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创建和实施虚拟尿失禁病例用于医学生教育。

Creation and Implementation of Virtual Urogynecology Patient Cases for Medical Student Education.

机构信息

Fellow, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine.

Third-Year Resident, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine.

出版信息

MedEdPORTAL. 2022 May 27;18:11259. doi: 10.15766/mep_2374-8265.11259. eCollection 2022.

Abstract

INTRODUCTION

Urogynecologic disorders are highly prevalent, and many physicians across various specialties will encounter and care for patients with pelvic floor disorders. Yet most medical students have had limited to no experience in diagnosing and managing pelvic floor disorders, resulting in a gap in clinical education.

METHODS

Three virtual and interactive urogynecologic patient cases were developed on an e-learning platform with an overall goal of increasing clinical exposure to various pelvic floor disorders. The cases were integrated into the medical student obstetrics and gynecology clerkship during the 2020-2021 academic year ( = 40). Participants provided feedback regarding usability, acceptability, and educational value of the cases.

RESULTS

Twenty-one students (52%) completed the survey. Ninety percent ( = 19) agreed or strongly agreed that they were satisfied with the cases, and 71% ( = 15) agreed or strongly agreed that they would recommend the virtual patient cases to other students. All students ( = 21) felt that the format was easy to use and reported that the cases were appropriate for their level of learning. Most students felt that the cases increased or significantly increased their confidence regarding nonsurgical and surgical management options for pelvic floor disorders.

DISCUSSION

Our findings suggest that these interactive virtual patient cases are an acceptable, valuable, and effective tool for learners. Utilizing the cases can help mitigate existing disparities in exposure to pelvic floor disorders both highlighted by and preceding the COVID-19 pandemic.

摘要

简介

尿失禁和妇科疾病的发病率很高,许多不同专业的医生都会遇到并照顾患有盆底功能障碍的患者。然而,大多数医学生在诊断和管理盆底功能障碍方面的经验有限或没有,这导致了临床教育的差距。

方法

在电子学习平台上开发了三个虚拟的、互动的尿失禁患者病例,其总体目标是增加对各种盆底功能障碍的临床接触。这些病例被整合到 2020-2021 学年的医学生妇产科实习中(n = 40)。参与者提供了关于病例可用性、可接受性和教育价值的反馈。

结果

21 名学生(52%)完成了调查。90%(n = 19)的学生同意或强烈同意对病例感到满意,71%(n = 15)的学生同意或强烈同意会向其他学生推荐虚拟患者病例。所有学生(n = 21)都认为该格式易于使用,并报告说这些病例适合他们的学习水平。大多数学生认为这些病例增加或显著增加了他们对非手术和手术治疗盆底功能障碍的信心。

讨论

我们的研究结果表明,这些互动式虚拟患者病例是学习者可以接受、有价值和有效的工具。利用这些病例可以帮助减轻在 COVID-19 大流行之前和期间就已经突出的对盆底功能障碍接触不足的现有差距。

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