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认知能力与医学生体格检查实践:一项准实验研究。

Cognitive abilities and medical students' practice of physical exams: A quasi-experimental study.

机构信息

Undergraduate Medical Student, Faculdade de Odontologia de Bauru (FOB), Universidade de São Paulo (USP), Bauru (SP), Brazil.

MD, MSc, PhD. Adjunct Professor, Medicine Course, Escola Multicampi de Ciências Médicas (EMCM), Universidade Federal do Rio Grande do Norte (UFRN), Caicó (RN), Brazil.

出版信息

Sao Paulo Med J. 2023 Nov 20;141(6):e2022564. doi: 10.1590/1516-3180.2022.0564.R1.10042023. eCollection 2023.

DOI:10.1590/1516-3180.2022.0564.R1.10042023
PMID:37991092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10665003/
Abstract

BACKGROUND

To highlight the importance of clinical simulations and simulated laboratories for student training, especially in physical examination teaching.

OBJECTIVE

To evaluate the gains obtained by medical students in their cognitive and practical performance of physical examinations (abdominal, cardiological, and pulmonary), as well as satisfaction and self-confidence in what they have learned, after concentrated practice developed in a skills and simulation laboratory.

DESIGN AND SETTING

A quantitative and quasi-experimental study in which 48 students were evaluated at the Faculdade de Odontologia de Bauru, São Paulo, Brazil.

METHODS

A quantitative and descriptive study was conducted with regularly enrolled 2nd year medical students over 18 years of age who had content prior to data collection regarding anamnesis and physical examination remotely taught in a Moodle virtual learning environment. For data collection, the participants were subjected to a concentrated period of skill training (abdominal, cardiological, and pulmonary). Every day after the skill training session, they were subjected to a practical evaluation and completed a theoretical test before and after the practical activities. At the end of all activities, they answered the instrument to assess the simulated practices (self-confidence and satisfaction).

RESULTS

Among the 49 students evaluated, positive and significant theoretical and practical gains were identified in all three components (abdominal, cardiological, and pulmonary) (P = 0.000), as well as in the general evaluation (Theoretical 1 and Theoretical 2) (P = 0.000), satisfaction, and self-confidence (P = 0.000).

CONCLUSION

Concentrated laboratory practice resulted in positive improvements in students' physical examination skills.

摘要

背景

为了强调临床模拟和模拟实验室对学生培训的重要性,特别是在体检教学方面。

目的

评估医学生在进行集中练习后,在认知和实践方面对体检(腹部、心脏和肺部)的表现的提高,以及他们对所学内容的满意度和自信心,该练习是在技能和模拟实验室中进行的。

设计和环境

这是一项在巴西圣保罗包鲁市牙科学院进行的定量和准实验研究,评估了 48 名学生。

方法

这是一项定量和描述性研究,参与者为年满 18 岁的定期注册的二年级医学生,在数据收集之前,他们已经通过 Moodle 虚拟学习环境远程学习了病史和体检的内容。为了进行数据收集,参与者接受了集中的技能培训(腹部、心脏和肺部)。在技能培训课程之后的每一天,他们都要接受实践评估,并在实践活动前后完成理论测试。在所有活动结束后,他们回答了评估模拟实践的工具(自信心和满意度)。

结果

在评估的 49 名学生中,所有三个部分(腹部、心脏和肺部)以及总体评估(理论 1 和理论 2)的理论和实践都取得了积极显著的提高(P = 0.000),同时,学生对满意度和自信心也有了积极的评价(P = 0.000)。

结论

集中的实验室实践导致学生体检技能的积极提高。

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