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[眼科急症:通过针对医学生的交互式关键特征病例进行培训]

[Ophthalmic emergencies: training via interactive key feature cases for medical students].

作者信息

Müller Andreas, Wagner Felix M, Schuster Alexander K, Günal Betül, Pfeiffer Norbert, Schmidt Franziska, Prokosch Verena

机构信息

Augenklinik und Poliklinik der Universitätsmedizin Mainz, Johannes Gutenberg-Universität Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland.

Zentrum für Qualitätssicherung und -entwicklung, Johannes Gutenberg-Universität Mainz, Mainz, Deutschland.

出版信息

Ophthalmologe. 2022 Jan;119(Suppl 1):48-55. doi: 10.1007/s00347-021-01409-1. Epub 2021 May 31.

Abstract

BACKGROUND

Autonomous diagnosis and assessment of medical emergencies are important skills to acquire for medical students. Ophthalmology features certain specialty-specific "red flag" signs and symptoms, which pose a challenge for educators in ophthalmology. To support medical students in identifying those "red flags" we developed and implemented interactive cases for our e‑learning platform.

MATERIAL AND METHODS

A total of seven interactive cases with key feature problems regarding potentially dangerous signs and symptoms, such as painless loss of vision or red eye were developed. Medical students were guided through a case and performed formative assessments. The interactive cases were created with e‑learning authoring software and were available on the learning management system presence of the department of ophthalmology. They were mandatory for medical students in the ophthalmology course. Students evaluated the cases after the course.

RESULTS

The interactive cases were rated on average at 1.51 ± 0.68 (mean ± standard deviation; n = 163) on a grade scale (1 = best, 6 = worst). On a Likert scale they were perceived as helpful for individual learning at 1.60 ± 0.81 (1 = very helpful, 7 = not helpful at all; n = 164). The information provided on the cases and selection of scenarios was positively evaluated.

CONCLUSION

To support students in identifying and managing ophthalmic emergencies in the context of limited time in tightly packed curricula, interactive key feature cases can be part of corresponding e‑learning resources. An integration of such cases was evaluated as desirable.

摘要

背景

自主诊断和评估医疗紧急情况是医学生需要掌握的重要技能。眼科有一些特定专业的“危险信号”体征和症状,这给眼科教育工作者带来了挑战。为了帮助医学生识别这些“危险信号”,我们为电子学习平台开发并实施了交互式病例。

材料与方法

总共开发了七个交互式病例,涉及无痛视力丧失或眼红等潜在危险体征和症状的关键特征问题。医学生在病例引导下进行形成性评估。交互式病例使用电子学习创作软件创建,可在眼科系的学习管理系统中获取。它们是眼科课程中医学生的必修课。课程结束后,学生对病例进行了评估。

结果

在1至6分的评分量表上(1分表示最佳,6分表示最差),交互式病例的平均评分为1.51±0.68(平均值±标准差;n = 163)。在李克特量表上,它们被认为对个人学习有帮助,评分为1.60±0.81(1分表示非常有帮助,7分表示完全没有帮助;n = 164)。病例提供的信息和场景选择得到了积极评价。

结论

为了在紧凑课程的有限时间内帮助学生识别和处理眼科紧急情况,交互式关键特征病例可以成为相应电子学习资源的一部分。将此类病例整合被认为是可取的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/789b/8763746/3027b3142e2c/347_2021_1409_Fig1_HTML.jpg

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