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皮肤镜标准的组织病理学解释对皮肤癌培训学习曲线的影响：一项随机对照试验

Effect of Histopathological Explanations for Dermoscopic Criteria on Learning Curves in Skin Cancer Training: a Randomized Controlled Trial.

作者信息

Kvorning Ternov Niels, Tolsgaard Martin, Konge Lars, Christensen Anders Nymark, Kristensen Sigrid Isabella Pilgaard, Hölmich Lisbet Rosenkrantz, Stretch Jonathan, Scolyer Richard Anthony, Vestergaard Tine, Guitera Pascale, Chakera Annette Hougaard

机构信息

Department of Plastic Surgery, Copenhagen University Hospital, Herlev and Gentofte, Copenhagen, Denmark.

Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

出版信息

Dermatol Pract Concept. 2023 Apr 1;13(2). doi: 10.5826/dpc.1302a105.

DOI:10.5826/dpc.1302a105
PMID:37196312
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10188176/
Abstract

INTRODUCTION

Case-based training improves novices pattern recognition and diagnostic accuracy in skin cancer diagnostics. However, it is unclear how pattern recognition is best taught in conjunction with the knowledge needed to justify a diagnosis.

OBJECTIVES

The aim of this study was to examine whether an explanation of the underlying histopathological reason for dermoscopic criteria improves skill acquisition and retention during case-based training in skin cancer diagnostics.

METHODS

In this double-blinded randomized controlled trial, medical students underwent eight days of case-based training in skin cancer diagnostics, which included access to written diagnosis modules. The modules dermoscopic subsections differed between the study groups. All participants received a general description of the criteria, but the intervention group additionally received a histopathological explanation.

RESULTS

Most participants (78%) passed a reliable test in skin cancer diagnostics, following a mean training time of 217 minutes. Access to histopathological explanations did not affect participants' learning curves or skill retention.

CONCLUSIONS

The histopathological explanation did not affect the students, but the overall educational approach was efficient and scalable.

摘要

引言

基于案例的培训可提高新手在皮肤癌诊断中的模式识别能力和诊断准确性。然而，目前尚不清楚如何将模式识别与诊断依据所需的知识结合起来进行最佳教学。

目的

本研究旨在探讨在皮肤癌诊断的案例培训中，对皮肤镜标准背后的组织病理学原因进行解释是否能提高技能的获得和保持。

方法

在这项双盲随机对照试验中，医学生接受了为期八天的皮肤癌诊断案例培训，其中包括获取书面诊断模块。研究组之间的皮肤镜子部分模块有所不同。所有参与者都收到了标准的一般描述，但干预组还额外收到了组织病理学解释。

结果

在平均217分钟的培训时间后，大多数参与者（78%）通过了皮肤癌诊断的可靠测试。获取组织病理学解释并未影响参与者的学习曲线或技能保持。

结论

组织病理学解释对学生没有影响，但整体教育方法是有效且可扩展的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9413/10188176/b8a773009b41/dp1302a105g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9413/10188176/e600729e5e5a/dp1302a105g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9413/10188176/425a2562cc90/dp1302a105g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9413/10188176/5e3612216945/dp1302a105g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9413/10188176/ff5b0088c530/dp1302a105g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9413/10188176/b8a773009b41/dp1302a105g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9413/10188176/e600729e5e5a/dp1302a105g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9413/10188176/425a2562cc90/dp1302a105g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9413/10188176/5e3612216945/dp1302a105g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9413/10188176/ff5b0088c530/dp1302a105g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9413/10188176/b8a773009b41/dp1302a105g005.jpg

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