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通过临床实例整合妇科肿瘤学中改变实践的研究。

Integrating Practice-Changing Studies in Gynaecologic Oncology Through Clinical Illustrations.

作者信息

Kacperczyk-Bartnik Joanna, Derlatka Paweł, Dańska-Bidzińska Anna, Pospiech Kinga, Bartnik Paweł, Urban Aleksandra, Czajkowski Krzysztof, Sieńko Jacek

机构信息

II Department of Obstetrics and Gynecology, Medical University of Warsaw, Karowa 2 St, 00-315, Warsaw, Poland.

出版信息

J Cancer Educ. 2025 Jan 14. doi: 10.1007/s13187-025-02567-5.

Abstract

Advances in gynaecologic oncology research lead to continuous updates in clinical guidelines. However, undergraduate medical education often lacks in-depth coverage of recent developments, limiting students' preparedness for evidence-based management of gynaecological cancers. This study aimed to bridge the educational gap by integrating case-based analyses of practice-changing studies into the undergraduate obstetrics and gynaecology course. We aimed to enhance students' understanding of relevant gynaecologic oncology concepts and improve their skills in analysing scientific literature related to cancer management. An educational method was introduced to 5th-year medical students (n = 46) over a 2-week course. Using clinical case scenarios, students were presented with examples of practice-changing trials along with research findings incorporated into clinical practice. Following the course, 36 students completed a feedback survey evaluating their knowledge and research interpretation skills before and after the course. Descriptive statistical methods and Fisher's exact test were used to assess students' self-reported knowledge improvement. There were significant increases in students' self-reported knowledge level on the covered topics, including a distinction between chemotherapy types (p < 0.0001), surgical treatment (p < 0.0001), maintenance therapy in ovarian cancer (p < 0.0001), molecular classification (p < 0.0001) and immunotherapy in endometrial cancer (p < 0.0001). Understanding of inclusion criteria and endpoints in scientific articles also improved, rising from 22 to 86% (p < 0.0001, OR 21, 95% CI 5.62-78.48). Incorporating practice-changing studies into clinical teaching significantly enhances students' perceived comprehension of gynaecologic oncology and strengthens their self-reported research interpretation skills. This methodological approach highlights the value of connecting case-based learning with current research.

摘要

妇科肿瘤学研究的进展促使临床指南不断更新。然而,本科医学教育往往缺乏对近期进展的深入涵盖,限制了学生对妇科癌症循证管理的准备程度。本研究旨在通过将改变实践的研究的案例分析纳入本科妇产科学课程来弥合教育差距。我们旨在增强学生对相关妇科肿瘤学概念的理解,并提高他们分析与癌症管理相关科学文献的技能。在为期2周的课程中,向五年级医学生(n = 46)引入了一种教育方法。通过临床病例场景,向学生展示改变实践的试验实例以及纳入临床实践的研究结果。课程结束后,36名学生完成了一项反馈调查,评估他们在课程前后的知识和研究解读技能。使用描述性统计方法和Fisher精确检验来评估学生自我报告的知识提升情况。学生在涵盖主题上自我报告的知识水平有显著提高,包括化疗类型的区分(p < 0.0001)、手术治疗(p < 0.0001)、卵巢癌维持治疗(p < 0.0001)、分子分类(p < 0.0001)以及子宫内膜癌免疫治疗(p < 0.0001)。对科学文章纳入标准和终点的理解也有所改善,从22%提高到86%(p < 0.0001,OR 21,95% CI 5.62 - 78.48)。将改变实践的研究纳入临床教学显著增强了学生对妇科肿瘤学的感知理解,并强化了他们自我报告的研究解读技能。这种方法强调了将基于案例的学习与当前研究相联系的价值。

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