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印度中部三级护理教学机构对精神科基于胜任力的临床轮转学生的感知学习与反馈:一项回顾性研究

Perceived Learning and Feedback of Students Following the Competency-based Clinical Rotation in Psychiatry: A Retrospective Review From Tertiary-care Teaching Institute in Central India.

作者信息

Kumar Akash, Gupta Snehil, Jain Jyotsna, Ghosh Sanjukta, Basera Devendra, Pakhre Ashish, Modak Tamonud

机构信息

Dept. of Psychiatry, Dr Sushila Tiwari Government Hospital and Govt. Medical College, Haldwani, Nainital, Uttarakhand, India.

Dept. of Psychiatry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.

出版信息

Indian J Psychol Med. 2024 Sep;46(5):429-438. doi: 10.1177/02537176241277518. Epub 2024 Sep 14.

Abstract

BACKGROUND

Competency-based medical education (CBME) offers avenues for effective psychiatry teaching to medical students. However, data concerning the feasibility, effectiveness, and students' perspectives on CBME-based clinical rotation, including psychiatry, needs to be explored in India. Therefore, this research aims to evaluate the student's learning effectiveness and feedback on the CBME-informed psychiatry posting.

METHODS

This cross-sectional retrospective research evaluated the 7th-semester MBBS students (n = 101, 39 [38.6%] females and 62 [71.4%] males), from a tertiary-care teaching hospital in central India, perceived change in Knowledge, Attitude, and Skill and feedback on the CBME-based clinical rotation (July-December 2023) using a mixed-method approach through an online feedback form.

RESULTS

A "considerable or marked perceived change," ranging from 70% to 97%, in the knowledge, attitude, ethical aspects, psychomotor skills, and soft skills were noted. 84%-91% of students were with the pattern and content of the program, including the assessment. 37% expressed their desire to take psychiatry as an elective. Descriptive responses showed that participants felt improvement in their communication skills, knowledge about non-pharmacological interventions, opportunity to observe and present cases in the Outpatient Department, and satisfaction with the teaching and assessment methods. The need for minor changes regarding case-based formative assessment and the opportunity for more case workups were also cited.

CONCLUSION

The CBME-informed psychiatry clinical rotation can be instrumental in improving psychiatry training and promoting mental health among students. Research involving a comparison arm, longitudinal design, and validated assessment tools can bring greater insights into the subject.

摘要

背景

基于胜任力的医学教育(CBME)为向医学生有效开展精神病学教学提供了途径。然而,在印度,关于基于CBME的临床轮转(包括精神病学)的可行性、有效性以及学生的看法的数据仍有待探索。因此,本研究旨在评估学生在基于CBME的精神病学实习中的学习效果和反馈。

方法

这项横断面回顾性研究评估了印度中部一家三级医疗教学医院的七年级MBBS学生(n = 101,39名[38.6%]女生和62名[71.4%]男生),通过在线反馈表采用混合方法,了解他们在知识、态度和技能方面的感知变化以及对基于CBME的临床轮转(2023年7月至12月)的反馈。

结果

在知识、态度、伦理方面、心理运动技能和软技能方面,观察到了70%至97%的“相当大或明显的感知变化”。84% - 91%的学生对该项目的模式和内容(包括评估)表示满意。37%的学生表示希望将精神病学作为选修课。描述性回答表明,参与者感觉自己的沟通技能、非药物干预知识、在门诊部观察和汇报病例的机会有所提高,并且对教学和评估方法感到满意。还提到了对基于案例的形成性评估进行微小改进的必要性以及增加更多病例检查的机会。

结论

基于CBME的精神病学临床轮转有助于改善精神病学培训并促进学生的心理健康。涉及对照组、纵向设计和经过验证的评估工具的研究可以为该主题带来更深入的见解。

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The Lancet Commission on ending stigma and discrimination in mental health.柳叶刀心理健康消除耻辱和歧视委员会
Lancet. 2022 Oct 22;400(10361):1438-1480. doi: 10.1016/S0140-6736(22)01470-2. Epub 2022 Oct 9.
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Competency-based medical education: Relevance to psychiatry.基于能力的医学教育:与精神病学的相关性。
Indian J Psychiatry. 2021 Mar-Apr;63(2):189-191. doi: 10.4103/psychiatry.IndianJPsychiatry_639_20. Epub 2021 Apr 14.

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