通过开发和实施医学生的混合学习选修课,促进跨学科和姑息治疗的及时整合。

IF 1.5 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
GMS Journal for Medical Education Pub Date : 2025-04-15 eCollection Date: 2025-01-01 DOI:10.3205/zma001748
Yann-Nicolas Batzler, Manuela Schallenburger, Tabea Sammer, Jan Haussmann, Bálint Tamaskovics, Marc Rehlinghaus, Julia von Schreitter, Stefanie Otten, Corinna Fohler, Jacqueline Schwartz, André Karger, Günter Niegisch, Martin Neukirchen
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引用次数: 0

摘要

背景:鉴于人口结构的变化和肿瘤疾病患病率的上升,理解跨学科合作和及时整合姑息治疗的重要性是至关重要的。然而,两者在医学课程中的代表性不足。为了解决这一差距,我们引入了一门新的选修课,让学生跟随一个虚构的前列腺癌患者从诊断到死亡的旅程。方法:由多专业、多学科(姑息治疗、泌尿外科、放射肿瘤学、心身医学)团队通过多次联席会议进行选修课。在开发的同时,还设计了一个结果评估来评估满意度(李克特量表)和学习收益(比较自我评估,CSA[%])。经过中试,对内容和结构进行了调整。选修课采用混合式学习方法。内容包括前列腺癌的指南治疗,突发坏消息,初步接触姑息治疗,基于全痛概念的症状控制。结果:学生满意度高(n=8)。他们认为该结构易于理解,并认为其内容对医疗实践有价值。学生获得了知识,特别是在定义总疼痛(83%)和及时整合专业姑息治疗的指征(77%)。结论:以前列腺癌为例,我们将多学科整合到治疗策略中,展示了多专业、多学科合作的好处。这种方法有助于确定可以从姑息治疗中受益的患者。我们的概念适用于其他肿瘤类型和环境,增强了对以患者为中心的问题的认识,这些问题在医学课程中经常被忽视。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Promoting interdisciplinarity and the timely integration of palliative care through the development and implementation of a blended learning elective for medical students.

Background: Given demographic changes and a rising prevalence of oncological diseases, understanding the importance of interdisciplinary collaboration and a timely integration of palliative care is crucial. However, both are underrepresented in medical curricula. To address this gap, we introduced a new elective in which students follow the journey of a fictitious patient with prostate cancer from diagnosis until death.

Method: The elective was conducted through repeated joint meetings by a multi-professional and interdisciplinary (palliative care, urology, radiation oncology, psychosomatic medicine) team. Alongside its development, an outcome evaluation was designed to assess satisfaction (Likert scale) and learning gains (comparative self-assessment, CSA [%]). After pilot testing, the content and structure were adapted. The elective followed a blended learning approach. The content covered guideline-adherent treatment of prostate cancer, breaking bad news, initial contact with palliative care, symptom control based on the total pain concept.

Results: Students (n=8) expressed high satisfaction. They found the structure comprehensible and considered the content valuable for medical practice. Students gained knowledge, especially in defining total pain (83%) and the indication of the timely integration of specialized palliative care (77%).

Conclusion: Using prostate cancer as an example disease, we integrated multiple disciplines into treatment strategies, demonstrating the benefits of multi-professional and multidisciplinary collaboration. This approach aids in identifying patients who could benefit from palliative care. Our concept is adaptable to other tumor types and settings, enhancing awareness of patient-centered issues that are often overlooked in medical curricula.

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来源期刊
GMS Journal for Medical Education
GMS Journal for Medical Education EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
3.40
自引率
12.50%
发文量
30
审稿时长
25 weeks
期刊介绍: GMS Journal for Medical Education (GMS J Med Educ) – formerly GMS Zeitschrift für Medizinische Ausbildung – publishes scientific articles on all aspects of undergraduate and graduate education in medicine, dentistry, veterinary medicine, pharmacy and other health professions. Research and review articles, project reports, short communications as well as discussion papers and comments may be submitted. There is a special focus on empirical studies which are methodologically sound and lead to results that are relevant beyond the respective institution, profession or country. Please feel free to submit qualitative as well as quantitative studies. We especially welcome submissions by students. It is the mission of GMS Journal for Medical Education to contribute to furthering scientific knowledge in the German-speaking countries as well as internationally and thus to foster the improvement of teaching and learning and to build an evidence base for undergraduate and graduate education. To this end, the journal has set up an editorial board with international experts. All manuscripts submitted are subjected to a clearly structured peer review process. All articles are published bilingually in English and German and are available with unrestricted open access. Thus, GMS Journal for Medical Education is available to a broad international readership. GMS Journal for Medical Education is published as an unrestricted open access journal with at least four issues per year. In addition, special issues on current topics in medical education research are also published. Until 2015 the journal was published under its German name GMS Zeitschrift für Medizinische Ausbildung. By changing its name to GMS Journal for Medical Education, we wish to underline our international mission.
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