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虚拟课堂作为家庭医学住院医师培训计划中的一种学习形式:在巴勒斯坦的经验教训。

Virtual class room as a learning format in a family medicine residency program: Lessons learned in Palestine.

机构信息

Department of Family and Community Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

Foundation for Family Medicine in Palestine, London, UK.

出版信息

Med Teach. 2022 Sep;44(9):1032-1036. doi: 10.1080/0142159X.2022.2058387. Epub 2022 Apr 22.

Abstract

PURPOSE

Due to geopolitical and socioeconomic challenges, the Family Medicine (FM) speciality in Palestine is in early stages of development. Volunteer British General Practitioner (BGP) trainers worked with FM faculty to develop an online tutorial program (OTP) and a novel evaluation framework E-QUaL (Evaluation-Quality, Utilization and Learning) to enhance residents' patient-centered communication and clinical skills.

MATERIALS AND METHODS

Three OTP cycles were facilitated and evaluated at An Najah National University (ANNU) in Palestine between 2017-2020. Qualitative data were collected during focus groups and online chats and analysed.

RESULTS AND CONCLUSIONS

The development and joint facilitation of the OTP developed faculty skills and enhanced clinically oriented education. The collaborative (BGPs and ANNU faculty) approach and the use of the EQUaL framework helped to identify and address strengths and opportunities as well as the challenges and threats of the educational content and the virtual learning format with each iteration. The COVID pandemic provided a new and inexpensive platform which improved training quality. Issues such as the volunteer nature of BGPs, internet instability, and differing cultural approaches and expectations between physicians and patients were addressed in a continuous quality improvement approach and continues today. This may be a useful model in other low resourced settings.

摘要

目的

由于地缘政治和社会经济方面的挑战,巴勒斯坦的家庭医学(FM)专业仍处于发展初期。志愿英国全科医生(BGP)培训师与 FM 教师合作,开发了在线教程计划(OTP)和一种新颖的评估框架 E-QUaL(评估质量、利用和学习),以提高居民以患者为中心的沟通和临床技能。

材料和方法

2017 年至 2020 年,在巴勒斯坦的纳贾赫国立大学(ANNU)进行了三轮 OTP,并对其进行了评估。在焦点小组和在线聊天中收集定性数据并进行分析。

结果和结论

OTP 的开发和联合促进了教师技能的发展,并加强了以临床为导向的教育。协作(BGP 和 ANNU 教师)方法和使用 EQUaL 框架有助于在每次迭代中识别和解决教育内容和虚拟学习格式的优势和机会以及挑战和威胁。COVID 大流行提供了一个新的、廉价的平台,提高了培训质量。在持续质量改进方法中解决了 BGP 志愿者性质、互联网不稳定以及医患之间不同的文化方法和期望等问题,目前仍在继续。在其他资源匮乏的环境中,这可能是一个有用的模式。

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