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探索新冠疫情后时代医学教育的核心能力:日本一所医学院校的混合方法调查

Exploring the Essential Competencies for Medical Education in the Post-COVID-19 Pandemic Era: A Mixed-Methods Investigation at a Japanese Medical School.

作者信息

Onodera Misaki, Takahashi Zaiya, Kasai Hajime, Yokoh Hidetaka, Shikino Kiyoshi, Kimura Yasuhiko, Shimizu Ikuo, Yamauchi Kazuyo, Asahina Mayumi, Ito Shoichi

机构信息

Department of Medical Education, Graduate School of Medicine, Chiba University, Chiba, Japan.

Department of Community-Oriented Medical Education, Graduate School of Medicine, Chiba University, Chiba, Japan.

出版信息

J Med Educ Curric Dev. 2025 May 21;12:23821205251333502. doi: 10.1177/23821205251333502. eCollection 2025 Jan-Dec.

DOI:10.1177/23821205251333502
PMID:40417174
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12099140/
Abstract

BACKGROUND

The coronavirus disease 2019 (COVID-19) pandemic has led to considerable advances in medical education through technological integration. The crisis generated by the pandemic in medical practice, education, and evolving technology has led to changes in the skills of medical professionals. This study aimed to examine the competencies required of medical students in the post-pandemic era.

METHODS

We conducted 2 mixed-methods studies. Study 1 explored medical students' necessary competencies after the COVID-19 pandemic. We conducted group work with faculty members and students from the Chiba University School of Medicine, captured proposed competencies, discussed them, and qualitatively analyzed the group work data using content analysis to extract the competencies. Study 2 was a secondary data analysis that compared the categories identified in Study 1 with the competencies required prior to the COVID-19 pandemic, which were extracted from the websites of all 82 medical schools and colleges in Japan, to identify the differences in competencies before and after the pandemic.

RESULTS

Study 1 resulted in the identification of 12 categories and 62 subcategories. The results of Study 2 showed that the increased occurrence of competencies was related to the utilization of information and communication technology (ICT) and artificial intelligence (AI), self-management, information gathering and explanation, liberal arts and generic skills, and exploring medicine and medical care/research presentations. The prevalence rates of these factors prior to the COVID-19 outbreak were 17.1%, 28.0%, 39.0%, 41.5%, and 48.8%, respectively.

CONCLUSIONS

Competency-based medical education in ICT, self-management, and medical exploration has become increasingly important after the pandemic. Therefore, it is necessary to develop an educational curriculum to enable medical students to acquire these competencies. The study findings contribute to the literature on medical education and offer valuable insight into setting effective academic goals and designing suitable curricula for undergraduate medical students in the post-pandemic era.

摘要

背景

2019冠状病毒病(COVID-19)大流行通过技术整合在医学教育方面取得了显著进展。大流行在医学实践、教育以及不断发展的技术方面引发的危机导致了医学专业人员技能的变化。本研究旨在探讨大流行后时代医学生所需的能力。

方法

我们进行了两项混合方法研究。研究1探讨了COVID-19大流行后医学生的必要能力。我们与千叶大学医学院的教师和学生开展小组工作,记录提出的能力,进行讨论,并使用内容分析法对小组工作数据进行定性分析以提取这些能力。研究2是一项二次数据分析,将研究1中确定的类别与COVID-19大流行之前所需的能力进行比较,后者是从日本所有82所医学院校的网站中提取的,以确定大流行前后能力的差异。

结果

研究1确定了12个类别和62个子类别。研究2的结果表明,能力出现增加的方面与信息通信技术(ICT)和人工智能(AI)的利用、自我管理、信息收集与解释、文科及通用技能以及探索医学与医疗保健/研究展示有关。这些因素在COVID-19疫情爆发前的流行率分别为17.1%、28.0%、39.0%、41.5%和48.8%。

结论

大流行后,基于能力的信息通信技术、自我管理和医学探索医学教育变得越来越重要。因此,有必要制定教育课程,使医学生能够获得这些能力。研究结果为医学教育文献做出了贡献,并为在后大流行时代为本科医学生设定有效的学术目标和设计合适的课程提供了有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef0/12099140/3bc4a1fa944b/10.1177_23821205251333502-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef0/12099140/42711c12bfd6/10.1177_23821205251333502-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef0/12099140/b9c9de5aaa49/10.1177_23821205251333502-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef0/12099140/3bc4a1fa944b/10.1177_23821205251333502-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef0/12099140/42711c12bfd6/10.1177_23821205251333502-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef0/12099140/b9c9de5aaa49/10.1177_23821205251333502-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef0/12099140/3bc4a1fa944b/10.1177_23821205251333502-fig3.jpg

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本文引用的文献

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Questioning medical competence: Should the Covid-19 crisis affect the goals of medical education?
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Med Teach. 2021 Jul;43(7):817-823. doi: 10.1080/0142159X.2021.1928619. Epub 2021 May 27.
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Alternative approaches for clinical clerkship during the COVID-19 pandemic: online simulated clinical practice for inpatients and outpatients-A mixed method.COVID-19 大流行期间临床实习的替代方法:在线模拟门诊和住院患者临床实践-混合方法。
BMC Med Educ. 2021 Mar 8;21(1):149. doi: 10.1186/s12909-021-02586-y.
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Levels of burn-out among healthcare workers during the COVID-19 pandemic and their associated factors: a cross-sectional study in a tertiary hospital of a highly burdened area of north-east Italy.COVID-19 大流行期间医护人员的倦怠水平及其相关因素:意大利东北部高负担地区一家三级医院的横断面研究。
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