McCafferty Kelcie E, Wilder David A, Gravina Nicole, Bible Letitia, Ferguson Rachel
School of Behavior Analysis, Florida Institute of Technology, Melbourne, Florida, USA.
Department of Psychology, University of Florida, Gainesville, Florida, USA.
J Appl Behav Anal. 2024;57(4):1031-1041. doi: 10.1002/jaba.1100. Epub 2024 Jul 19.
Modern medical training consists largely of lecture-based instruction and in vivo or video modeling of specific skills. Other instructional methods, such as teaching with acoustical guidance (TAGteach), have rarely been evaluated. In this study, we compared teaching with tactile guidance, or tactile TAGteach in which a vibratory stimulus is delivered to indicate a correct response, with video modeling and self-evaluative video feedback to teach four participants two medical skills: simple interrupted suture and endotracheal intubation. The results showed that both instructional methods improved performance. However, three participants met the mastery criterion in the tactile TAGteach condition first, although this instructional method required more time to train the skills. We discuss the implications of these findings for training skills to medical practitioners.
现代医学培训主要包括基于讲座的教学以及特定技能的活体或视频模拟。其他教学方法,如声学引导教学(TAGteach),很少得到评估。在本研究中,我们将触觉引导教学(即通过传递振动刺激来指示正确反应的触觉TAGteach)与视频模拟和自我评估视频反馈进行比较,以教授四名参与者两项医学技能:单纯间断缝合和气管插管。结果表明,两种教学方法均能提高操作表现。然而,三名参与者首先在触觉TAGteach条件下达到了掌握标准,尽管这种教学方法训练这些技能需要更多时间。我们讨论了这些发现对医学从业者技能培训的意义。