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针对健康教育工作者的临床推理培训课程——一项范围综述

Clinical reasoning training sessions for health educators-A scoping review.

作者信息

Mohd Tambeh Siti N, Yaman Mohamad N

机构信息

Department of Medical Education, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Department of Physiology, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia.

出版信息

J Taibah Univ Med Sci. 2023 Jun 20;18(6):1480-1492. doi: 10.1016/j.jtumed.2023.06.002. eCollection 2023 Dec.

Abstract

OBJECTIVES

Clinical reasoning (CR) is important in health professions, because it ensures patient safety and decreases morbidity. CR should be introduced early in medical school. Health educators play a major role in advocating for the use of CR among students; however, educators themselves can be a barrier to the incorporation of CR; consequently, CR training sessions for educators have been proposed as a potential solution. This scoping review was conducted to highlight studies on CR training among health educators.

METHODS

A scoping review was performed to identify studies on CR training sessions for health educators. PubMed, SciVerse Scopus, Web of Science Core Collection, EBSCO Medline Complete and ERIC databases were searched with terms including clinical reasoning, diagnostic reasoning, teacher and trainer, to identify articles published between 1991 and 2021.

RESULTS

The initial search yielded 6587 articles; after careful selection, n = 12 articles were included in this scoping review. Most CR training sessions were in the medical field, were conducted in North America, and involved clinical educators. The sessions focused on the fundamentals and steps of CR; biases and debiasing strategies; and learners' difficulties with various teaching formats, such as didactic presentations, facilitated small group sessions with case discussions, roleplay, and use of tools and a mobile application. Educators and students had positive perceptions regarding the conduct and effectiveness of the training sessions.

CONCLUSIONS

These training sessions were rated highly; however, longitudinal feedback regarding the application of learnt CR teaching strategies is necessary.

摘要

目标

临床推理(CR)在卫生专业中很重要,因为它能确保患者安全并降低发病率。临床推理应在医学院早期引入。健康教育工作者在倡导学生使用临床推理方面发挥着重要作用;然而,教育工作者自身可能成为纳入临床推理的障碍;因此,有人提议为教育工作者开展临床推理培训课程作为一种潜在解决方案。本范围综述旨在突出关于健康教育工作者临床推理培训的研究。

方法

进行了一项范围综述,以确定关于健康教育工作者临床推理培训课程的研究。在PubMed、SciVerse Scopus、科学引文索引核心合集、EBSCO Medline Complete和教育资源信息中心数据库中进行检索,检索词包括临床推理、诊断推理、教师和培训师,以识别1991年至2021年期间发表的文章。

结果

初步检索得到6587篇文章;经过仔细筛选,本范围综述纳入了n = 12篇文章。大多数临床推理培训课程在医学领域,在北美进行,涉及临床教育工作者。这些课程侧重于临床推理的基本原理和步骤;偏差及去偏策略;以及学习者在各种教学形式(如讲授式演示、有引导的小组案例讨论、角色扮演以及工具和移动应用程序的使用)方面遇到的困难。教育工作者和学生对培训课程的开展和效果有积极的看法。

结论

这些培训课程评价很高;然而,关于所学临床推理教学策略应用的纵向反馈是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f83/10331482/0b8df35fe35a/gr1.jpg

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