After perusing the paper by Kim et al,I discovered that this is an interesting manuscript and a successful study.Virtual reality(VR)is an emerging and promising technology employed in the domain of medical practice an...After perusing the paper by Kim et al,I discovered that this is an interesting manuscript and a successful study.Virtual reality(VR)is an emerging and promising technology employed in the domain of medical practice and medical education over the past decade.In the era of big data,VR is constantly progressing in the fields of medical education and clinical diagnosis and treatment.As a novel scientific and technological tool,VR not only overcomes multiple limitations of the traditional medical teaching mode but also reduces the reliance on personnel and equipment.VR can simulate the real clinical situation,stimulate the enthusiasm of young doctors and nurses for clinical study,and simultaneously safeguard and promote medical safety and doctor-patient harmony.Favorable outcomes have been attained in clinical teaching and diagnosis and treatment activities.While enhancing the training conditions of medical cosmetics and elevating the level of clinical practice and teaching,the risks resulting from improper clinical diagnosis and treatment have been circumvented.All of this is evident and comprehensible.展开更多
This article describes and reflects on the role of teaching practices in undergraduate medical education on the basis of teaching experience in the United States of America.China in particular,but also other family me...This article describes and reflects on the role of teaching practices in undergraduate medical education on the basis of teaching experience in the United States of America.China in particular,but also other family medicine-emerging countries,continues to embark on a path of creating and embracing a family medicine-centric system.The purpose of this article is to provide a US perspective on teaching priorities and strategies for medical students,and how these fit into a larger structure of the family medicine clinical clerkship.We emphasize knowledge,clinical skills,clinical behaviors,and strategies for succeeding as a preceptor.We introduce key aspects of the University of Michigan family medicine clerkship and the highly effective structure provided by the leadership of the course directors.This organizational structure provides a framework for implementing the family medicine clerkship for teaching medical students.As China and other family medicine-emerging countries increasingly embrace the discipline,we hope these ideas will provide a meaningful reference.展开更多
BACKGROUND System based practice(SBP) milestones require trainees to effectively navigate the larger health care system for optimal patient care. In gastroenterology training programs, the assessment of SBP is difficu...BACKGROUND System based practice(SBP) milestones require trainees to effectively navigate the larger health care system for optimal patient care. In gastroenterology training programs, the assessment of SBP is difficult due to high volume, high acuity inpatient care, as well as inconsistent direct supervision. Nevertheless,structured assessment is required for training programs. We hypothesized that objective structured clinical examination(OSCE) would be an effective tool for assessment of SBP.AIM To develop a novel method for SBP milestone assessment of gastroenterology fellows using the OSCE.METHODS For this observational study, we created 4 OSCE stations: Counseling an impaired colleague, handoff after overnight call, a feeding tube placement discussion, and giving feedback to a medical student on a progress note. Twentysix first year fellows from 7 programs participated. All fellows encountered identical case presentations. Checklists were completed by trained standardized patients who interacted with each fellow participant. A report with individual and composite scores was generated and forwarded to program directors to utilize in formative assessment. Fellows also received immediate feedback from a faculty observer and completed a post-session program evaluation survey.RESULTS Survey response rate was 100%. The average composite score across SBP milestones for all cases were 6.22(SBP1), 4.34(SBP2), 3.35(SBP3), and 6.42(SBP4)out of 9. The lowest composite score was in SBP 3, which asks fellows to advocate for cost effective care. This highest score was in patient care 2, which asks fellows to develop comprehensive management plans. Discrepancies were identified between the fellows’ perceived performance in their self-assessments and Standardized Patient checklist evaluations for each case. Eighty-seven percent of fellows agreed that OSCEs are an important component of their clinical training,and 83% stated that the cases were similar to actual clinical encounters. All participating fellows stated that the immediate feedback was "very useful." One hundred percent of the fellows stated they would incorporate OSCE learning into their clinical practice.CONCLUSION OSCEs may be used for standardized evaluation of SBP milestones. Trainees scored lower on SBP milestones than other more concrete milestones. Training programs should consider OSCEs for assessment of SBP.展开更多
基于问题导向式的临床教学模式(problem based learning,PBL)是指通过问题案例或场景使学生确定自己的学习目标,且经由学生自我独立式学习和小组讨论以完善知识。经过60余年的教学实践,在世界许多国家的临床医学教育中都取得了良好的效...基于问题导向式的临床教学模式(problem based learning,PBL)是指通过问题案例或场景使学生确定自己的学习目标,且经由学生自我独立式学习和小组讨论以完善知识。经过60余年的教学实践,在世界许多国家的临床医学教育中都取得了良好的效果,PBL引入我国也有近30年的历史,其在我国临床医学教育的应用中仍然处于探索和改革的阶段。文章就PBL在国内中西医结合临床各科室中的教学现状进行总结,发现其对提高学生积极性,改善学习效果,提高学生的教学满意度等方面效果较好,同时探讨其目前存在的问题,并针对现有的问题提出应对策略,如“靶向PBL教学”模式,以期为未来的医学临床教育提供思路。展开更多
目的/意义研发贴合急诊医学临床教学特点的病例模拟软件,并应用于医学生急诊临床实习教学,丰富急诊医学科等专科临床带教手段。方法/过程利用Visual Studio 2017平台开发软件并实现编辑病例与模拟训练两大核心功能,导入自主设计的急诊...目的/意义研发贴合急诊医学临床教学特点的病例模拟软件,并应用于医学生急诊临床实习教学,丰富急诊医学科等专科临床带教手段。方法/过程利用Visual Studio 2017平台开发软件并实现编辑病例与模拟训练两大核心功能,导入自主设计的急诊典型病例。将该软件应用于50名急诊实习医学生的教学实践,并通过问卷调查收集反馈意见。结果/结论学生对该软件的新颖性和整体效果表示认可,赞同将其用于急诊实习教学。软件的病史采集和体格检查功能有待提升。该病例模拟软件在急诊实习教学中应用前景广阔,值得进一步探索和推广。展开更多
文摘After perusing the paper by Kim et al,I discovered that this is an interesting manuscript and a successful study.Virtual reality(VR)is an emerging and promising technology employed in the domain of medical practice and medical education over the past decade.In the era of big data,VR is constantly progressing in the fields of medical education and clinical diagnosis and treatment.As a novel scientific and technological tool,VR not only overcomes multiple limitations of the traditional medical teaching mode but also reduces the reliance on personnel and equipment.VR can simulate the real clinical situation,stimulate the enthusiasm of young doctors and nurses for clinical study,and simultaneously safeguard and promote medical safety and doctor-patient harmony.Favorable outcomes have been attained in clinical teaching and diagnosis and treatment activities.While enhancing the training conditions of medical cosmetics and elevating the level of clinical practice and teaching,the risks resulting from improper clinical diagnosis and treatment have been circumvented.All of this is evident and comprehensible.
基金The authors received no specific grants from any funding agency in the public,commercial,or nonprofit sectors.Dr.Fetters’participation in the Beijing conference leading to this work was supported by the University of Birmingham,Program for General Practice Devlopment in China.
文摘This article describes and reflects on the role of teaching practices in undergraduate medical education on the basis of teaching experience in the United States of America.China in particular,but also other family medicine-emerging countries,continues to embark on a path of creating and embracing a family medicine-centric system.The purpose of this article is to provide a US perspective on teaching priorities and strategies for medical students,and how these fit into a larger structure of the family medicine clinical clerkship.We emphasize knowledge,clinical skills,clinical behaviors,and strategies for succeeding as a preceptor.We introduce key aspects of the University of Michigan family medicine clerkship and the highly effective structure provided by the leadership of the course directors.This organizational structure provides a framework for implementing the family medicine clerkship for teaching medical students.As China and other family medicine-emerging countries increasingly embrace the discipline,we hope these ideas will provide a meaningful reference.
文摘BACKGROUND System based practice(SBP) milestones require trainees to effectively navigate the larger health care system for optimal patient care. In gastroenterology training programs, the assessment of SBP is difficult due to high volume, high acuity inpatient care, as well as inconsistent direct supervision. Nevertheless,structured assessment is required for training programs. We hypothesized that objective structured clinical examination(OSCE) would be an effective tool for assessment of SBP.AIM To develop a novel method for SBP milestone assessment of gastroenterology fellows using the OSCE.METHODS For this observational study, we created 4 OSCE stations: Counseling an impaired colleague, handoff after overnight call, a feeding tube placement discussion, and giving feedback to a medical student on a progress note. Twentysix first year fellows from 7 programs participated. All fellows encountered identical case presentations. Checklists were completed by trained standardized patients who interacted with each fellow participant. A report with individual and composite scores was generated and forwarded to program directors to utilize in formative assessment. Fellows also received immediate feedback from a faculty observer and completed a post-session program evaluation survey.RESULTS Survey response rate was 100%. The average composite score across SBP milestones for all cases were 6.22(SBP1), 4.34(SBP2), 3.35(SBP3), and 6.42(SBP4)out of 9. The lowest composite score was in SBP 3, which asks fellows to advocate for cost effective care. This highest score was in patient care 2, which asks fellows to develop comprehensive management plans. Discrepancies were identified between the fellows’ perceived performance in their self-assessments and Standardized Patient checklist evaluations for each case. Eighty-seven percent of fellows agreed that OSCEs are an important component of their clinical training,and 83% stated that the cases were similar to actual clinical encounters. All participating fellows stated that the immediate feedback was "very useful." One hundred percent of the fellows stated they would incorporate OSCE learning into their clinical practice.CONCLUSION OSCEs may be used for standardized evaluation of SBP milestones. Trainees scored lower on SBP milestones than other more concrete milestones. Training programs should consider OSCEs for assessment of SBP.
文摘基于问题导向式的临床教学模式(problem based learning,PBL)是指通过问题案例或场景使学生确定自己的学习目标,且经由学生自我独立式学习和小组讨论以完善知识。经过60余年的教学实践,在世界许多国家的临床医学教育中都取得了良好的效果,PBL引入我国也有近30年的历史,其在我国临床医学教育的应用中仍然处于探索和改革的阶段。文章就PBL在国内中西医结合临床各科室中的教学现状进行总结,发现其对提高学生积极性,改善学习效果,提高学生的教学满意度等方面效果较好,同时探讨其目前存在的问题,并针对现有的问题提出应对策略,如“靶向PBL教学”模式,以期为未来的医学临床教育提供思路。
文摘目的/意义研发贴合急诊医学临床教学特点的病例模拟软件,并应用于医学生急诊临床实习教学,丰富急诊医学科等专科临床带教手段。方法/过程利用Visual Studio 2017平台开发软件并实现编辑病例与模拟训练两大核心功能,导入自主设计的急诊典型病例。将该软件应用于50名急诊实习医学生的教学实践,并通过问卷调查收集反馈意见。结果/结论学生对该软件的新颖性和整体效果表示认可,赞同将其用于急诊实习教学。软件的病史采集和体格检查功能有待提升。该病例模拟软件在急诊实习教学中应用前景广阔,值得进一步探索和推广。
