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面向未来医学教育的残疾人权利课程开发:使用改良 Delphi 法。

Curriculum development on the human rights of people with disabilities for future medical education: using a modified Delphi.

机构信息

Department of Medical Education and Medical Humanities, Kyung Hee University School of Medicine, Dongdaemun-gu, Seoul, 02447, South Korea.

Department of Policy & Research, Korea National Institute for Bioethics Policy, Jung-gu, Seoul, 04522, South Korea.

出版信息

BMC Med Educ. 2021 Oct 29;21(1):548. doi: 10.1186/s12909-021-02961-9.

DOI:10.1186/s12909-021-02961-9
PMID:34715845
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8555282/
Abstract

BACKGROUND

In order for doctors to effectively provide medical services to patients with disabilities, an understanding of this population is necessary, along with the knowledge, attitudes, and technical abilities necessary to address health problems associated with each type of disability. One way of doing this is by educating doctors about disabilities and ensuring their frequent contact with people with disabilities while they are in medical school. Therefore, this study aimed to develop a systematic medical education curriculum to enhance doctors' understanding of people with disabilities.

METHODS

The authors conducted a systematic literature review to develop and verify the basic framework of the educational content and curriculum. Two surveys were also developed using the Delphi method to evaluate the adequacy and necessity of educational topics. Items with a content validity ratio equal to or greater than the minimum value were considered valid. Survey panels comprised academic experts and health care practitioners who were working with people with disabilities. We conducted two surveys, one for a basic and the other for an advanced course, in which 13 to 16 respondents took part.

RESULTS

The authors selected 13 topics for the 'Basic Introductory Course' and included general educational content on the health rights of people with disabilities focused on improving students' knowledge of disabilities. The authors also selected 12 topics for the 'Care and Communication for Patients with Disabilities Course' designed to improve students' understanding of interviewing and communicating with patients with disabilities.

CONCLUSIONS

In Korea, disability has received little attention in the medical curriculum to date. The curriculum developed in this study provides preliminary data for guiding future directions in medical education and developing specific support plans for an education that promotes people with disabilities' health rights.

摘要

背景

为了让医生能够有效地为残疾患者提供医疗服务,医生需要了解残疾人群体,并掌握处理与每种残疾类型相关的健康问题所需的知识、态度和技术能力。一种方法是通过向医生传授残疾知识,并确保他们在医学院期间经常接触残疾人士来实现这一目标。因此,本研究旨在开发一种系统的医学教育课程,以增强医生对残疾人士的理解。

方法

作者通过系统文献回顾来开发和验证教育内容和课程的基本框架。还使用 Delphi 方法开发了两项调查,以评估教育主题的充分性和必要性。内容有效性比率等于或大于最小值的项目被认为是有效的。调查小组由学术专家和与残疾人士合作的医疗保健从业者组成。我们进行了两项调查,一项是基础课程,另一项是高级课程,每项调查有 13 到 16 名受访者参加。

结果

作者为“基础入门课程”选择了 13 个主题,包括关注改善学生残疾知识的残疾人健康权利的一般教育内容。作者还为“残疾患者护理和沟通课程”选择了 12 个主题,旨在提高学生与残疾患者进行访谈和沟通的理解。

结论

在韩国,残疾问题在医学课程中一直没有得到太多关注。本研究开发的课程为指导未来医学教育方向和制定促进残疾人士健康权利的具体支持计划提供了初步数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe0/8555282/e26321029535/12909_2021_2961_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe0/8555282/a290353d0fb5/12909_2021_2961_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe0/8555282/e26321029535/12909_2021_2961_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe0/8555282/a290353d0fb5/12909_2021_2961_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe0/8555282/e26321029535/12909_2021_2961_Fig2_HTML.jpg

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BMC Med Educ. 2019 Jun 24;19(1):227. doi: 10.1186/s12909-019-1666-z.
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Utilization of an interprofessional integrated clinical education experience to improve medical and physical therapy student comfort in treating patients with disabilities.
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Cluster Randomized Controlled Trial of Disability Education Module During Clinical Clerkship.
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