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采用跨专业和跨学科方法向本科医学生教授数字医学:开发和可用性研究。

Teaching Digital Medicine to Undergraduate Medical Students With an Interprofessional and Interdisciplinary Approach: Development and Usability Study.

机构信息

Department of Digital Medicine, Medical School OWL, Bielfeld University, Bielefeld, Germany.

Department of Smart Sensors, Hamburg Technical University, Hamburg, Germany.

出版信息

JMIR Med Educ. 2024 Sep 30;10:e56787. doi: 10.2196/56787.

Abstract

BACKGROUND

An integration of digital medicine into medical education can help future physicians shape the digital transformation of medicine.

OBJECTIVE

We aim to describe and evaluate a newly developed course for teaching digital medicine (the Bielefeld model) for the first time.

METHODS

The course was held with undergraduate medical students at Medical School Ostwestfalen-Lippe at Bielefeld University, Germany, in 2023 and evaluated via pretest-posttest surveys. The subjective and objective achievement of superordinate learning objectives and the objective achievement of subordinate learning objectives of the course, course design, and course importance were evaluated using 5-point Likert scales (1=strongly disagree; 5=strongly agree); reasons for absences were assessed using a multiple-choice format, and comments were collected. The superordinate objectives comprised (1) the understanding of factors driving the implementation of digital medical products and processes, (2) the application of this knowledge to a project, and (3) the empowerment to design such solutions in the future. The subordinate objectives comprised competencies related to the first superordinate objective.

RESULTS

In total, 10 undergraduate medical students (male: n=4, 40%; female: n=6, 60%; mean age 21.7, SD 2.1 years) evaluated the course. The superordinate objectives were achieved well to very well-the medians for the objective achievement were 4 (IQR 4-5), 4 (IQR 3-5), and 4 (IQR 4-4) scale units for the first, second, and third objectives, respectively, and the medians for the subjective achievement of the first, second, and third objectives were 4 (IQR 3-4), 4.5 (IQR 3-5), and 4 (IQR 3-5) scale units, respectively. Participants mastered the subordinate objectives, on average, better after the course than before (presurvey median 2.5, IQR 2-3 scale units; postsurvey median 4, IQR 3-4 scale units). The course concept was rated as highly suitable for achieving the superordinate objectives (median 5, IQR 4-5 scale units for the first, second, and third objectives). On average, the students strongly liked the course (median 5, IQR 4-5 scale units) and gained a benefit from it (median 4.5, IQR 4-5 scale units). All students fully agreed that the teaching staff was a strength of the course. The category positive feedback on the course or positive personal experience with the course received the most comments.

CONCLUSIONS

The course framework shows promise in attaining learning objectives within the realm of digital medicine, notwithstanding the constraint of limited interpretability arising from a small sample size and further limitations. The course concept aligns with insights derived from teaching and learning research and the domain of digital medicine, albeit with identifiable areas for enhancement. A literature review indicates a dearth of publications pertaining to analogous courses in Germany. Future investigations should entail a more exhaustive evaluation of the course. In summary, this course constitutes a valuable contribution to incorporating digital medicine into medical education.

摘要

背景

将数字医学融入医学教育可以帮助未来的医生塑造医学的数字化转型。

目的

我们旨在首次描述和评估一门新开发的数字医学课程(比勒费尔德模式)。

方法

2023 年,德国比勒费尔德大学奥斯特瓦尔德-利珀医学院的本科医学生参加了该课程,并通过预测试后测试调查进行了评估。使用 5 点李克特量表(1=强烈不同意;5=强烈同意)评估课程的上级学习目标和课程设计以及课程重要性的主观和客观实现情况以及下属学习目标的客观实现情况;缺勤原因采用多项选择格式进行评估,并收集意见。上级目标包括 (1) 了解推动数字医疗产品和流程实施的因素,(2) 将这些知识应用于项目,以及 (3) 有能力在未来设计此类解决方案。下属目标包括与第一个上级目标相关的能力。

结果

共有 10 名本科医学生(男性:n=4,40%;女性:n=6,60%;平均年龄 21.7,标准差 2.1 岁)评估了该课程。上级目标实现情况良好至非常好——第一个、第二个和第三个目标的客观实现的中位数分别为 4(IQR 4-5)、4(IQR 3-5)和 4(IQR 4-4)刻度单位,第一个、第二个和第三个目标的主观实现中位数分别为 4(IQR 3-4)、4.5(IQR 3-5)和 4(IQR 3-5)刻度单位。与课程前相比,参与者平均在课程后更好地掌握了下属目标(课程前中位数 2.5,IQR 2-3 刻度单位;课程后中位数 4,IQR 3-4 刻度单位)。课程概念被评为非常适合实现上级目标(第一个、第二个和第三个目标的中位数为 5,IQR 4-5 刻度单位)。平均而言,学生非常喜欢该课程(中位数 5,IQR 4-5 刻度单位)并从中受益(中位数 4.5,IQR 4-5 刻度单位)。所有学生都完全同意教学人员是课程的优势之一。课程或个人对课程的积极反馈类别收到的评论最多。

结论

尽管受到样本量有限和进一步限制导致的解释力有限的限制,但课程框架在实现数字医学领域的学习目标方面具有很大的希望。课程理念符合教学和学习研究以及数字医学领域的观点,尽管存在可识别的改进领域。文献回顾表明,德国类似课程的出版物很少。未来的研究应该更全面地评估课程。总之,本课程是将数字医学纳入医学教育的重要贡献。

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