08.071. Epub 2020 Oct 10.

Abstract

OBJECTIVE

To design, implement, and evaluate learner attitudes of a virtual urologic surgery clinical rotation for medical students.

METHODS

Ten senior medical students at the Perelman School of Medicine at the University of Pennsylvania were enrolled. Students were administered a precourse test on their perceived confidence of their urologic knowledge, confidence in identifying urologic conditions, comfort with performing urologic evaluations, and confidence placing consults for urologic issues. Students participated in a 2-week curriculum that included both asynchronous and synchronous content. Asynchronous content included prerecorded lectures, self-paced problem-based learning modules, directed reading and video content, and an online discussion board. Synchronous content included real-time videoconferences covering case discussions, simulated patient presentations, and critical literature reviews. At the conclusion of the course, students were administered the postcourse survey evaluating changes in their ability to identify and understand urologic conditions.

RESULTS

The postcourse survey demonstrated this course significantly increases students' scores in: self-perceived urologic knowledge, confidence in naming urologic conditions, comfort with performing urologic evaluations, and confidence placing consults for urologic conditions (P <.05).

CONCLUSION

Virtual medical student rotations are scalable and effective at delivering surgical material and can approximate the interpersonal teaching found in clinical learning environments. They may be a useful tool to supplement or augment clinical learning in select situations.

摘要

目的

为医学生设计、实施和评估虚拟泌尿外科手术临床轮转的学习者态度。

方法

宾夕法尼亚大学佩雷尔曼医学院的 10 名高年级医学生参加了该研究。学生在课前接受了关于他们对泌尿外科知识的自信程度、识别泌尿外科疾病的自信程度、进行泌尿外科评估的舒适度以及对泌尿外科问题进行咨询的信心的测试。学生参加了为期两周的课程,包括异步和同步内容。异步内容包括预先录制的讲座、基于问题的自学模块、定向阅读和视频内容以及在线讨论板。同步内容包括涵盖病例讨论、模拟患者演示和关键文献复习的实时视频会议。课程结束时,学生接受了课后调查,评估他们识别和理解泌尿外科疾病的能力变化。

结果

课后调查显示,该课程显著提高了学生在以下方面的得分:自我感知的泌尿外科知识、命名泌尿外科疾病的信心、进行泌尿外科评估的舒适度以及对泌尿外科问题进行咨询的信心(P <.05)。

结论

虚拟医学生轮转可以扩展规模并有效地提供手术材料,并可以近似于临床学习环境中的人际教学。在某些情况下,它们可能是补充或增强临床学习的有用工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6f4/7547316/cbdabe334608/gr1_lrg.jpg

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