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日本农村家庭医学教育中的床边教学。

Bedside Teaching in Rural Family Medicine Education in Japan.

机构信息

Community Care, Unnan City Hospital, 96-1 Iida, Daito-cho, Unnan 699-1221, Japan.

Department of Community Medicine Management, Faculty of Medicine, Shimane University, 89-1 Enya cho, Izumo 693-8501, Japan.

出版信息

Int J Environ Res Public Health. 2022 Jun 2;19(11):6807. doi: 10.3390/ijerph19116807.

Abstract

Bedside teaching is essential in family medicine education so that residents may learn about various clinical conditions and develop professional skills. In particular, bedside teaching is useful in a rural context because rural family medicine deals with a broad scope of biopsychosocial problems among older patients. Accordingly, based on an inductive thematic analysis, we propose a framework for bedside teaching in rural family medicine education, which consists of four themes: accommodation of different learners, near-peer learning, the change in engagement of medical teachers in bedside teaching, and driving interpersonal collaboration. Bedside teaching can promote interactions between different medical learners. Near-peer learning in bedside teaching compensates for the limited availability of educators and improves learners' motivation for self-directed learning. Through bedside teaching, medical learners can observe each other and provide constructive feedback, thereby improving their relationships and learning. For effective bedside teaching, medical educators should facilitate learners and collaborate with other medical professionals. Additionally, bedside teaching should accommodate a variety of learners, facilitate near-peer and self-directed learning, educators' involvement based on cognitive apprenticeship, along with interprofessional collaboration with nurses. Interprofessional collaboration between rural family medicine teachers, learners, and nurses may improve the quality of patient care due to the increased understanding between patients and other medical staff in hospitals.

摘要

床边教学对于家庭医学教育至关重要,使住院医师能够了解各种临床情况并培养专业技能。特别是,床边教学在农村环境中非常有用,因为农村家庭医学涉及老年患者广泛的生物心理社会问题。因此,我们基于归纳主题分析,提出了农村家庭医学教育中床边教学的框架,该框架包括四个主题:适应不同学习者、同伴学习、医学教师在床边教学中的参与方式的变化以及推动人际合作。床边教学可以促进不同医学学习者之间的互动。床边教学中的同伴学习弥补了教育者数量有限的不足,并提高了学习者自主学习的积极性。通过床边教学,医学学习者可以相互观察并提供建设性的反馈,从而改善他们的关系和学习效果。为了实现有效的床边教学,医学教育者应促进学习者之间的互动,并与其他医疗专业人员合作。此外,床边教学应适应各种学习者,促进同伴学习和自主学习,基于认知学徒制的教育者参与,以及与护士的跨专业合作。农村家庭医学教师、学习者和护士之间的跨专业合作可以提高患者护理的质量,因为医院的患者和其他医务人员之间的理解增加了。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8fa/9180610/a9a360032247/ijerph-19-06807-g001.jpg

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