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学生肿瘤委员会作为医学生教学形式的开发与实施。

Development and implementation of a student tumor board as a teaching format for medical students.

机构信息

Department of Neurology, Jena University Hospital, Friedrich-Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany.

Neuro-Oncological Center, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.

出版信息

J Cancer Res Clin Oncol. 2023 Nov;149(17):16087-16096. doi: 10.1007/s00432-023-05336-3. Epub 2023 Sep 12.

DOI:10.1007/s00432-023-05336-3
PMID:37698680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10620267/
Abstract

PURPOSE

Tumor boards serve as established platforms for interdisciplinary expert discussions and therapeutic recommendations tailored to individual patient characteristics. Despite their significance, medical students often lack exposure to such interdisciplinary discussions as tumor boards are currently not integrated into medical curricula. To address this, we aimed to enhance future physicians' interdisciplinary communication skills and subject-specific knowledge by introducing an interactive series of five linked tumor board seminars within the domain of neuro-oncology.

METHODS

We developed a neuro-oncological student tumor board using a flipped-classroom format. The primary objectives of this case-centered approach included fostering an understanding of the tumor board process, active participation in multidisciplinary case discussions, honing appropriate communication strategies, and creating personalized therapy plans that consider inputs from all relevant disciplines, individual patient factors, and ethical considerations. To gauge the effectiveness of the seminar series, we administered structured pre- and post-course questionnaires.

RESULTS

Fourteen medical students in third to fifth year participated in the pilot series. Despite its organizational complexity, the interdisciplinary seminars were feasible. Students demonstrated significant growth in competence, aligned with predefined learning objectives. Notably, they appreciated the supportive learning environment and interactive teaching format, which kindled their interest in interdisciplinary oncology.

CONCLUSION

Active participation in a student tumor board can empower students to tackle the diverse challenges of caring for cancer patients within an interdisciplinary team during the early stages of their careers. The student tumor board represents an innovative, learner-centered approach to teach interdisciplinary cancer treatment, communication strategies, and ethical aspects of medical practice.

摘要

目的

肿瘤委员会作为既定的平台,为个体患者特点量身定制了跨学科专家讨论和治疗建议。尽管肿瘤委员会意义重大,但由于目前尚未将其纳入医学课程,医学生往往缺乏接触此类跨学科讨论的机会。为了解决这个问题,我们旨在通过在神经肿瘤学领域引入一系列五个链接的肿瘤委员会研讨会,来提高未来医生的跨学科沟通技巧和特定于学科的知识。

方法

我们使用翻转课堂的形式开发了一个神经肿瘤学学生肿瘤委员会。这种以案例为中心的方法的主要目标包括:理解肿瘤委员会的流程,积极参与多学科病例讨论,磨练适当的沟通策略,制定个性化的治疗计划,考虑到所有相关学科、个体患者因素和伦理考虑的输入。为了评估研讨会系列的效果,我们在课程前后进行了结构化的问卷调查。

结果

共有 14 名三至五年级的医学生参加了试点系列。尽管组织复杂,但跨学科研讨会是可行的。学生们在能力上表现出显著的增长,与预定的学习目标一致。值得注意的是,他们欣赏支持性的学习环境和互动式教学模式,这激发了他们对跨学科肿瘤学的兴趣。

结论

积极参与学生肿瘤委员会可以使学生在职业生涯早期就有能力在跨学科团队中应对照顾癌症患者的各种挑战。学生肿瘤委员会是一种创新的、以学习者为中心的方法,可以教授跨学科的癌症治疗、沟通策略和医学实践的伦理方面。

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