Lucchetti Alessandra Lamas Granero, Lucchetti Giancarlo
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.
Med Sci Educ. 2024 Aug 3;34(6):1381-1389. doi: 10.1007/s40670-024-02118-5. eCollection 2024 Dec.
The long-term effects of use of the flipped classroom to teach geriatric medicine are still underexplored.
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.
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.
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.
Teaching geriatric medicine could impact the long-term outcomes of medical students and the way this teaching is delivered can influence students' learning.
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。
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。
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。
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。
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。