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全国虚拟肿瘤学课程对医学生肿瘤学能力和兴趣的影响。

Impact of a National Virtual Oncology Course on Medical Student Competency and Interest in Oncology.

作者信息

Dou Aaron, Du Joy, Alfieri Joanne, Croke Jennifer, Nghiem T P L, DeVries Kimberly, Gill Sharlene, Ingledew Paris-Ann

机构信息

Department of Medicine, University of Toronto, Toronto, Canada.

Department of Medicine, McMaster University, Hamilton, Canada.

出版信息

J Cancer Educ. 2024 Oct 25. doi: 10.1007/s13187-024-02533-7.

Abstract

Globally, surveys have identified that medical learners of all levels perceive their oncology instruction to be inadequate. To address these gaps, we systematically developed and implemented the Oncology National Course for Advocacy, Research, and Education (ONCARE), a novel, nationally organized virtual course available to all Canadian medical students and evaluated its impact on oncology competency and interest. ONCARE was designed utilizing Kern's Six-Step Model for Curriculum Development. Components of ONCARE included lectures, career panels, and a mentorship program. Pre-course and post-course survey responses were collected to determine course impact on oncology knowledge and interest. Between October 2023 and March 2024, ONCARE enrolled 235 students representing 14 Canadian medical schools. One hundred forty (60%) students enrolled reported having only 0 to 10 h of formal oncology instruction. Baseline interest in a career in oncology was high (mean Likert score 3.9/5) and remained unchanged following course completion. ONCARE increased both self-perceived knowledge in clinical oncology (mean Likert score 3.9/5 vs 2.9/5, p < 0.001) and confidence in oncology communication skills (mean Likert score 3.6/5 vs 3.1/5, p < 0.001). Ninety-seven percent of students were satisfied with the course (mean Likert score 4.6/5). The implementation of ONCARE as a proof-of-concept initiative builds upon previous educational interventions in oncology and highlights important principles for the development of related initiatives. Future work will target greater interdisciplinary and multinational collaboration as well as long-term follow-up of the ONCARE cohort.

摘要

在全球范围内,调查发现各级医学学习者都认为他们接受的肿瘤学教学不足。为了填补这些差距,我们系统地开发并实施了肿瘤学全国宣传、研究和教育课程(ONCARE),这是一门面向所有加拿大医学生的新型全国性在线课程,并评估了其对肿瘤学能力和兴趣的影响。ONCARE是利用克恩课程开发六步法设计的。ONCARE的组成部分包括讲座、职业小组讨论和指导计划。收集课前和课后的调查反馈,以确定课程对肿瘤学知识和兴趣的影响。在2023年10月至2024年3月期间,ONCARE招收了代表14所加拿大医学院的235名学生。140名(60%)入学学生报告称,他们仅接受过0至10小时的正式肿瘤学教学。学生对肿瘤学职业的基线兴趣很高(平均李克特量表评分为3.9/5),课程结束后保持不变。ONCARE提高了学生对临床肿瘤学的自我认知知识(平均李克特量表评分从2.9/5提高到3.9/5,p<0.001)以及肿瘤学沟通技能的信心(平均李克特量表评分从3.1/5提高到3.6/5,p<0.001)。97%的学生对该课程感到满意(平均李克特量表评分为4.6/5)。作为一项概念验证举措,ONCARE的实施建立在先前肿瘤学教育干预措施的基础上,并突出了相关举措开发的重要原则。未来的工作将以加强跨学科和跨国合作以及对ONCARE队列的长期随访为目标。

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