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[虚拟姑息治疗:一种电子工具的试点研究,用于在医学培训期间测试认知、心理运动和情感方面的姑息医学及疼痛治疗学习内容]

[Virtual palliative care : Pilot study of an electronic tool to test cognitive, psychomotor and affective palliative medical and pain therapeutic learning contents during medical training].

作者信息

Scherg A, Oechsle K, Coym A, Ilse B, Annweiler B, Alt-Epping B, Neukirchen M, Lemos M, Stummer T, Seibel J, Lenes A, Elsner F

机构信息

Klinik für Palliativmedizin, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland.

Abteilung für Hämatologie/Onkologie, Evangelisches Krankenhaus Wesel, Wesel, Deutschland.

出版信息

Schmerz. 2021 Aug;35(4):242-250. doi: 10.1007/s00482-021-00552-7. Epub 2021 May 10.

Abstract

BACKGROUND

This article describes a first use of an electronic case-based assessment tool in undergraduate palliative care education. It describes the development of the tool presenting strengths and shortcomings in order to contribute to an innovative design of assessment tools in medical education.

DESIGN AND METHOD

An electronic (virtual) case-based assessment tool (the virtual palliative patient, vPp) was developed. Palliative care levels of knowledge, skills and attitude of students were tested at a computer workplace as a voluntary and non-performance-relevant pilot project at four faculties.

RESULTS

On average the students achieved 80% of the points using the vPp tool, which is below the average score of 91% achieved in the regular examination. In particular, the free text task on reflection of dealing with the patient's death wish caused uncertainty, while multiple choice questions and an interactive conversation sequence were perceived as relatively easy. Technical problems were also identified in the evaluation but overall the concept was evaluated positively and establishment as a regular examination or e‑learning tool was desired.

CONCLUSION

The implementation of an innovative assessment tool in medical education is technically challenging. A coordination with contents of the individual faculties is necessary in order that students do not have a feeling of a lack of preparation. The development of the vPp describes an innovative assessment format. In the long term, all interested faculties could receive a form of toolbox containing the technical framework of the assessment tool, which can then be fed with new contents.

摘要

背景

本文介绍了电子病例评估工具在本科姑息治疗教育中的首次应用。它描述了该工具的开发过程,呈现了其优点和缺点,以有助于医学教育评估工具的创新设计。

设计与方法

开发了一种基于电子(虚拟)病例的评估工具(虚拟姑息治疗患者,vPp)。在四个学院,作为一个自愿且与成绩无关的试点项目,在计算机工作场所对学生的姑息治疗知识、技能和态度水平进行了测试。

结果

学生使用vPp工具平均获得80%的分数,低于常规考试91%的平均分数。特别是,关于思考如何应对患者死亡愿望的自由文本任务造成了不确定性,而多项选择题和交互式对话环节被认为相对容易。评估中还发现了技术问题,但总体而言,该概念得到了积极评价,希望将其确立为常规考试或电子学习工具。

结论

在医学教育中实施创新评估工具在技术上具有挑战性。有必要与各学院的教学内容进行协调,以使学生不会有准备不足的感觉。vPp的开发描述了一种创新的评估形式。从长远来看,所有感兴趣的学院都可以获得一种包含评估工具技术框架的工具箱形式,然后可以为其输入新的内容。

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