Miller Karen F, Das Rishub K, Majors Ciera D, Paz Hadassah H, Robinson Ayana N, Hamilton Veronica F, Jackson Brittney E, Collins Sean P, Storrow Alan B
Vanderbilt University Medical Center, Nashville, USA.
Vanderbilt University School of Medicine, Nashville, USA.
BMC Med Educ. 2021 Apr 12;21(1):206. doi: 10.1186/s12909-021-02635-6.
University students have limited opportunities to gain healthcare clinical exposure within an academic curriculum. Furthermore, traditional pre-medical clinical experiences like shadowing lack active learning components. This may make it difficult for students to make an informed decision about pursuing biomedical professions. An academic university level research course with bedside experience provides students direct clinical participation in the healthcare setting.
Described is a research immersion course for senior university students (3rd to 5th year) interested in healthcare and reported study enrollment with final course evaluations. The setting was an adult, academic, urban, level 1 trauma center emergency department (ED) within a tertiary-care, 1000-bed, medical center. Our course, "Immersion in Emergency Care Research", was offered as a university senior level class delivered consecutively over 16-weeks for students interested in healthcare careers. Faculty and staff from the Department of Emergency Medicine provided a classroom lecture program and extensive bedside, hands-on clinical research experience. Students enrolled patients in a survey study requiring informed consent, interviews, data abstraction and data entry. Additionally, they were required to write and present a mock emergency care research proposal inspired by their clinical experience. The course evaluations from students' ordinal rankings and blinded text responses report possible career impact.
Thirty-two students, completed the 16-week, 6-9 h per week, course from August to December in 1 of 4 years (2016 to 2019). Collectively, students enrolled 759 ED patients in the 4 survey studies and reported increased confidence in the clinical research process as each week progressed. Ranked evaluations were extremely positive, with many students describing how the course significantly impacted their career pathways and addressed an unmet need in biomedical education. Six students continued the research experience from the course through independent study using the survey data to develop 3 manuscripts for submission to peer-reviewed journals.
A bedside emergency care research course for students with pre-healthcare career aspirations can successfully provide early exposure to patients and emergency care, allow direct experience with clinical bedside research, research data collection, and may impact biomedical science career choices.
大学生在学术课程中获得医疗临床实践机会有限。此外,传统的医学预科临床体验,如见习,缺乏主动学习环节。这可能使学生难以就是否从事生物医学职业做出明智的决定。一门具有床边实践经验的大学学术水平研究课程能让学生直接参与医疗环境中的临床实践。
描述了一门针对对医疗保健感兴趣的大学高年级学生(大三至大五)的研究沉浸式课程,并报告了研究入学情况及最终课程评估结果。课程设置在一所拥有1000张床位的三级医疗中心的成人学术城市一级创伤中心急诊科。我们的课程“急诊护理研究沉浸式课程”作为大学高年级课程,为对医疗保健职业感兴趣的学生连续开设16周。急诊医学系的教职员工提供课堂讲座,并给予丰富的床边实践临床研究经验。学生们在一项需要知情同意的调查研究中招募患者,进行访谈、数据提取和数据录入。此外,他们还被要求根据临床经验撰写并展示一份模拟急诊护理研究提案。课程评估通过学生的序数排名和盲态文本回复报告可能的职业影响。
在4年中的1年(2016年至2019年),32名学生完成了为期16周、每周6至9小时的课程,课程时间为8月至12月。在4项调查研究中,学生们共招募了759名急诊科患者,并表示随着每周课程的推进,他们对临床研究过程的信心有所增强。排名评估非常积极,许多学生描述了该课程如何显著影响了他们的职业道路,并满足了生物医学教育中未被满足的需求。6名学生通过独立研究延续了课程中的研究经历,利用调查数据撰写了3篇论文,准备提交给同行评审期刊。
为有医疗保健职业抱负的学生开设的床边急诊护理研究课程能够成功地让学生早期接触患者和急诊护理,获得临床床边研究和研究数据收集的直接经验,并可能影响生物医学科学职业选择。