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基于经验的学习在最后一年 - 学生自我报告的定量内容分析。

Experience-based learning during the final year - quantitative content analyses of students' self-reports.

机构信息

Department of Medical Education Research, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Competence Center for final-year education, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

出版信息

Med Teach. 2023 May;45(5):542-549. doi: 10.1080/0142159X.2022.2144187. Epub 2022 Nov 12.

Abstract

PURPOSE

The final year offers students the opportunity to explore their future role as a physician in different environments. Learning success depends in large part on how students experience these assignments. The aim of this study is to analyze students' self-reported experiences to derive factors that promote experience-based learning in the transition phase during the final year of medical school in order to optimally prepare students for professional practice.

METHOD

Data were collected from 2013 to 2019 via written survey after each assignment in the final year. Students were asked to report their pleasant and unpleasant experiences in free-text fields. The text material was analyzed using quantitative content analysis.

RESULTS

The authors included 1762 questionnaires for analysis. They formed 12 main categories from the text material, equally covering pleasant and unpleasant experiences. Supervisors and teamwork played a central role in both questions, responsibility and working areas frequently led to positive experiences, and working conditions to negative ones.

CONCLUSION

This study confirms the great importance of supervision. Above all, successful collaboration serves as a door opener into a feeling of security which students need to take on responsibility. The authors adapted Dornan's model of experience-based learning to the transition phase to help medical schools establish tailored conditions for students' successful entry into professional practice.

摘要

目的

最后一年为学生提供了在不同环境中探索未来医生角色的机会。学习的成功在很大程度上取决于学生对这些作业的体验。本研究的目的是分析学生自我报告的经验,以得出在医学院最后一年的过渡阶段促进基于经验的学习的因素,从而使学生为专业实践做好最佳准备。

方法

2013 年至 2019 年,在最后一年的每次作业后,通过书面调查收集数据。要求学生在自由文本字段中报告他们愉快和不愉快的经历。使用定量内容分析对文本材料进行分析。

结果

作者共纳入 1762 份问卷进行分析。他们从文本材料中形成了 12 个主要类别,涵盖了愉快和不愉快的经历。在这两个问题中,监督和团队合作都起着核心作用,责任和工作领域经常带来积极的经验,而工作条件则带来消极的经验。

结论

这项研究证实了监督的重要性。最重要的是,成功的合作是学生承担责任所需的安全感的敲门砖。作者将 Dornan 的基于经验的学习模型应用于过渡阶段,以帮助医学院为学生成功进入专业实践建立有针对性的条件。

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