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虚拟同伴主导的医学西班牙语课程对增强医疗保健沟通技巧的有效性。

Effectiveness of virtual peer-led medical Spanish course enhancing healthcare communication skills.

机构信息

Internal Medicine Department, Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY, 11237, USA.

St. Georges' University School of Medicine, Grenada, West Indies, Grenada.

出版信息

BMC Med Educ. 2024 Nov 29;24(1):1393. doi: 10.1186/s12909-024-05918-w.

Abstract

As of July 1st, 2021, the US Hispanic/Latinx community is estimated at 62.6 million, making up 18.9% of the population. Despite federal regulations requiring access to medical interpreters, clinicians often resort to alternative translation methods, increasing the risk of errors. Medical Spanish education lacks standardization in US medical schools, and information on curricula provided by International Medical Schools (IMGs) is limited. We aimed to demonstrate the effectiveness of virtual, peer-led Medical Spanish education for an international medical school cohort. The course consisted of 10 weekly one-hour lectures via Zoom. From 2022 to 2023, three cohorts successfully completed the course. Through realistic clinical scenarios, students practiced and reinforced their clinical knowledge in Spanish. The final exam involved a 20-minute patient encounter on Zoom, with the instructor acting as the patient and the student as the physician. Performance evaluation followed a standardized checklist. Each question was worth 3 points, with a total of 63 potential points. The passing score ratio was set at 2, equivalent to 66.7%, calculated by dividing the score by 21 (the number of questions). Student's self-reported comfort in obtaining a history and physical exam in Spanish, obtained before and after completion of the course post-comfort scores (median, 3), increased significantly compared to pre-course comfort scores (median, 0.5) - increased by an average of 2.5. This Online Spanish Medical Course (OSMC) requires no prior Spanish background or exposure, providing a notable advantage. Most students praised the convenient and effective online format. Despite its short duration, the course yielded significant benefits.

摘要

截至 2021 年 7 月 1 日,美国西班牙裔/拉丁裔社区估计有 6260 万人,占总人口的 18.9%。尽管联邦法规要求提供医疗口译员,但临床医生经常诉诸替代翻译方法,增加了出错的风险。美国医学院的医学西班牙语教育缺乏标准化,国际医学院(IMG)提供的课程信息有限。我们旨在展示虚拟、同行主导的医学西班牙语教育对国际医学生群体的有效性。该课程通过 Zoom 每周进行 10 次 1 小时的讲座。在 2022 年至 2023 年期间,有三个班级成功完成了该课程。通过现实的临床场景,学生在西班牙语中练习和强化了他们的临床知识。期末考试包括在 Zoom 上进行 20 分钟的患者访谈,由讲师扮演患者,学生扮演医生。采用标准化检查表进行绩效评估。每个问题值 3 分,总分为 63 分。及格分数比设定为 2,相当于 66.7%,即分数除以 21(问题数量)。学生在完成课程前后自我报告的用西班牙语获取病史和体格检查的舒适度评分(中位数为 3),与课前舒适度评分(中位数为 0.5)相比显著增加-平均增加了 2.5。这种在线西班牙语医学课程(OSMC)不需要先前的西班牙语背景或经验,具有显著优势。大多数学生称赞这种方便有效的在线形式。尽管课程持续时间短,但收益显著。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6e2/11606212/81f0e27b93b3/12909_2024_5918_Fig1_HTML.jpg

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