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通往抗生素天堂的阶梯:为四年级医学生制作的经验性抗生素选择视频系列。

The Stairway to Antibiotic Heaven: A Scaffolded Video Series on Empiric Antibiotic Selection for Fourth-Year Medical Students.

机构信息

Resident, Department of Medicine, Columbia University Irving Medical Center.

Instructor, Department of Medicine, Columbia University Irving Medical Center.

出版信息

MedEdPORTAL. 2020 Nov 30;16:11036. doi: 10.15766/mep_2374-8265.11036.

Abstract

INTRODUCTION

Inappropriate antibiotic use and spread of resistance is a well-known problem, and medical students have indicated they want additional education on appropriate use of antimicrobials. We introduced a series of short whiteboard animation videos on empiric antibiotic selection as a supplemental resource for fourth-year medical students during a transition to residency course.

METHODS

A total of eight whiteboard animation videos on empiric antibiotic selection were created using Camtasia. The video series started with the narrowest spectrum antibiotic discussed and progressed up an antibiotic ladder to broader spectrum antibiotics. Questions were embedded in each video. Students were offered a pretest prior to viewing the video series as well as a posttest after completing the video series. After each individual video, students were offered a postvideo survey with Likert-scaled questions evaluating student perceptions of the video. All tests and surveys were anonymous. Scores of pre- and posttests were compared with unpaired tests.

RESULTS

We received 37 pretests and 14 posttests. The average score on the pretest was 66% compared with 93% on the posttest ( <.0001; 95% CI 16.78, 37.93). Seventy-two postvideo surveys were completed across all videos. Of student responses, 100% either agreed or strongly agreed that the evaluated module was an effective way to learn the material.

DISCUSSION

Our results suggested that this scaffolded, interactive video animation series on antibiotic spectrum and selection was an effective learning activity.

摘要

简介

抗生素使用不当和耐药性传播是一个众所周知的问题,医学生表示希望接受更多关于抗生素合理使用的教育。我们在医学生向住院医师过渡课程中引入了一系列关于经验性抗生素选择的短篇白板动画视频,作为补充资源。

方法

使用 Camtasia 创建了总共 8 个关于经验性抗生素选择的白板动画视频。该视频系列从讨论最窄谱抗生素开始,逐步向上升级到广谱抗生素。每个视频都嵌入了问题。在观看视频系列之前,学生们先进行了预测试,在完成视频系列后进行了后测试。在观看每个单独的视频后,学生们会收到一个带有李克特量表问题的视频后调查,评估他们对视频的看法。所有测试和调查均为匿名。预测试和后测试的分数用未配对的 t 检验进行比较。

结果

我们收到了 37 份预测试和 14 份后测试。预测试的平均分数为 66%,后测试的平均分数为 93%(<.0001;95%置信区间为 16.78,37.93)。所有视频共收到 72 份视频后调查。在学生的反馈中,100%的人表示评估模块是学习材料的有效方式,他们对此表示赞同或强烈赞同。

讨论

我们的结果表明,这种有针对性的、互动的抗生素谱和选择视频动画系列是一种有效的学习活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f01/7703485/d6afe4c1ef63/mep_2374-8265.11036-g001.jpg

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