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采用拼图法提高住院医师对男性骨质疏松症的信心和医学知识。

Using the Jigsaw Method to Improve Resident Confidence and Medical Knowledge About Osteoporosis in Men.

作者信息

Bhardwaj Namita, Lee Wei-Chen, Campbell Kendall M

机构信息

Department of Family Medicine, The University of Texas Medical Branch, Galveston, TX, USA.

Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, TX, USA.

出版信息

J CME. 2024 Jul 25;13(1):2384546. doi: 10.1080/28338073.2024.2384546. eCollection 2024.

Abstract

The jigsaw method which utilises peer-teaching in small-group settings permits a facilitator to incorporate active learning strategies into their educational toolbox. In November 2022, we evaluated the impact of the jigsaw method with groups stratified by post-graduate year (PGY) level. We assessed pre and post learner confidence and medical knowledge during a facilitator-led workshop. Participants were stratified into three groups who presented on the following subtopics about osteoporosis in men: (1) history and physical examination (PGY1s), (2) lab work and imaging studies (PGY2s) and (3) management and interventions (PGY3s). We evaluated if stratifying by PGY level impacted learner medical knowledge and confidence in November 2022. We had an 80% response rate from 16 actual participants from a total of 20 possible participants. Authors found a statistically significant increases in residents' confidence and medical knowledge after the training for all questions, but broad application across a variety of learners is still needed. The jigsaw method showed improvement in learner confidence about osteoporosis in men and may be implemented in teams distributed by PGY levels. Distribution by PGY level allows each team to building on their current training level to educate their peers.

摘要

拼图法在小组环境中利用同伴教学,使主持人能够将主动学习策略纳入其教育工具库。2022年11月,我们评估了按研究生年级(PGY)水平分层的小组中拼图法的影响。在一次由主持人主导的研讨会上,我们评估了学习者培训前后的信心和医学知识。参与者被分为三组,分别就男性骨质疏松症的以下子主题进行展示:(1)病史和体格检查(PGY1组),(2)实验室检查和影像学研究(PGY2组),以及(3)管理和干预措施(PGY3组)。我们评估了按PGY水平分层是否会影响学习者的医学知识和信心(2022年11月)。在总共20名可能的参与者中,16名实际参与者的回复率为80%。作者发现,培训后所有问题的住院医师信心和医学知识都有统计学上的显著提高,但仍需要在各种学习者中广泛应用。拼图法显示出学习者对男性骨质疏松症的信心有所提高,并且可以在按PGY水平划分的团队中实施。按PGY水平划分可以让每个团队在其当前培训水平的基础上对同行进行教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce27/11275627/75bf98fc98a2/ZJEC_A_2384546_F0001_OC.jpg

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