University Hospital Würzburg, Center of Mental Health, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Würzburg, Germany.
University Hospital Würzburg, Institute of Medical Teaching and Medical Education Research, Würzburg, Germany.
GMS J Med Educ. 2020 Dec 3;37(7):Doc96. doi: 10.3205/zma001389. eCollection 2020.
In undergraduate medical education and in the subject of child and adolescent psychiatry, examining young patients face-to-face is a key element of teaching. With the abrupt shutdown of face-to-face teaching caused by the SARS-CoV-2 pandemic, a case-based online training program integrating audio and video of real patients was developed. The blended learning platform CaseTrain guides medical students in their final year through real child-psychiatric patient cases, such as anorexia, autism, or attention deficit disorder, through presentation of video and audio of real patients and parents. The teaching format complements lectures on child psychiatric topics, comprising asynchronous elements (self-study using the digital material) as well as synchronous elements (web-conferences with a specialist). Learning objectives for students were set to develop knowledge of the spectra of psychiatric disorders that affect children and to recognize approaches how to assess and manage common psychiatric problems of childhood and adolescence. The feedback from medical students through oral and written evaluation was positive. They appreciated getting to know 'real-world patients' in times of such a pandemic, to learn explorative techniques from role models, and to be in close contact with the supervising specialist. In consequence of critical feedback on the length of some video sequences, these training units will undergo revision. Case-based online training may continue to be a useful option in a post-pandemic future as integral part of medical education, complementing face-to-face lectures and training in (child) psychiatry.
在本科医学教育和儿童青少年精神病学领域，面对面检查年轻患者是教学的关键要素。由于 SARS-CoV-2 大流行突然停止了面对面教学，我们开发了一个基于案例的在线培训计划，该计划整合了真实患者的音频和视频。混合学习平台 CaseTrain 通过呈现真实患者和家长的视频和音频，指导医学专业的最后一年的学生了解真实的儿童精神病学病例，例如厌食症、自闭症或注意力缺陷障碍。这种教学形式补充了关于儿童精神病学主题的讲座，包括异步元素（使用数字材料自学）和同步元素（与专家进行网络会议）。为学生设定了学习目标，以发展对影响儿童的精神障碍谱的认识，并认识到如何评估和管理儿童和青少年常见精神问题的方法。通过口头和书面评估，医学生的反馈是积极的。他们赞赏在这样的大流行时期能够了解“现实世界中的患者”，从榜样那里学习探索性技术，并与主管专家保持密切联系。根据对一些视频序列长度的批评性反馈，这些培训单元将进行修订。基于案例的在线培训可能会继续成为医学教育的一个有用选择，作为补充面对面讲座和（儿童）精神病学培训的一部分，成为医学教育的一个组成部分。
