麻醉学中的“服务”与“教育”:基于学习者和教师感知的活动领域分类。

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Advances in Medical Education and Practice Pub Date : 2025-08-07 eCollection Date: 2025-01-01 DOI:10.2147/AMEP.S527329
Jinlei Li, Hung-Mo Lin, N David Yanez, Zili He, Miriam M Treggiari, Viji Kurup
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引用次数: 0

摘要

目的:在美国,研究生医学教育认证委员会(ACGME)要求在教育和服务之间取得平衡,以保证研究生医学教育的质量。然而,麻醉学中“教育”和“服务”的范围仍不明确。方法:在一个主要的麻醉学学术培训项目中设计、验证并分发一项横断面调查,以评估与常规麻醉培训活动相关的感知教育价值。利用潜在变量探索性因子分析,根据感知的教育价值确定活动领域。然后在教师和学习者之间比较这些领域以及学习氛围。结果:三个领域的活动完成率为52.5%:1)强制性培训相关义务(患者运输,呼叫职责,医疗记录和ACGME记录文件等)与教育价值最低相关,2)程序性责任(动脉导管放置,硬膜外镇痛等)和3)课堂活动(模拟,模拟口语考试等)与较高的教育价值相关。学习气候因素(疲劳、过多的案例量等)对学习者对教育价值感知的负面影响比教师更显著。结论:教师与学习者对各类培训活动的教育价值认知存在差异。与教师相比,学习者在麻醉培训活动中的教育价值较低,特别是在强制性任务中。学习氛围的可修改元素应该被处理,以提高学习者的教育体验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"Service" versus "Education" in Anesthesiology: Domain Classification of Activities Based on Perceptions from Learners and Teachers.

Purpose: In the US, ACGME (Accreditation Council for Graduate Medical Education) mandates a balance between education and service for the quality of graduate medical education. However, the scope of "education" and "service" in Anesthesiology remains undefined.

Methods: A cross-sectional survey was designed, validated, and distributed in a major academic Anesthesiology training program to assess the perceived educational value associated with routine anesthesia training activities. Using the latent variable exploratory factor analysis, domains of activities were identified according to perceived educational values. These domains along with learning climate were then compared among teachers and learners.

Results: Three domains of activities were identified with a completion rate of 52.5%: 1) Mandatory training-related obligations (patient transport, call duties, medical record and ACGME record documentation, etc) were associated with the least educational value, 2) Procedural responsibilities (arterial line placement, epidural analgesia, etc) and 3) Classroom activities (simulation, mock oral exam, etc) were associated with higher educational value. Learning climate factors (fatigue, excessive caseload, etc) adversely affects the perception of educational value in learners more significantly than in teachers.

Conclusion: There is disparity in the perception of educational value for various training activities between learners and teachers. Learners perceive lower educational value in anesthesia training activities compared to teachers, especially in mandatory tasks. Modifiable elements of the learning climate should be addressed to enhance the educational experience for learners.

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来源期刊
Advances in Medical Education and Practice
Advances in Medical Education and Practice EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
3.10
自引率
10.00%
发文量
189
审稿时长
16 weeks
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