促进外科跨专业教育:临床课程的发展与评估

Eric K. Kim, Roseanne Krauter, Nina W. Zhao
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引用次数: 0

摘要

摘要目的跨专业合作在外科手术中是必不可少的,但卫生专业的学生在真实的患者护理环境中接受跨专业教育(IPE)的机会有限。本报告描述了医学(MD)和执业护士(NP)学生耳鼻喉科临床跨专业选修课的发展和评估。方法将MD和NP学生配对进行一到两周的耳鼻喉科住院会诊,旨在促进跨专业学习目标。学生们从事不同专业的工作,包括外科医生、高级实践提供者、语言病理学家、护士和呼吸治疗师,这些都是照顾声音、气道和吞咽疾病患者所必需的。学生们完成了关于他们经历的每日书面反思和轮岗前后的调查,以评估他们对课程学习目标的适应程度。配对t检验和Cohen’s d效应量用于比较前后反应,主题分析用于分析所有叙事数据。结果14名学生(MD 8名,NP 6名)完成轮转。所有参与者都报告了在所有学习目标上的显著进步(p <0.05),效应量大(Cohen’s范围:1.2-2.9),包括他们对每个跨专业团队成员职责的理解。参与者描述了三个总体主题,这些主题描述了他们的学习经历并支持了学习目标:对跨专业患者护理的欣赏,与跨专业同行学习的好处,以及有效跨专业沟通的临床医生角色模型。结论IPE可以成功地融入临床外科轮转,提高学生对有效的跨专业合作的好处和策略的理解。选修课程可以作为其他外科专科的IPE轮转模式,并扩展到包括整个卫生专业教育的学生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Promoting interprofessional education in surgery: development and evaluation of a clinical curriculum
Abstract Purpose Interprofessional collaboration is essential in surgery, but health professions students have limited opportunities for interprofessional education (IPE) during training in authentic patient-care settings. This report describes the development and evaluation of a clinical interprofessional elective in otolaryngology for medical (MD) and nurse practitioner (NP) students. Methods MD and NP students were paired together on an inpatient otolaryngology consult service for one- or two-week rotations designed to promote interprofessional learning objectives. Students worked with different professions essential to the care of patients with voice, airway, and swallowing conditions, including surgeons, advanced practice providers, speech-language pathologists, nurses, and respiratory therapists. Students completed written daily reflections about their experiences and pre- and post-rotation surveys to assess comfort with course learning objectives. Paired t -tests and Cohen’s d effect sizes were used to compare pre/post responses, and thematic analysis was used to analyze all narrative data. Results Fourteen students (8 MD, 6 NP) students completed the rotation. All participants reported significant improvements on all learning objectives ( p < 0.05) with large effect sizes (Cohen’s d range: 1.2–2.9), including their understanding of the responsibilities of each interprofessional team member. Participants described three overarching themes that characterized their learning experiences and supported the learning objectives: appreciation for interprofessional patient care, benefits of learning with an interprofessional peer, and clinician role modeling of effective interprofessional communication. Conclusions IPE can be successfully integrated into a clinical surgical rotation and enhance students’ understanding of the benefits of and strategies for effective interprofessional collaboration. The elective can serve as a model for IPE rotations in other surgical subspecialties and be extended to include students across the continuum of health professions education.
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