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老年医学教学策略的长期效果:干预两年后无内容教学、传统讲座教学与翻转课堂教学的比较

Long-term Outcomes of Geriatric Medicine Teaching Strategies: Comparing no Content, Traditional Lecture, and Flipped Classroom 2 Years Postintervention.

作者信息

Lucchetti Alessandra Lamas Granero, Lucchetti Giancarlo

机构信息

Department of Medical Education and Division of Geriatric Medicine, School of Medicine, Federal University of Juiz de Fora, Av. Eugênio do Nascimento S/nº, Bairro: Dom Bosco - CEP.:36038-330, Juiz de Fora, Minas Gerais Brazil.

出版信息

Med Sci Educ. 2024 Aug 3;34(6):1381-1389. doi: 10.1007/s40670-024-02118-5. eCollection 2024 Dec.

Abstract

BACKGROUND

The long-term effects of use of the flipped classroom to teach geriatric medicine are still underexplored.

OBJECTIVE

To investigate whether different educational interventions on geriatrics (i.e., flipped classrooms-FL and traditional lectures-TR) could have an influence on long-term attitudes and stereotypes among medical students compared to not having such exposure (control-CG) after 2 years of follow-up.

METHOD

An intervention study was conducted during the third year of medical school training. Two different educational strategies (FL and TR) were incorporated into a course of geriatrics. Students were evaluated at baseline, postintervention, and after 2 years of follow-up concerning their attitudes toward older persons (Maxwell-Sullivan, UCLA geriatric attitudes), empathy (Maxwell-Sullivan), knowledge and stereotypes (Palmore Facts on Aging), and self-reported opinions on older adults.

RESULTS

A total of 216 medical students were included (68 CG, 72 TR, and 76 FL). At the 2-year follow-up, the FL had better scores than the TR on the Palmore Facts on Aging ( = 0.42); the FL had better scores than the control group for the Maxwell-Sullivan Attitudes ( = 0.40); and both the FL and TR had better scores for the Palmore Facts on Aging ( = 1.56 to 1.75) and the Likert items "preparedness" ( = 1.10 to 1.19), "knowledge" ( = 1.08 to 1.20), and "prescribing" ( = 0.33 to 0.40) compared to the CG.

CONCLUSIONS

Teaching geriatric medicine could impact the long-term outcomes of medical students and the way this teaching is delivered can influence students' learning.

摘要

背景

翻转课堂用于老年医学教学的长期效果仍未得到充分探索。

目的

调查在两年随访后,与未接受此类教学(对照组-CG)相比,不同的老年医学教育干预措施(即翻转课堂-FL和传统讲座-TR)是否会对医学生的长期态度和刻板印象产生影响。

方法

在医学院校培训的第三年进行了一项干预研究。将两种不同的教育策略(FL和TR)纳入老年医学课程。在基线、干预后以及随访2年后,对学生关于他们对老年人的态度(麦克斯韦-沙利文量表、加州大学洛杉矶分校老年态度量表)、同理心(麦克斯韦-沙利文量表)、知识和刻板印象(帕尔莫尔衰老事实量表)以及对老年人的自我报告意见进行评估。

结果

总共纳入了216名医学生(68名CG组、72名TR组和76名FL组)。在2年随访时,FL组在帕尔莫尔衰老事实量表上的得分高于TR组(=0.42);FL组在麦克斯韦-沙利文态度量表上的得分高于对照组(=0.40);与CG组相比,FL组和TR组在帕尔莫尔衰老事实量表(=1.56至1.75)以及李克特量表项目“准备情况”(=1.10至1.19)、“知识”(=1.08至1.20)和“开药”(=0.33至0.40)上的得分均更高。

结论

老年医学教学可能会影响医学生的长期学习成果,并且这种教学的实施方式会影响学生的学习。

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