开发基于网络的新型工具,提高医学教育中的临床技能。

IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Ayma Aqib, Faiha Fareez, Elnaz Assadpour, Tubba Babar, Andrew Kokavec, Edward Wang, Thomas Lo, Jean-Paul Lam, Christopher Smith
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引用次数: 0

摘要

无标签:加拿大医学教育的一个重要组成部分是培养临床技能。医学教育课程通过客观结构化临床考试(OSCE)来评估这些技能。OSCE 评估良好临床实践所必需的技能,如患者沟通、临床决策和医学知识。尽管该考试在所有学术环境中广泛实施,但专门针对加拿大医科学生的备考资源却寥寥无几。MonkeyJacket 是一款新颖、开放式的网络应用程序,旨在为医科学生提供一个方便易用且具有代表性的工具,帮助他们在 OSCE 和临床环境中培养临床技能。本视角论文介绍了 MonkeyJacket 应用程序的开发情况及其在帮助医学生准备临床考试和实践环境方面的潜力。目前基于网络的资源有限,且成本低廉,适用于加拿大医学委员会 (MCC),最重要的是具有可扩展性。本研究的目标是全面描述该应用程序的潜在效用,尤其是其为医学生提供实践和可扩展的形成性反馈的能力。MonkeyJacket 的开发目的是为加拿大医科学生提供练习临床考试技能的机会,并通过使用集中式平台接收同行反馈。应用程序中包含的 OSCE 案例是根据 MCC 指南开发的,以确保其适用于加拿大环境。目前有 75 个案例,涵盖 5 个专科,包括心脏病学、呼吸内科、消化内科、神经内科和精神病学。MonkeyJacket 应用程序是一个基于网络的平台,可让医学生通过同步平台与同伴实时练习临床决策技能。通过该应用程序,学生可以练习与病人面谈、临床推理、制定鉴别诊断和管理计划,并可获得定性和定量反馈。每个临床病例都与一份评估清单相关联,学生可在练习课程结束后查阅该清单;该清单可通过同行反馈促进个人进步。该工具为学生提供了相关的病例梗概、探究鉴别诊断和管理计划的后续问题、评估核对表以及回顾其表现趋势的能力。MonkeyJacket 应用程序为医科学生提供了一个宝贵的工具,可促进 OSCE 和临床环境中的临床技能发展。MonkeyJacket 为医科学生引入了一种接收有关病人访谈和临床推理技能反馈的方法,这种方法具有形成性和可扩展性,此外还能促进机构间的学习。该应用程序的广泛使用可增加医学学习者的临床技能练习和反馈。这不仅会使学习者受益,更重要的是,它还能为医学界最宝贵的利益相关者--患者带来下游效益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Development of a Novel Web-Based Tool to Enhance Clinical Skills in Medical Education.

Unlabelled: A significant component of Canadian medical education is the development of clinical skills. The medical educational curriculum assesses these skills through an objective structured clinical examination (OSCE). This OSCE assesses skills imperative to good clinical practice, such as patient communication, clinical decision-making, and medical knowledge. Despite the widespread implementation of this examination across all academic settings, few preparatory resources exist that cater specifically to Canadian medical students. MonkeyJacket is a novel, open-access, web-based application, built with the goal of providing medical students with an accessible and representative tool for clinical skill development for the OSCE and clinical settings. This viewpoint paper presents the development of the MonkeyJacket application and its potential to assist medical students in preparation for clinical examinations and practical settings. Limited resources exist that are web-based; accessible in terms of cost; specific to the Medical Council of Canada (MCC); and, most importantly, scalable in nature. The goal of this research study was to thoroughly describe the potential utility of the application, particularly its capacity to provide practice and scalable formative feedback to medical students. MonkeyJacket was developed to provide Canadian medical students with the opportunity to practice their clinical examination skills and receive peer feedback by using a centralized platform. The OSCE cases included in the application were developed by using the MCC guidelines to ensure their applicability to a Canadian setting. There are currently 75 cases covering 5 specialties, including cardiology, respirology, gastroenterology, neurology, and psychiatry. The MonkeyJacket application is a web-based platform that allows medical students to practice clinical decision-making skills in real time with their peers through a synchronous platform. Through this application, students can practice patient interviewing, clinical reasoning, developing differential diagnoses, and formulating a management plan, and they can receive both qualitative feedback and quantitative feedback. Each clinical case is associated with an assessment checklist that is accessible to students after practice sessions are complete; the checklist promotes personal improvement through peer feedback. This tool provides students with relevant case stems, follow-up questions that probe for differential diagnoses and management plans, assessment checklists, and the ability to review the trend in their performance. The MonkeyJacket application provides medical students with a valuable tool that promotes clinical skill development for OSCEs and clinical settings. MonkeyJacket introduces a way for medical learners to receive feedback regarding patient interviewing and clinical reasoning skills that is both formative and scalable in nature, in addition to promoting interinstitutional learning. The widespread use of this application can increase the practice of and feedback on clinical skills among medical learners. This will not only benefit the learner; more importantly, it can provide downstream benefits for the most valuable stakeholder in medicine-the patient.

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来源期刊
JMIR Medical Education
JMIR Medical Education Social Sciences-Education
CiteScore
6.90
自引率
5.60%
发文量
54
审稿时长
8 weeks
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