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利用结构化工作表加强妇产科实习医生的教学。

Utilizing Structured Worksheets to Strengthen Resident Teaching on the OB/GYN Clerkship.

作者信息

Carroll Matthew R, Kilpatrick Charlie C, Johnson Grace, Sukhavasi Neelima, Ratan Bani M

机构信息

Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, USA.

Female Pelvic and Reconstructive Surgery, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, USA.

出版信息

Med Sci Educ. 2021 May 19;31(4):1379-1384. doi: 10.1007/s40670-021-01318-7. eCollection 2021 Aug.

Abstract

OBJECTIVE

To determine if structured worksheets can aid resident teaching on the obstetrics and gynecology (OB/GYN) clerkship.

DESIGN

We developed structured worksheets to aid residents in teaching medical students. In this pilot study, we measured the impact of the material by conducting end of clerkship focus groups between October 2017 to June 2018 and administering surveys to medical students who had recently completed the clerkship. We performed analyses of the focus group transcriptions for positive and negative themes and analyzed questionnaire data utilizing unpaired t-test and chi-square test to determine whether resident use of structured worksheets influenced student perception of resident teaching quality.

SETTING

Medical students rotated at either an academically affiliated public safety-net hospital or tertiary maternity care hospital.

PARTICIPANTS

Medical students completing the OB/GYN clerkship volunteered to participate.

RESULTS

A total of 37 students participated in focus groups and completed the survey. Focus group comments revealed a generally positive attitude towards the structured worksheets. The survey data revealed that this material helped to facilitate student's clinical reasoning skills and assisted residents in using questions to effectively teach.

CONCLUSIONS

Structured worksheets can aid resident teaching on the OB/GYN clerkship. Students perceived the teaching material most favorably when residents utilized the material in a purposeful and timely manner. Effective resident use of structured worksheets on the OB/GYN clerkship can strengthen a culture that promotes student learning.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s40670-021-01318-7.

摘要

目的

确定结构化工作表是否有助于妇产科实习医生的教学。

设计

我们开发了结构化工作表以帮助实习医生对医学生进行教学。在这项试点研究中,我们通过在2017年10月至2018年6月期间进行实习结束时的焦点小组讨论,并对最近完成实习的医学生进行调查,来衡量该材料的影响。我们对焦点小组的文字记录进行了积极和消极主题的分析,并使用非配对t检验和卡方检验分析问卷数据,以确定实习医生使用结构化工作表是否会影响学生对实习医生教学质量的看法。

背景

医学生在一所学术附属的公共安全网医院或三级产科医院轮转。

参与者

完成妇产科实习的医学生自愿参与。

结果

共有37名学生参加了焦点小组讨论并完成了调查。焦点小组的评论显示对结构化工作表普遍持积极态度。调查数据显示,该材料有助于提高学生的临床推理能力,并帮助实习医生有效地运用问题进行教学。

结论

结构化工作表有助于妇产科实习医生的教学。当实习医生有目的地及时使用该材料时,学生对教材的评价最为有利。实习医生在妇产科实习中有效地使用结构化工作表可以强化促进学生学习的文化氛围。

补充信息

在线版本包含可在10.1007/s40670-021-01318-7获取的补充材料。

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本文引用的文献

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A Conceptual Model for Residents as Teachers in Obstetrics and Gynecology.妇产科住院医师担任教师的概念模型。
Med Sci Educ. 2020 May 27;30(3):1169-1176. doi: 10.1007/s40670-020-00985-2. eCollection 2020 Sep.
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Practice Bulletin No. 183: Postpartum Hemorrhage.实践公告第 183 号:产后出血。
Obstet Gynecol. 2017 Oct;130(4):e168-e186. doi: 10.1097/AOG.0000000000002351.
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Student perceptions of clerkship handbooks.学生对临床实习手册的看法。
Clin Teach. 2017 Aug;14(4):242-246. doi: 10.1111/tct.12538. Epub 2016 Jun 16.
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Practice Bulletin No. 163: Screening for Fetal Aneuploidy.实践通报第 163 号:胎儿非整倍体筛查。
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