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课程创新:互动式教育研讨会提高了神经科住院医师对多发性硬化症的认识。

Curriculum innovation: Interactive educational workshop improves neurology resident knowledge of multiple sclerosis.

作者信息

Diaz Monica M, Lau Winnie, Williams Dena, Dujmovic Basuroski Irena

机构信息

Department of Neurology, University of North Carolina School of Medicine at Chapel Hill, 170 Manning Drive, CB 7025, Chapel Hill, NC 27599, USA.

Department of Neurology, University of North Carolina School of Medicine at Chapel Hill, 170 Manning Drive, CB 7025, Chapel Hill, NC 27599, USA.

出版信息

Mult Scler Relat Disord. 2025 Jan;93:106188. doi: 10.1016/j.msard.2024.106188. Epub 2024 Nov 24.

Abstract

INTRODUCTION

Establishing a solid resident knowledge of multiple sclerosis (MS) during neurology residency is crucial for independent clinical practice. We created a case-based and interactive educational workshop on MS with the aim of improving neurology resident clinical and theoretical knowledge of various aspects of MS diagnosis and care.

METHODS

MS neurologists from the University of North Carolina (UNC) School of Medicine designed a 4-hour in-person case-based interactive educational workshop for all neurology residents. Covered topics included: MS definition, epidemiology, pathogenesis, risk factors, MS clinical course/disease phenotypes, MS diagnostic criteria and differential diagnosis, acute MS attack treatment, symptomatic therapy, disease modifying therapy. Case-based and knowledge-based questions with multiple-choice questions were utilized using interactive online polls that residents participated in during the workshop. Additionally, a 10-question pre- and post-workshop test was administered and the change in exam results was analyzed using paired t-tests. Descriptive statistics were used in the analysis of percentile rank changes in Residency In-Service Training Examination (RITE) exam scores by UNC Neurology residents 2022 - 2023 (pre-MS Workshop) and 2023-2024 (post- MS Workshop).

RESULTS

A total of 21 residents completed the workshop and pre- and post-workshop exam. Pre-workshop scores (mean, 6.14/10; standard deviation [SD], 1.20; range, 4-9) and post-workshop test scores (mean, 8.67/10; SD, 0.97; range, 7-10) were compared. There was a mean improvement of 2.52 points between pre- and post-workshop test results (t-ratio 8.97 [95% confidence interval 1.94-3.11]; p<.0001). Percentile rank on RITE exam scores by UNC Neurology residents (postgraduate years 2-4) after attending MS Workshop improved by 136.8% compared with the prior academic year when the traditional virtual didactic program on MS was conducted.

CONCLUSION

Interactive workshops for residents can improve resident education on MS, creating a solid basis for future continuing education activities in the rapidly developing field of MS with a goal of improving patient outcomes. Residency programs may consider incorporating interactive, case-based MS workshops into their educational curricula.

摘要

引言

在神经科住院医师培训期间,让住院医师扎实掌握多发性硬化症(MS)的知识对于独立临床实践至关重要。我们创建了一个基于病例的MS互动教育工作坊,旨在提高神经科住院医师对MS诊断和护理各个方面的临床及理论知识。

方法

北卡罗来纳大学(UNC)医学院的MS神经科医生为所有神经科住院医师设计了一个为期4小时的面对面基于病例的互动教育工作坊。涵盖的主题包括:MS的定义、流行病学、发病机制、危险因素、MS临床病程/疾病表型、MS诊断标准及鉴别诊断、急性MS发作的治疗、对症治疗、疾病修正治疗。在工作坊期间,住院医师通过参与互动在线投票回答基于病例和知识的选择题。此外,进行了一次包含10个问题的工作坊前后测试,并使用配对t检验分析考试成绩的变化。描述性统计用于分析UNC神经科住院医师在2022 - 2023学年(MS工作坊前)和2023 - 2024学年(MS工作坊后)的住院医师在职培训考试(RITE)成绩百分位排名的变化。

结果

共有21名住院医师完成了工作坊及工作坊前后的考试。比较了工作坊前的成绩(平均6.14/10;标准差[SD]1.20;范围4 - 9)和工作坊后的测试成绩(平均8.67/10;SD 0.97;范围7 - 10)。工作坊前后测试结果的平均提高了2.52分(t值8.97[95%置信区间1.94 - 3.11];p <.0001)。与上一学年进行传统MS虚拟教学课程时相比,UNC神经科住院医师(研究生2 - 4年级)参加MS工作坊后RITE考试成绩的百分位排名提高了136.8%。

结论

针对住院医师的互动工作坊可以改善住院医师对MS的教育,为MS快速发展领域未来的继续教育活动奠定坚实基础,目标是改善患者预后。住院医师培训项目可考虑将基于病例的MS互动工作坊纳入其教育课程。

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