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一种用于临床决策实践的独特模拟方法。

A Unique Simulation Methodology for Practicing Clinical Decision Making.

作者信息

Amar Shimon, Bitan Yuval

机构信息

Department of Family Medicine, Siaal Research Center for Family Medicine and Primary Care, and The Haim Doron Division of Community Health and Joyce and Irving Goldman Medical School, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.

Department of Health Policy and Management, Guilford Glazer Faculty of Business and Management, and School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.

出版信息

J Med Educ Curric Dev. 2025 Jan 27;12:23821205241310077. doi: 10.1177/23821205241310077. eCollection 2025 Jan-Dec.

Abstract

BACKGROUND

While bedside teaching offers invaluable clinical experience, its availability is limited. Challenges such as a shortage of clinical placements and qualified teaching physicians, coupled with increasing medical student numbers, exacerbate this issue. Simulation-based learning encompasses varied educational values and has the potential to serve as an important tool in medical students' education.

OBJECTIVES

In this study, we evaluate a new Clinical Decision Making Integrated Digital Simulation (CDMIDS) method that was developed in order to enhance the clinical decision-making competency and self-confidence of medical students early in their clinical training through practicing fundamental core skills.

METHODS

The study compares 108 4th-year medical students' questionnaire responses pre-/postself-assessments following practice of a new clinical decision-making simulation methodology.

RESULTS

Results indicate a positive participant experience, with the simulation perceived as a valuable platform for practicing integrated bedside decision making. Notably, participants demonstrated a statistically significant increase in willingness to make clinical decisions. The simulation contributed to enhanced knowledge, professional skills, and self-confidence in clinical decision making.

CONCLUSION

The use of a CDMIDS method integrates clinical decision making as part of early medical school curriculum. Moreover, the method boosts learners' professional confidence, self-directed learning, and additional experiences. The method is flexible and can be applied in any medical school, especially those with limited resources, by making specific, localized modifications.

摘要

背景

虽然床边教学能提供宝贵的临床经验,但其可用性有限。临床实习岗位和合格带教医师短缺等挑战,再加上医学生人数不断增加,使这一问题更加严重。基于模拟的学习具有多种教育价值,有潜力成为医学生教育中的重要工具。

目的

在本研究中,我们评估一种新的临床决策综合数字模拟(CDMIDS)方法,该方法旨在通过练习基本核心技能,在医学生临床培训早期提高其临床决策能力和自信心。

方法

本研究比较了108名四年级医学生在实践一种新的临床决策模拟方法前后自我评估的问卷回复。

结果

结果表明参与者体验良好,该模拟被视为实践综合床边决策的宝贵平台。值得注意的是,参与者在做出临床决策的意愿上有统计学显著提高。该模拟有助于增强临床决策方面的知识、专业技能和自信心。

结论

CDMIDS方法的使用将临床决策整合为医学院早期课程的一部分。此外,该方法还能增强学习者的专业信心、自主学习能力和额外体验。该方法灵活,通过进行特定的本地化修改,可应用于任何医学院,尤其是资源有限者。

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