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一项关于临床前学生在模拟中心学习临床和沟通技能体验的定性研究。

A Qualitative Study on the Experiences of Preclinical Students in Learning Clinical and Communication Skills at a Simulation Centre.

作者信息

Sam Chong Pek, Nathan Joann Lalita, Aroksamy Jacintha Anita, Ramasamy Nithia, Mamat Norul Hidayah Binti, Nadarajah Vishna Devi

机构信息

Clinical Skills & Simulation Centre, International Medical University (IMU), Kuala Lumpur, Malaysia.

IMU Centre for Education, International Medical University (IMU), Kuala Lumpur, Malaysia.

出版信息

Med Sci Educ. 2023 Sep 7;33(5):1127-1137. doi: 10.1007/s40670-023-01851-7. eCollection 2023 Oct.

Abstract

INTRODUCTION

Simulation centres (SC) and its learning resources are now firmly established as part of medical education. In SC, medical students obtain both knowledge and skills based on a combination of theory and practice using provided resources. This study aims to explore medical students' use of SC learning resources to learn clinical and communication skills based on Kolb's experiential learning cycle. This is based on the research question 'How are the SC resources useful in supporting preclinical medical students' clinical and communication skills learning?' The findings of the study can make a case for further enhancement of SC design and resources for medical students in the preclinical phase.

METHODS

A qualitative study involving 20 preclinical medical students with learning experiences in SC was conducted between December 2019 and 2020 at a medical school in Malaysia. Semi-structured interview questions were developed based on Kolb's learning cycle. The data were thematically analysed using the six phases of Braun and Clarke's thematic analysis.

RESULTS

Three main themes were identified based on preclinical medical students' experiences in SC; they were 'preparation for authentic clinical experience', 'accessibility of multiple resources for learning and support' and 'opportunities to learn and improve'.

CONCLUSIONS

The SC's resources have a significant and positive role in supporting preclinical medical students learn clinical and communication skills. The SC resources prepared them for authentic clinical experiences with a patient-centred care approach and self-directed learning opportunities. Social support from peers, peer tutors and academics emerged as a key finding and resource of the SC as they help preclinical students learn and improve.

摘要

引言

模拟中心(SC)及其学习资源现已稳固地成为医学教育的一部分。在模拟中心,医学生利用所提供的资源,通过理论与实践相结合的方式获取知识和技能。本研究旨在基于科尔布的体验式学习循环,探索医学生对模拟中心学习资源的使用情况,以学习临床和沟通技能。这基于研究问题“模拟中心资源如何有助于支持临床前医学生的临床和沟通技能学习?” 该研究结果可为进一步优化临床前阶段医学生的模拟中心设计和资源提供依据。

方法

2019年12月至2020年期间,在马来西亚的一所医学院对20名有模拟中心学习经历的临床前医学生进行了一项定性研究。基于科尔布的学习循环制定了半结构化访谈问题。使用布劳恩和克拉克主题分析的六个阶段对数据进行了主题分析。

结果

根据临床前医学生在模拟中心的经历确定了三个主要主题;它们是“为真实临床体验做准备 ”、“获取多种学习和支持资源 ”以及“学习和改进的机会”。

结论

模拟中心的资源在支持临床前医学生学习临床和沟通技能方面具有显著且积极的作用。模拟中心的资源通过以患者为中心的护理方法和自主学习机会,使他们为真实的临床体验做好准备。来自同伴、同伴导师和学者的社会支持成为模拟中心的一项关键发现和资源,因为它们帮助临床前学生学习和改进。

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