Faculty of Medicine and Health, Discipline of Medical Imaging Science, Susan Wakil Health Building (D18), Western Avenue, University of Sydney, NSW 2006, Australia.
Faculty of Medicine and Health, Discipline of Medical Imaging Science, Susan Wakil Health Building (D18), Western Avenue, University of Sydney, NSW 2006, Australia.
Radiography (Lond). 2023 Mar;29(2):421-427. doi: 10.1016/j.radi.2023.02.003. Epub 2023 Feb 19.
In response to increasing student enrolment and workload pressures from the Covid-19 pandemic, a recent focus on health student preparation programs has been on curricula adaptations and replacement of clinical placement time with alternative education activities. The aim of the narrative review was to explore the current evidence relating to education activities in Medical Radiation Sciences (MRS) used to replace clinical placements or part of clinical placements. Medline, CINAHL and Web of Science databases were used to search for articles published between 2017 and 2022. Data from the literature was summarised into (1) planning and development of clinical replacement learning activities in MRS, (2) evaluation of clinical replacement activities, and (3) benefits and challenges of clinical replacement in MRS.
Planning and development of clinical replacement learning activities in MRSrequires support from a wide range of stakeholders, and evidence from activities already implemented exists. Activities largely encompass an institution-specific focus. Developed clinical replacement activities use a blended approach, with simulation-based education (SBE) as a main teaching platform. Evaluation of clinical replacement activities are largely focused on students' achievement of learning objectives relating to practical and communication skills. Emerging evidence based on small student samples shows that clinical and clinical replacement activities provide similar results in terms of learning objectives.
Benefits and challenges of clinical replacement in MRS are similar to those presented in the other health professions. The balance between quality and quantity of teaching and learning experiences for clinical skill development in MRS needs to be further investigated.
To meet the dynamic challenges of the health care environment and MRS profession, a major goal in the future will be to affirm the benefit of clinical replacement activities for MRS students.
应对新冠疫情带来的学生人数增加和工作压力，近期医学专业学生准备课程的重点在于课程调整，以及用替代教育活动替代临床实习时间。本叙述性综述旨在探讨当前与医学放射科学（MRS）中用于替代或部分替代临床实习的教育活动相关的证据。使用 Medline、CINAHL 和 Web of Science 数据库搜索 2017 年至 2022 年期间发表的文章。文献中的数据被总结为：（1）MRS 临床实习替代学习活动的规划与发展，（2）临床实习替代活动的评估，以及（3）MRS 临床实习替代的益处和挑战。
MRS 临床实习替代学习活动的规划与发展需要来自广泛利益相关者的支持，并且已经存在关于已实施活动的证据。活动主要涵盖机构特定的重点。已开发的临床实习替代活动采用混合方法，以模拟教育（SBE）为主要教学平台。临床实习替代活动的评估主要集中在学生实现与实践和沟通技能相关的学习目标上。基于小样本学生的新兴证据表明，临床和临床实习替代活动在学习目标方面提供了相似的结果。
MRS 临床实习替代的益处和挑战与其他健康专业相似。需要进一步研究在 MRS 中发展临床技能方面，教学和学习体验的质量和数量之间的平衡。
为应对医疗保健环境和 MRS 专业的动态挑战，未来的主要目标将是肯定 MRS 学生临床实习替代活动的益处。
