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临床会诊的数字记录有助于物理治疗专业学生和临床医生进行反思。

Digital recordings of a clinical encounter facilitate reflection in physical therapy students and clinicians.

作者信息

Kinney Anthony, Nordon-Craft Amy, Kardong-Edgren Suzan, Kumar Anshul, Thompson Anne

机构信息

Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.

Department of Health Professions Education, School of Healthcare Leadership, MGH Institute of Health Professions, Boston, MA, United States.

出版信息

Front Med (Lausanne). 2025 Mar 11;11:1516724. doi: 10.3389/fmed.2024.1516724. eCollection 2024.

Abstract

BACKGROUND

Medical and health professions students use digital media in their educational pursuits. No studies have examined the process or utility of reviewing digital recordings of a clinical encounter. This pilot study examined how physical therapy students varied in their approach when compared to practicing physical therapists, in their self-reflection and assessment of a recorded physical therapist (PT) encounter with a standardized patient (SP).

METHODS

A single site, cross-sectional, mixed-methods design was used. Participants reviewed an 11-minute digital recording of a patient encounter and completed survey questions. Post-survey interview sessions were used to gain additional perspective from participants.

RESULTS

Ninety-two physical therapy students across three levels of training and twenty-seven physical therapists participated in the study. Self-ratings of perceived clinical ability increased with each year of training. First-year students (PY1) gave higher performance ratings to the PT than other groups. Seventy-five percent of respondents found the review of the digital recording to be a useful tool for reflection. A variety of approaches in the review process were found across groups, especially between clinicians and students.

CONCLUSION

Review of a recording of a physical therapist's encounter with an SP can be a useful educational tool for reflection across training levels of students and clinicians.

摘要

背景

医学与健康专业的学生在学业中会使用数字媒体。尚无研究探讨过回顾临床诊疗数字记录的过程或效用。这项试点研究考察了物理治疗专业学生与执业物理治疗师相比,在自我反思和评估与标准化患者(SP)的物理治疗师(PT)诊疗记录时,其方法有何不同。

方法

采用单中心、横断面、混合方法设计。参与者回顾一段11分钟的患者诊疗数字记录并完成调查问卷。调查后访谈环节用于获取参与者的更多观点。

结果

三个培训水平的92名物理治疗专业学生和27名物理治疗师参与了该研究。对临床能力的自我评分随培训年份增加。一年级学生(PY1)对物理治疗师的表现评分高于其他组。75%的受访者认为回顾数字记录是一种有用的反思工具。各群体在回顾过程中采用了多种方法,尤其是临床医生和学生之间。

结论

回顾物理治疗师与标准化患者的诊疗记录,对于不同培训水平的学生和临床医生来说,可能是一种有用的反思教育工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fab/11933041/0bf8e1a500f4/fmed-11-1516724-g003.jpg

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