Assistant Professor, Department of Family and Community Medicine, Tulane University School of Medicine.
MedEdPORTAL. 2021 Feb 11;17:11095. doi: 10.15766/mep_2374-8265.11095.
A frequently encountered complaint in primary care, pain has a variety of causes and treatments. To reduce mortality, the Centers for Disease Control released guidelines on opioid prescribing in 2016. Taking those guidelines into account, this team-based learning (TBL) module for third-year medical students on their family medicine clinical clerkship serves as an introductory application for treatment of nociceptive and neuropathic pain.
Students accessed preparticipation reading material online 1 week before the session. After students had been arranged into groups for the 1-hour module, each student completed an individual readiness assessment test (iRAT). Next, each group completed the group readiness assessment test (gRAT) using Immediate Feedback-Assessment Technique cards to give its answers. To complete the more complex learning objectives, groups answered the multiple-choice team application (tAPP) questions.
Over 2 years, this module was administered to more than 400 students. Average iRAT scores were approximately 80% and gRAT scores nearly 100%. Groups scored approximately 70% on the tAPP questions. Students rated the module on a 5-point Likert scale (1 = 5 = ) and provided individual comments. The course always received a score of at least 4, as well as consistent positive feedback.
The module can easily be embedded into a preexisting clinical clerkship didactic series. It can also serve as a platform on which to build additional TBL modules following a more longitudinal course and more in-depth skills development in pain management.
疼痛是基层医疗中常见的一种病症,其病因和治疗方法多种多样。为了降低死亡率,疾病控制与预防中心(Centers for Disease Control)于 2016 年发布了阿片类药物处方指南。考虑到这些指南,这个基于团队的学习(Team-based Learning,TBL)模块是为正在进行家庭医学临床实习的三年级医学生设计的,旨在介绍治疗伤害感受性疼痛和神经性疼痛的方法。
学生在课程前一周通过在线方式访问预习材料。在将学生分成小组进行 1 小时的模块学习后,每个学生都要完成个人预备评估测试(individual readiness assessment test,iRAT)。接下来,每个小组使用即时反馈评估技术(Immediate Feedback-Assessment Technique,IF-AT)卡完成小组预备评估测试(group readiness assessment test,gRAT),并给出答案。为了完成更复杂的学习目标,小组要回答多项选择团队应用(multiple-choice team application,tAPP)问题。
在过去的两年里,这个模块已经为 400 多名学生提供。平均 iRAT 分数约为 80%,gRAT 分数接近 100%。小组在 tAPP 问题上的平均得分约为 70%。学生们在 5 分制的李克特量表(1 = 5 = )上对课程进行了评价,并提供了个人意见。该课程的评分始终至少为 4 分,且一直得到积极的反馈。
该模块可以轻松地嵌入到现有的临床实习教学系列中。它还可以作为一个平台,在该平台上可以构建更多基于团队的学习模块,进行更长期的课程和更深入的疼痛管理技能培训。