Karaca Adeviyye, Daloğlu Mustafa, Kılıç Deniz, Sivil Ramazan, Keşaplı Mustafa, Alimoğlu Mustafa Kemal
Department of Emergency Medicine, University of Health Science Antalya Training and Research Hospital, Antalya, Turkey.
Department of Medical Education, Akdeniz University, Antalya, Turkey.
Heliyon. 2024 Feb 7;10(4):e25099. doi: 10.1016/j.heliyon.2024.e25099. eCollection 2024 Feb 29.
Older adults deserve special healthcare provision in every branch of medicine. Turkey currently does not have geriatric emergency medicine (GEM) subspecialty training. Thus, interprofessional training for healthcare professionals involved in GEM services is required. Team-based learning (TBL) seems suitable to implement such training. We aimed to develop and implement a training program for healthcare professionals engaged with GEM services, and evaluate the program considering teacher and learner satisfaction and knowledge retention.
This was a design-based study in which a one-day GEM training program was developed based on the literature and expert opinions. The program was applied to 54 physicians, 98 nurses, 70 health officers, and 102 paramedics using a modified version of TBL. Teams included at least one representative from each profession. TBL was modified by adding a 1-h lecture and eliminating peer evaluation. Feedback forms, individual and group tests of TBL, and a retention test conducted six months later were used for program evaluation.
The mean group test score was higher than that of individual tests in all professions. Physicians' individual test scores were higher than those of other professions, but this difference disappeared in the group test. The retention test mean score was higher than the individual test mean score but lower than that of the group test. Teacher and learner satisfaction was high.
We implemented a training program using a modified TBL approach to teach GEM to relevant healthcare professionals; it yielded promising results regarding knowledge gain and retention, as well as teacher and learner satisfaction. The instruction design and method used in this study can be applied to multidisciplinary team training.
老年人在医学的各个分支都应得到特殊的医疗保健服务。土耳其目前没有老年急诊医学(GEM)亚专业培训。因此,需要对参与GEM服务的医疗保健专业人员进行跨专业培训。基于团队的学习(TBL)似乎适合实施此类培训。我们旨在为参与GEM服务的医疗保健专业人员制定并实施一个培训项目,并从教师和学习者的满意度以及知识保留情况方面对该项目进行评估。
这是一项基于设计的研究,其中根据文献和专家意见制定了一个为期一天的GEM培训项目。该项目采用TBL的改进版本应用于54名医生、98名护士、70名卫生官员和102名护理人员。每个团队至少包括每个专业的一名代表。通过增加1小时的讲座和取消同伴评估对TBL进行了修改。反馈表、TBL的个人和小组测试以及六个月后进行的保留测试用于项目评估。
在所有专业中,小组测试的平均分数均高于个人测试。医生的个人测试分数高于其他专业,但在小组测试中这种差异消失了。保留测试的平均分数高于个人测试的平均分数,但低于小组测试的平均分数。教师和学习者的满意度较高。
我们采用改进的TBL方法实施了一个培训项目,向相关医疗保健专业人员传授GEM;该项目在知识获取和保留以及教师和学习者满意度方面取得了令人满意的结果。本研究中使用的教学设计和方法可应用于多学科团队培训。