Department of Medicine, Nobles Hospital, Braddan, Isle of Man
Department of Medicine, Nobles Hospital, Braddan, Isle of Man.
Postgrad Med J. 2022 Jun;98(1160):415-419. doi: 10.1136/postgradmedj-2020-139233. Epub 2021 Jan 25.
We establish the development of a unique immersive clinical skills bootcamp for third-year medical students, with formal teaching under five key themes: procedural skills day, examinations, imaging, data interpretation and prescribing. Lastly a simulation event was developed to allow the participants to bring the different themes together, in order to successfully manage an acutely unwell patient for their stage of learning using the newly learnt skills. A 4-week bootcamp was developed and delivered to students. A curriculum was developed based on student's precourse answers to specific questions. Pre and post bootcamp questionnaires were used to assess participants confidence and knowledge using a 5-point Likert scale. A combination of objective structured examination, didactic lectures and group-based discussions were utilised. Tutors' teaching performance was also analysed. A focus group was held post bootcamp. Bootcamp was delivered to 15 students. Feedback was overwhelmingly positive. Students were more confident in all of the five key domains post bootcamp. All students feel more equipped to take opportunities that arise on medical wards as a result of the skills learnt. Participants were receptive to the combination of teaching methods used. All students would recommend this course to their peers. Early-year clinical students successfully received an immersive goal-directed course with formal teaching. The near-peer teaching model improved participants educational experience. We were able to successfully demonstrate that near-peer teaching is effective when it is goal directed, and further when it addresses areas of medical education whereby there is a disparity in the formal teaching available.
我们为三年级医学生开发了一个独特的沉浸式临床技能训练营,该训练营有五个关键主题的正式教学:程序技能日、考试、影像学、数据解读和处方。最后,开发了一个模拟活动,让参与者将不同的主题结合起来,以便使用新学到的技能成功管理学习阶段的急性不适患者。我们开发了一个为期 4 周的训练营并提供给学生。根据学生在课程前对特定问题的回答,制定了课程。使用 5 分李克特量表的预营和营后问卷调查来评估参与者的信心和知识。结合客观结构化考试、讲座和小组讨论来进行教学。还分析了导师的教学表现。训练营结束后举行了焦点小组会议。有 15 名学生参加了训练营。反馈意见非常积极。所有学生在五个关键领域的自信心都有所提高。所有学生都觉得自己更有能力在医学病房中抓住机会,因为他们学到了这些技能。参与者对所使用的教学方法组合表示接受。所有学生都愿意向他们的同学推荐这门课程。低年级临床学生成功接受了一个有正式教学的沉浸式目标导向课程。近邻教学模式改善了参与者的教育体验。我们成功地证明了,当近邻教学是有目标导向的,并且当它解决医学教育中存在正规教学差距的领域时,近邻教学是有效的。