医学院校癌症教育现状的深入分析以及实验教学技术的应用及其效果
A Thorough Analysis of the Current State of Cancer Education in Medical Schools and Application of Experimental Teaching Techniques and Their Efficacy.
作者信息
Klufas Andrew, Shin Grace, Raphael Ryan, Sarfaty Suzanne C, Hirsch Ariel E
机构信息
Boston University School of Medicine, Boston, MA, USA.
Department of Medicine, Boston University School of Medicine, Boston, MA, USA.
出版信息
Adv Med Educ Pract. 2020 Dec 2;11:931-946. doi: 10.2147/AMEP.S268382. eCollection 2020.
Newly diagnosed cases of cancer are expected to double by the year 2040. Although many different oncology teaching initiatives have been implemented, many students continue to report uncertainty when dealing with patients with cancer. Through this review, we aim to find the most effective teaching methods to better prepare future physicians. Papers studying different methods of teaching oncology were identified through a thorough review of specific electronic databases. Each study was analyzed and sorted into one of ten unique categories created by the authors specifically for this review. If portions of the study fit into multiple categories, relevant results would be analyzed in all applicable areas. Additionally, papers were separated and analyzed by country of origin, preclinical or clinical interventional basis, and quantitative versus qualitative form of statistical analysis. A total of 115 papers from 26 different countries and regions were included in the final analysis. 91.4% of papers analyzing Lecture and Small Group Discussions indicated a positive impact. 97.1% of papers analyzing Clinical Practice and Simulation indicated a positive impact. 100% of papers analyzing Early Experience and Mentorship, Summer Programs and Voluntary Electives, use of Multidisciplinary Teams, and Role Play stated that these methods had a positive impact. 50% of papers analyzing Computer/Web Based Programs indicated a positive impact. Clinical Practice and Simulation, Role Play, Summer/Elective Programs and interventions involving Multidisciplinary Team Work all appeared to be most effective. Intensive Block Programs, Didactic Lectures/Small Group Discussions, and Computer/Web Based Education tools as a whole were variable. General Review papers showed continued variability in domestic and international oncology curricula. Incorporation of effective teaching interventions should be highly considered in the future creation of standardized oncology curricula in order to best prepare the next generation of physicians. Future studies could explore the differing efficacies of teaching interventions in the postgraduate versus graduate realms.
预计到2040年,新诊断的癌症病例将翻倍。尽管已经实施了许多不同的肿瘤学教学举措,但许多学生在面对癌症患者时仍表示存在不确定性。通过本综述,我们旨在找到最有效的教学方法,以便更好地培养未来的医生。通过全面检索特定电子数据库,确定了研究肿瘤学不同教学方法的论文。每项研究都经过分析,并归类到作者专门为此综述创建的十个独特类别之一。如果研究的部分内容符合多个类别,将在所有适用领域分析相关结果。此外,论文还根据原产国、临床前或临床干预基础以及统计分析的定量与定性形式进行分类和分析。最终分析纳入了来自26个不同国家和地区的115篇论文。分析讲座和小组讨论的论文中有91.4%显示出积极影响。分析临床实践和模拟的论文中有97.1%显示出积极影响。分析早期经验与导师指导、暑期项目和自愿选修课程、多学科团队的使用以及角色扮演的论文均表明这些方法具有积极影响。分析基于计算机/网络的项目的论文中有50%显示出积极影响。临床实践和模拟、角色扮演、暑期/选修课程以及涉及多学科团队合作的干预措施似乎最为有效。强化集中课程、讲授式讲座/小组讨论以及基于计算机/网络的教育工具总体上效果不一。综合综述论文显示,国内外肿瘤学课程仍存在差异。在未来创建标准化肿瘤学课程时,应高度考虑纳入有效的教学干预措施,以便更好地培养下一代医生。未来的研究可以探索教学干预措施在研究生与本科生领域的不同效果。