Grand round teleconference as an inclusive pedagogy to empower NP education: Curriculum innovation for inclusive learning and competency enhancement

Science Talks Pub Date : 2025-12-01 Epub Date: 2025-09-19 DOI:10.1016/j.sctalk.2025.100490
Eunyoung Lee, Marjorie Young, Carey Cole
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Abstract

Background

In ever-evolving higher education and online programs, faculty are challenged to keep students up to date and engaged in their learning. Grand Rounds (GR) have been primarily utilized in hospital settings for medical education for doctors and residency students.

Purpose/methods

Since 2016, Radford University has incorporated GRs into NP education to promote inclusive learning and enhance clinical reasoning/knowledge among students/faculty. GRs utilized a format of real clinical case analysis and offered weekly via teleconference. A student from the advanced clinical courses presents the case. Differential diagnoses, diagnostic tests, management, and relevant current practice guidelines were discussed as a group. Students in the early phase of the program were invited to the discussion. Additionally, GR has been used as a platform to discuss emerging or sensitive healthcare issues, incorporating real cases. Google Jamboard and SNAPPS methodology were incorporated to visualize interactive discussion and enhance oral case report skills.

Lessons learned

GR is an effective strategy to enhance student engagement and provide a safe shared-learning environment to empower students to refine clinical reasoning skills. Students reported increased engagement in their learning, feeling competent in diagnostic reasoning, treatment/management planning, and case reporting skills. This is supported by the preceptor's student evaluation report.
以全纳教学法推动NP教育:课程创新促进全纳学习与能力提升
在不断发展的高等教育和在线课程中,教师面临的挑战是让学生了解最新情况,并参与他们的学习。大查房(GR)主要在医院环境中用于医生和住院医师学生的医学教育。目的/方法自2016年以来,雷德福大学将GRs纳入NP教育,以促进包容性学习,提高学生/教师的临床推理/知识。GRs采用真实临床病例分析的形式,每周通过电话会议提供。一位高级临床课程的学生介绍了这个病例。鉴别诊断、诊断试验、管理和相关的现行实践指南作为一组进行了讨论。该项目早期阶段的学生被邀请参加讨论。此外,GR还被用作讨论新兴或敏感医疗保健问题的平台,并结合实际案例。谷歌Jamboard和SNAPPS方法被纳入可视化互动讨论和提高口头病例报告技能。经验教训dgr是一种有效的策略,可以提高学生的参与度,并提供安全的共享学习环境,使学生能够完善临床推理技能。学生们报告说,他们的学习参与度有所提高,在诊断推理、治疗/管理计划和病例报告技能方面感到有能力。这是由导师的学生评估报告支持的。
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