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爱尔兰医学生对宫颈癌和卵巢癌筛查方案教学的态度:一项定性研究。

Medical students' attitudes towards the teaching of cervical and ovarian cancer screening protocols in Ireland: a qualitative study.

机构信息

UCD School of Medicine, University College Dublin, Dublin, Ireland.

UCD Perinatal Research Centre, National Maternity Hospital, University College Dublin, Dublin, Ireland.

出版信息

Ir J Med Sci. 2022 Feb;191(1):469-473. doi: 10.1007/s11845-021-02580-9. Epub 2021 Mar 3.

DOI:10.1007/s11845-021-02580-9
PMID:33660113
Abstract

BACKGROUND

Screening programmes decrease the incidence of colorectal, breast and cervical cancer. As such, it is imperative that medical health professionals are educated on the screening programmes available and are aware of the research basis justifying them.

AIMS

To establish the attitudes of final-year medical students to a gynaecological cancer screening teaching session, provided as part of their core Obstetrics and Gynaecology module.

METHODS

A 3-h workshop, aimed to critically appraise research papers, reviewed cervical and ovarian cancer screening methods. The workshop was facilitated by a Consultant in Gynae-oncology Surgery. Anonymous evaluation was requested from two hundred nine students attending during the 2018/2019 academic year. Qualitative research with thematic analysis of content was performed.

RESULTS

One hundred fifty-six students gave evaluation on the workshop itself (74.6%). Three main themes were identified-support for the importance of teaching screening methods, appreciation of the importance of understanding cervical screening and a wish for further teaching in Critical Appraisal. Students identified that there was a need to understand screening, that it was "..important for us to consider the value of screening programmes". The teaching on Cervical screening was "..helpful, especially with cervical screening".

CONCLUSIONS

Medical students expressed a wish to understand the research basis of a common clinical screening programme (for cervical cancer) as well as the research basis for not providing screening to low risk populations (for ovarian cancer). Further research in this area may include exploring how this is taught in other medical schools.

摘要

背景

筛查计划可降低结直肠癌、乳腺癌和宫颈癌的发病率。因此,医学专业人员必须接受有关可用筛查计划的教育,并了解支持这些计划的研究依据。

目的

了解医学生对妇科癌症筛查教学课程的态度,该课程作为其妇产科核心模块的一部分。

方法

为期 3 小时的研讨会旨在批判性地评价研究论文,审查宫颈癌和卵巢癌的筛查方法。该研讨会由妇科肿瘤外科顾问主持。在 2018/2019 学年期间,有 209 名学生参加了研讨会,并要求他们匿名评估。采用主题分析法对定性研究进行内容分析。

结果

156 名学生对该研讨会本身进行了评估(74.6%)。确定了三个主要主题:支持教授筛查方法的重要性、对理解宫颈癌筛查的重要性的赞赏以及对批判性评估进一步教学的愿望。学生们认为有必要了解筛查,因为“......我们需要考虑筛查计划的价值”。关于宫颈癌筛查的教学“......很有帮助,尤其是宫颈癌筛查”。

结论

医学生表示希望了解常见临床筛查计划(宫颈癌)的研究基础,以及对低危人群不提供筛查的研究基础(卵巢癌)。该领域的进一步研究可能包括探索其他医学院校如何教授这方面的内容。

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Effectiveness of Modalities to Teach Evidence Based Medicine to Pediatric Clerkship Students: A Randomized Controlled Trial.向儿科实习学生传授循证医学的教学方法效果:一项随机对照试验
Acad Pediatr. 2021 Mar;21(2):375-383. doi: 10.1016/j.acap.2020.09.012. Epub 2020 Sep 30.
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Journal clubs in Australian medical schools: prevalence, application and educator opinion.澳大利亚医学院校的学术交流研讨会:普及情况、应用及教育工作者的看法。
J Educ Eval Health Prof. 2020 Jan;17:9. doi: 10.3352/jeehp.2020.17.9. Epub 2020 Feb 26.
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Impact of a student-led community education program to promote Pap test screening among Asian-American women.
一项由学生主导的社区教育项目对促进亚裔美国女性巴氏试验筛查的影响。
J Am Soc Cytopathol. 2017 Jul-Aug;6(4):145-154. doi: 10.1016/j.jasc.2017.03.004. Epub 2017 Apr 5.
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Critical Appraisal Worksheets for Integration Into an Existing Small-Group Problem-Based Learning Curriculum.用于融入现有小组基于问题的学习课程的批判性评估工作表
MedEdPORTAL. 2018 Feb 14;14:10682. doi: 10.15766/mep_2374-8265.10682.
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Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.全球癌症统计数据 2018:GLOBOCAN 对全球 185 个国家/地区 36 种癌症的发病率和死亡率的估计。
CA Cancer J Clin. 2018 Nov;68(6):394-424. doi: 10.3322/caac.21492. Epub 2018 Sep 12.
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Collective Conversational Peer Review of Journal Submission: A Tool to Integrate Medical Education and Practice.期刊投稿的集体对话同行评审:一种整合医学教育与实践的工具
Ann Neurosci. 2018 Jul;25(2):112-119. doi: 10.1159/000488135. Epub 2018 Apr 3.
7
Screening for Ovarian Cancer: US Preventive Services Task Force Recommendation Statement.卵巢癌筛查:美国预防服务工作组推荐声明。
JAMA. 2018 Feb 13;319(6):588-594. doi: 10.1001/jama.2017.21926.
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Ovarian cancer screening and mortality in the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS): a randomised controlled trial.英国卵巢癌筛查协作试验(UKCTOCS)中的卵巢癌筛查与死亡率:一项随机对照试验
Lancet. 2016 Mar 5;387(10022):945-956. doi: 10.1016/S0140-6736(15)01224-6. Epub 2015 Dec 17.
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Screening for cervical cancer: a systematic review and meta-analysis.宫颈癌筛查:系统评价和荟萃分析。
Syst Rev. 2013 May 24;2:35. doi: 10.1186/2046-4053-2-35.
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Asian Pac J Cancer Prev. 2011;12(12):3251-6.