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早期医学学习者使用大肠癌筛查的临床信息学概论。

An Introduction to Clinical Informatics for Early Medical Learners Using Colorectal Cancer Screening.

机构信息

Associate Professor, Department of Family Medicine, Uniformed Services University of the Health Sciences F. Edward Hébert School of Medicine.

Assistant Professor, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences F. Edward Hébert School of Medicine.

出版信息

MedEdPORTAL. 2024 Jan 9;20:11379. doi: 10.15766/mep_2374-8265.11379. eCollection 2024.

DOI:10.15766/mep_2374-8265.11379
PMID:38196824
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10774475/
Abstract

INTRODUCTION

Clinical informatics is an important component of the AMA-endorsed third pillar of undergraduate medical education, health systems science. Discrete educational opportunities for clinical informatics and health systems science among early learners are lacking in medical school curricula.

METHODS

We developed and evaluated a multistep, 2.5-hour activity during the gastroenterology module to introduce these topics to preclerkship medical students. A didactic session introducing clinical informatics and clinical decision support and reviewing health promotion and screening concepts was followed by small-group activities. Students worked through a series of exercises culminating in the generation of a clinical decision support tool based on the United States Preventive Services Task Force (USPSTF) colorectal cancer screening recommendations.

RESULTS

Between 2022 and 2023, 326 first-year medical students participated in this workshop. Feedback was predictably mixed. In 2022, 88% of postclass survey respondents confirmed having a better clinical informatics understanding after the workshop. In 2023, students reported a statistically significant increase in their self-reported understanding of the role of clinical informatics, clinical decision support, and USPSTF colorectal cancer recommendations.

DISCUSSION

Clinical decision support is a viable pathway for introduction of clinical informatics, health systems science, and public health/prevention topics. Our educational approach offers an interactive introduction to this group of topics that can benefit future physicians. While colon cancer provides a robust option for the clinical situation, this activity could be modified to fit into many different clinical scenarios, allowing for interdisciplinary education during either undergraduate or graduate medical education.

摘要

简介

临床信息学是美国医学协会认可的本科医学教育第三支柱——卫生系统科学的重要组成部分。在医学院课程中,早期学习者缺乏临床信息学和卫生系统科学的离散教育机会。

方法

我们开发并评估了一个多步骤、2.5 小时的活动,该活动在胃肠病学模块中进行,旨在向预科医学生介绍这些主题。一个介绍临床信息学和临床决策支持以及审查健康促进和筛查概念的讲座之后是小组活动。学生们完成了一系列练习,最终根据美国预防服务工作组(USPSTF)结直肠癌筛查建议生成了一个临床决策支持工具。

结果

在 2022 年至 2023 年间,326 名一年级医学生参加了这个研讨会。反馈是可以预测的好坏参半。在 2022 年,88%的课后调查受访者确认在研讨会后对临床信息学有了更好的理解。在 2023 年,学生们报告说,他们对临床信息学、临床决策支持和 USPSTF 结直肠癌建议的作用的自我报告理解有了统计学上的显著提高。

讨论

临床决策支持是引入临床信息学、卫生系统科学和公共卫生/预防主题的可行途径。我们的教育方法为这群主题提供了一种互动式的介绍,可以使未来的医生受益。虽然结肠癌为临床情况提供了一个强大的选择,但这项活动可以进行修改,以适应许多不同的临床情况,允许在本科或研究生医学教育期间进行跨学科教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c247/10774475/5a7db880c99f/mep_2374-8265.11379-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c247/10774475/9182073e2a56/mep_2374-8265.11379-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c247/10774475/5a7db880c99f/mep_2374-8265.11379-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c247/10774475/9182073e2a56/mep_2374-8265.11379-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c247/10774475/5a7db880c99f/mep_2374-8265.11379-g002.jpg

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本文引用的文献

1
Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement.结直肠癌筛查:美国预防服务工作组推荐声明。
JAMA. 2021 May 18;325(19):1965-1977. doi: 10.1001/jama.2021.6238.
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Perspectives on Colon Cancer Screening-A Physician Panel Discussion for Preclinical Medical Students.结直肠癌筛查的观点——临床前医学生的医师小组讨论
MedEdPORTAL. 2020 Oct 30;16:11019. doi: 10.15766/mep_2374-8265.11019.
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The Evolving Role of Public Health in Medical Education.公共卫生在医学教育中的作用不断演变。
Front Public Health. 2020 Jun 26;8:251. doi: 10.3389/fpubh.2020.00251. eCollection 2020.
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Health Systems Science: The "Broccoli" of Undergraduate Medical Education.卫生系统科学:本科医学教育中的“西兰花”。
Acad Med. 2019 Oct;94(10):1425-1432. doi: 10.1097/ACM.0000000000002815.
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Educating for the 21st-Century Health Care System: An Interdependent Framework of Basic, Clinical, and Systems Sciences.培养面向 21 世纪的医疗体系:基础、临床与系统科学相互依存的框架。
Acad Med. 2017 Jan;92(1):35-39. doi: 10.1097/ACM.0000000000000951.
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Beyond information retrieval and electronic health record use: competencies in clinical informatics for medical education.超越信息检索与电子健康记录应用:医学教育中的临床信息学能力
Adv Med Educ Pract. 2014 Jul 1;5:205-12. doi: 10.2147/AMEP.S63903. eCollection 2014.