Harvard Medical School, Boston, MA, USA.
Cambridge Health Alliance, Cambridge, MA, USA.
Age Ageing. 2022 Mar 1;51(3). doi: 10.1093/ageing/afac032.
Choosing the appropriate site of care for patients is a vital clinical skill when caring for older adults. For better patient safety and smoother transitions of care, we need improved curricula to train clinicians about the system of sites and services where older adults receive care. Here we present an innovative introduction for medical trainees to the complexities of long-term and post-acute care for geriatric patients. Students participated in a team-based 'jigsaw' learning activity, in which each team researched a particular site of care and then taught a larger group of their peers about that site. It was subsequently converted to a virtual format due to COVID-19. The activity was assessed using students' written feedback and satisfaction scores. Students enjoyed the interactivity and hands-on approach, giving the activity an average score of 3.9 out of 5 (1 = 'poor'; 5 = 'excellent'). The jigsaw provided an engaging, case-based foundation for learning about sites of care and was well-received by students.
为老年患者选择合适的治疗场所是护理老年患者时一项至关重要的临床技能。为了提高患者安全性和更顺利地进行医疗护理交接，我们需要改进课程，以便向临床医生传授老年患者接受治疗的场所和服务系统方面的知识。在此，我们为医学实习生介绍了一个针对老年患者长期和康复护理复杂性的创新入门课程。学生们参加了基于团队的“拼图”学习活动，每个团队研究一个特定的治疗场所，然后向更多同伴教授该场所的相关知识。由于 COVID-19 的影响，该活动随后转换为虚拟形式。我们使用学生的书面反馈和满意度评分对该活动进行了评估。学生们喜欢这种互动性和实践方法，该活动的平均得分为 3.9 分（1=“差”；5=“优秀”）。拼图提供了一个引人入胜的基于案例的学习治疗场所的基础，深受学生欢迎。
