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医学院校教育课程中的临床信息学培训:范围综述。

Clinical informatics training in medical school education curricula: a scoping review.

机构信息

Health Services Research Unit, Singapore General Hospital, Singapore, Singapore.

Department of Rheumatology and Immunology, Singapore General Hospital, Singapore, Singapore.

出版信息

J Am Med Inform Assoc. 2023 Feb 16;30(3):604-616. doi: 10.1093/jamia/ocac245.

Abstract

OBJECTIVES

This scoping review evaluates the existing literature on clinical informatics (CI) training in medical schools. It aims to determine the essential components of a CI curriculum in medical schools, identify methods to evaluate the effectiveness of a CI-focused education, and understand its delivery modes.

MATERIALS AND METHODS

This review was informed by the methodological guidance of the Joanna Briggs Institute. Three electronic databases including PubMed, Scopus, and Web of Science were searched for articles discussing CI between January 2010 and December 2021.

RESULTS

Fifty-nine out of 3055 articles were included in our final analysis. Components of CI education include its utilization in clinical practice, ethical implications, key CI-related concepts, and digital health. Evaluation of educational effectiveness entails external evaluation by organizations external to the teaching institute, and internal evaluation from within the teaching institute. Finally, modes of delivery include various pedagogical strategies and teaching CI using a multidisciplinary approach.

DISCUSSION

Given the broad discussion on the required competencies, we propose 4 recommendations in CI delivery. These include situating CI curriculum within specific contexts, developing evidence-based guidelines for a robust CI education, developing validated assessment techniques to evaluate curriculum effectiveness, and equipping educators with relevant CI training.

CONCLUSION

The literature reveals that CI training in the core curricula will complement if not enhance clinical skills, reiterating the need to equip students with relevant CI competencies. Furthermore, future research needs to comprehensively address current gaps in CI training in different contexts, evaluation methodologies, and delivery modes to facilitate structured training.

摘要

目的

本范围综述评估了医学院校临床信息学(CI)培训的现有文献。其旨在确定医学院校 CI 课程的基本组成部分,确定评估以 CI 为重点的教育效果的方法,并了解其交付模式。

材料与方法

本综述以乔安娜·布里格斯研究所的方法学指导为依据。在 PubMed、Scopus 和 Web of Science 这三个电子数据库中,检索了 2010 年 1 月至 2021 年 12 月期间讨论 CI 的文章。

结果

从 3055 篇文章中筛选出 59 篇,纳入最终分析。CI 教育的组成部分包括其在临床实践中的应用、伦理影响、关键 CI 相关概念和数字健康。教育效果的评估需要组织对教学机构外部进行外部评估,以及教学机构内部进行内部评估。最后,交付模式包括各种教学策略和采用多学科方法教授 CI。

讨论

鉴于对所需能力的广泛讨论,我们提出了 4 条在 CI 交付方面的建议。这些建议包括将 CI 课程置于特定背景中、为强大的 CI 教育制定基于证据的指南、开发有效的评估技术来评估课程效果,以及为教育者提供相关的 CI 培训。

结论

文献表明,核心课程中的 CI 培训将补充(如果不是增强)临床技能,这再次强调了为学生配备相关 CI 能力的必要性。此外,未来的研究需要全面解决不同背景下 CI 培训、评估方法和交付模式中的当前差距,以促进结构化培训。

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