用机器学习K-Means算法提高临床推理能力

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Nadia Hachoumi, Mohamed Eddabbah, Ahmed Rhassane El Adib
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引用次数: 0

摘要

目的提高临床推理能力是培养熟练执业医师的关键。本研究探讨了机器学习,特别是k均值聚类算法,是否可以检测学生在解决问题时发生的技术和概念错误。该研究的主要问题是,机器学习在多大程度上为针对某些类型的推理缺陷的教育干预提供了个性化方法的机会。方法将K-means聚类与Bloom分类法相结合,提出一种对学生临床推理能力进行分类的新方法。该方法将不同认知水平的学习者聚集在一起,从回忆事实知识的非常基本的认知过程开始,到完全先进的临床问题化。正是这些逆向工程的集群使得针对群体特定认知需求的教学设计成为可能。使用K-means方法的聚类为超越传统评估限制的学生行为表现模式提供了有价值的见解。通过将学生置于推理能力的连续统一体上,教育者能够采取行动来响应个人的学习路径。这种干预措施可以在有效的有针对性的教学所需的规模上实时应用,这对于缩小推理差距至关重要。结论机器学习(特别是K-means聚类)与Bloom分类法等教育理论相结合,可实现电子化、高规模、多证据、个性化的临床培训。这是另一个关于机器学习如何使学生在不同认知领域的教学和个人学习成为可能的定理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving Clinical Reasoning Skills With Machine Learning K-Means Algorithm

Purpose

The enhancement of clinical reasoning is crucial in health sciences education for producing skilled practitioners. This study explores whether machine learning, particularly the K-means clustering algorithm, can detect technical and conceptual errors occurring while students are engaged in problem-solving. The study's main questions ask to what extent machine learning provides opportunities for a personalized approach towards educational interventions aimed at certain types of reasoning deficits.

Methods

A new method was proposed to classify students on clinical reasoning skills by integrating K-means clustering with Bloom's taxonomy. The approach gathered learners in clusters at different levels of cognition, starting from very basic cognitive processes of recalling factual knowledge to fully advanced clinical problematization. It was these reverse-engineered clusters that allowed the design of pedagogy that targeted the specific cognitive needs of the groups.

Results

Clustering using the K-means method provides valuable insights into performance patterns in student behaviour that extend beyond the limitations of conventional assessments. By placing students on a continuum of reasoning abilities, educators were able to take action to respond to individual learning paths. Such interventions could be applied in real time at the scale necessary for effective targeted instruction, which is essential for closing reasoning gaps.

Conclusion

The combination of machine learning, especially K-means clustering, and educational theory, such as Bloom's taxonomy, results in electronic-high-scale, multi-evidence, personalized clinical training. This is another theorem on how machine learning enables teaching and individual learning by a student in various cognitive domains.

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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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