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物理医学与康复临床经验:课程与教育干预的叙述性综述

Physical medicine and rehabilitation clinical experiences: A narrative review of curricula and educational interventions.

作者信息

Vernacchia Cara, Brown Elizabeth, Mhatre Priya, Rydberg Leslie

机构信息

Department of Physical Medicine & Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

出版信息

PM R. 2025 Mar;17(3):337-343. doi: 10.1002/pmrj.13262. Epub 2024 Sep 13.

DOI:10.1002/pmrj.13262
PMID:39268970
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11889520/
Abstract

Physical medicine and rehabilitation (PM&R) is a specialty of medicine that focuses on function and the care of people with disabilities. Many medical schools offer PM&R content by means of PM&R clerkships for career development purposes with varying curricula and assessments; however, there is limited information regarding the optimal way to teach clinical skills relating to the field of PM&R. This narrative review study was performed to evaluate PM&R specific clinical curricular interventions. The review included a PubMed search that yielded 63 articles and a Cumulated Index to Nursing and Allied Health Literature (CINAHL) search of 175 articles. A total of 14 articles were selected for review. PM&R clerkships were found to have a variety of educational interventions, including inpatient and outpatient clinical experiences, lectures, Objective Structured Clinical Examinations (OSCEs), case discussions, written examinations, physical examination sessions, cadaver sessions, small group discussions, and virtual education. PM&R rotations can improve neurologic and musculoskeletal physical examination skills, PM&R specific knowledge, and confidence in PM&R skills. More research is needed to determine the optimal methods to teach and assess PM&R knowledge and skills in the clinical setting to drive future PM&R curriculum development and educational innovations.

摘要

物理医学与康复(PM&R)是医学的一个专业领域,专注于功能以及对残疾人士的护理。许多医学院为了职业发展目的,通过物理医学与康复实习提供相关内容,实习课程和评估各不相同;然而,关于教授与物理医学与康复领域相关临床技能的最佳方法的信息有限。进行这项叙述性综述研究是为了评估物理医学与康复特定的临床课程干预措施。该综述包括在PubMed数据库中检索到63篇文章,以及在护理及联合健康文献累积索引(CINAHL)中检索到175篇文章。总共筛选出14篇文章进行综述。发现物理医学与康复实习有多种教育干预措施,包括住院和门诊临床经验、讲座、客观结构化临床考试(OSCE)、病例讨论、笔试、体格检查课程、尸体解剖课程、小组讨论和虚拟教育。物理医学与康复轮转可以提高神经和肌肉骨骼体格检查技能、物理医学与康复特定知识以及对物理医学与康复技能的信心。需要更多研究来确定在临床环境中教授和评估物理医学与康复知识和技能的最佳方法,以推动未来物理医学与康复课程的发展和教育创新。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45c8/11889520/ae06128eaa28/PMRJ-17-337-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45c8/11889520/ae06128eaa28/PMRJ-17-337-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45c8/11889520/ae06128eaa28/PMRJ-17-337-g001.jpg

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本文引用的文献

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Am J Phys Med Rehabil. 2023 Sep 1;102(9):780-786. doi: 10.1097/PHM.0000000000002201. Epub 2023 Feb 3.
2
Should virtual medical student clerkships in Physical Medicine & Rehabilitation continue?
PM R. 2023 May;15(5):674-680. doi: 10.1002/pmrj.12941. Epub 2023 Feb 24.
3
Impact of a Hybrid-Virtual Teaching Model on the Physical Examination Skills of Fourth-Year Medical Students.混合式虚拟教学模式对四年级医学生体检技能的影响。
Am J Phys Med Rehabil. 2022 Oct 1;101(10):960-964. doi: 10.1097/PHM.0000000000002032. Epub 2022 Apr 27.
4
Evaluation of the Association of Academic Physiatrists Medical Student Summer Clinical Externship.评估学术理疗医师协会医学生暑期临床实习。
Am J Phys Med Rehabil. 2022 Jul 1;101(7):693-697. doi: 10.1097/PHM.0000000000001948. Epub 2022 Jan 18.
5
Virtually Possible: Medical Student Rehabilitation Rotations During a Pandemic.虚拟可行:大流行期间的医学生康复轮转。
Am J Phys Med Rehabil. 2021 Sep 1;100(9):831-836. doi: 10.1097/PHM.0000000000001831.
6
Quantity and Quality of Physical Medicine and Rehabilitation Clerkships in US Medical Schools.美国医学院物理医学与康复实习的数量和质量。
Am J Phys Med Rehabil. 2021 Dec 1;100(12):1152-1159. doi: 10.1097/PHM.0000000000001717.
7
The Effect of a 2-Week Pre-clerkship Residency Exploration Program on Specialty Interest and Understanding of Physical Medicine and Rehabilitation.为期两周的临床实习前住院医师探索项目对专业兴趣及对物理医学与康复的理解的影响
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Now Is the Time: A Primer on How to Be a Disability Education Champion in Your Medical School.就是现在:如何在医学院成为残疾教育倡导者入门指南。
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The Anesthesiology Clerkship: A Requisite Experience in Medical Education.麻醉学实习:医学教育中的必备经历。
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A Required, Combined Neurology-Physical Medicine and Rehabilitation Clerkship Addresses Clinical and Health Systems Knowledge Gaps for Fourth-Year Medical Students.第四年医学生的必修联合神经内科-物理医学与康复实习课程可解决临床和卫生系统知识方面的差距。
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