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医学生对本科精神病学临床培训中基于胜任力的医学教育的看法:一项定性评估

Students' Perspectives of Competency-based Medical Education in Undergraduate Psychiatry Clinical Training: A Qualitative Evaluation.

作者信息

Sethuraman Bhuvaneshwari, Chari Uttara, Perugu Shalini, Salazar Luke Joshua, Sreedaran Priya

机构信息

Department of Psychiatry, St. John's Medical College Hospital, Bengaluru, Karnataka, India.

Department of Clinical Psychology, St Johns Medical College Hospital, Bengaluru, Karnataka, India.

出版信息

Indian J Psychol Med. 2024 Sep;46(5):400-407. doi: 10.1177/02537176241265484. Epub 2024 Aug 6.

DOI:10.1177/02537176241265484
PMID:39381509
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11459469/
Abstract

BACKGROUND

Undergraduate (UG) medical students are one of the stakeholders and ultimate beneficiaries of the competency-based medical education (CBME) curriculum introduced in 2019 by the National Medical Commission (NMC). There is a dearth of literature on student perspectives on CBME Psychiatry clinical posting in India.

METHODS

Second professional students who attended the psychiatry clinical posting were invited to participate in the qualitative study. They were asked to give perspectives about the training during clinical posting based on a semi-structured questionnaire.

RESULTS

Written feedback forms were obtained from 44 students. Data were analyzed using thematic analysis. Results showed the perceived impact of posting (change in knowledge, skills, and attitude), barriers to learning (student factors, patient factors, interaction factors, structural factors), and feedback on training during clinical posting (structural factors, practice over theory).

CONCLUSION

UG students perceived improvement in their knowledge, attitude, and clinical skills during their posting in Psychiatry. They reported several barriers to learning at variouslevels. Their feedback to improve the posting focused on demonstrating skills using patients rather than theory classes.

摘要

背景

本科医学生是国家医学委员会(NMC)于2019年引入的基于胜任力的医学教育(CBME)课程的利益相关者和最终受益者之一。关于印度本科医学生对CBME精神病学临床实习看法的文献匮乏。

方法

邀请参加精神病学临床实习的二年级专业学生参与定性研究。根据一份半结构化问卷,要求他们对临床实习期间的培训发表看法。

结果

从44名学生那里获得了书面反馈表。使用主题分析法对数据进行了分析。结果显示了实习的感知影响(知识、技能和态度的变化)、学习障碍(学生因素、患者因素、互动因素、结构因素)以及对临床实习期间培训的反馈(结构因素、实践优于理论)。

结论

本科学生认为在精神病学实习期间他们的知识、态度和临床技能有所提高。他们报告了在各个层面存在的若干学习障碍。他们对改进实习的反馈集中在利用患者展示技能而非理论课程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/212a/11459469/160e73db9189/10.1177_02537176241265484-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/212a/11459469/e12e88860c1a/10.1177_02537176241265484-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/212a/11459469/160e73db9189/10.1177_02537176241265484-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/212a/11459469/e12e88860c1a/10.1177_02537176241265484-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/212a/11459469/160e73db9189/10.1177_02537176241265484-fig2.jpg

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Adv Med Educ Pract. 2023 Apr 20;14:381-389. doi: 10.2147/AMEP.S399851. eCollection 2023.
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Effective and innovative teaching methods in psychiatry for the medical undergraduates in South India: An exploratory study of teachers' and students' perspectives.印度南部医学本科生精神病学的有效创新教学方法:教师与学生观点的探索性研究
Indian J Psychiatry. 2022 Nov-Dec;64(6):545-554. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_954_21. Epub 2022 Nov 30.
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Facilitators and Barriers to Student Learning and Impact of an Undergraduate Clinical Posting in Psychiatry: A Thematic Analysis.
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