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在新冠疫情期间,精神病学培训得益于跨专业团队的综合实践和生态瞬间电子评估。

Psychiatric training during covid-19 pandemic benefits from integrated practice in interprofessional teams and ecological momentary e-assessment.

机构信息

Centre for Medical Education, University of Dundee, United Kingdom.

Department of Psychiatry, South-West Yorkshire NHS Trust, Wakefield, United Kingdom.

出版信息

Riv Psichiatr. 2021 Jan-Feb;56(2):74-84. doi: 10.1708/3594.35765.

Abstract

OBJECTIVES

During the current covid-19 pandemic, healthcare students had to stop their face-to-face attendance at medical colleges and universities. This condition has resulted in a change in how learning and assessment of psychiatric and interprofessional practice occur. The pandemic has also increased clinical mentors' need to follow their mentees' educational progress via virtual technology, including smartphone-based educational apps. The aim of the study is to propose a model in psychiatric and medical interprofessional practice e-assessment.

METHODS

In this study, 228 undergraduate healthcare students underwent a training period in interprofessional practice across specialties being assessed by Ecological Momentary e-Assessment (EMeA), and consisting of ongoing or before/after Interprofessional Education (IPE) learning evaluations with the assistance of an IPE-app linked to online surveys. The Goodness of Fit Test Chi-square and t-test statistics analyzed the data.

RESULTS

Surveys during, at entry and exit points in IPE captured increased percentages of learners, specifically, reporting high patient satisfaction with interprofessional teams (c2=22.54; p<.01), learners experiencing very good quality of care when delivered by interprofessional teams (c2=30.02; p<.01) assessed by distance technology, and learners selecting less frequently peers from the same clinical background when support was needed in patient care (c2=19.84; p<.01).

CONCLUSIONS

Contextual assessment (in the real-time and real-world scenario) of IPE learning moments via EMeA shows its value and applicability during the current covid-19 pandemic when the assessment of learning cannot occur face-to-face between learners and teachers. All healthcare students, including those on psychiatric rotations, could log in their progress, self-reflective assessments, and responses to coordinated care in interprofessional teams, without needing direct contact with their clinical tutors, and while treating patients with mental and physical illnesses, also including covid-19 positive patients.

摘要

目的

在当前的 COVID-19 大流行期间,医学生不得不停止在医学院的面授学习。这种情况导致了学习和评估精神科和跨专业实践的方式发生了变化。大流行也增加了临床导师通过虚拟技术(包括基于智能手机的教育应用程序)跟踪学员教育进展的需求。本研究旨在提出一种精神科和医学跨专业实践电子评估模型。

方法

在这项研究中,228 名本科医学生接受了跨专业实践培训,评估方式为生态瞬间电子评估(EMeA),包括在在线调查相关联的 IPE 应用程序的协助下进行的持续或之前/之后的跨专业教育(IPE)学习评估。使用 Goodness of Fit Test Chi-square 和 t 检验统计数据分析了数据。

结果

IPE 期间、入口和出口点的调查捕获了学习者报告的高比例,特别是报告了对跨专业团队的高患者满意度(c2=22.54;p<.01),学习者在通过远程技术提供时体验到非常好的护理质量(c2=30.02;p<.01),以及学习者在需要患者护理支持时选择来自同一临床背景的同伴的频率较低(c2=19.84;p<.01)。

结论

通过 EMeA 对 IPE 学习时刻进行情境评估(在实时和真实场景中)显示了其在当前 COVID-19 大流行期间的价值和适用性,此时学习者和教师之间无法进行面对面的学习评估。所有医学生,包括精神科轮转学生,都可以登录他们的进度、自我反思评估以及对跨专业团队协调护理的响应,而无需与他们的临床导师直接接触,同时治疗患有精神和身体疾病的患者,也包括 COVID-19 阳性患者。

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