...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Zeitschrift fur Arznei- und Gewurzpflanzen >Logbooks alone are not enough: initial experience with implementing a logbook for medical students in a clinical internship in gynecology and obstetrics
【24h】

Logbooks alone are not enough: initial experience with implementing a logbook for medical students in a clinical internship in gynecology and obstetrics

机译：单独的日志是不够的：在妇科和妇产科临床实习中实施医学生的初步经验

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Logbooks are being increasingly widely used as a means of improving medical education and further training. They will in all probability continue to be mandatory in the Practical Year (PJ) in Germany even after the upcoming amendment of the Medical Licensing Regulations (aAppO). However, there are different approaches to their design and use, and these are also currently undergoing considerable change. This study for the first time examines and discusses the influence of logbooks on students' evaluation of a gynecology internship. Methods The study was based on a well-established two-part 1-week internship course, with initially unstructured morning classes on wards and duty areas, along with precisely planned afternoon classes with skills training by peer teachers and seminars supervised by duty-exempted physicians. The postgraduate lecturers were prepared for the introduction of the logbook in a special course, and the aim was to optimize morning classes by introducing learning objectives adapted to the respective locations. The effects over 38 weeks of practical training were examined in evaluations by 235 prospectively group-randomized students with and without logbooks (n = 166 and n = 66, respectively; three datasets were not evaluable). Results In the cohort comparison, the logbook group responded significantly more positively toward the internship at the start of the course (P = 0.046). In the final evaluation, however, medical supervision during the entire internship was rated significantly more poorly (P = 0.007). The logbook cohort also considered that guidance based on learning objectives was significantly worse, as was the extent to which wards and duty areas were prepared for the students (P = 0.001 and P = 0.029). Conclusions Introducing a logbook to optimize clinical teaching in internships may raise expectations that cannot always be met. In addition to adapting the learning objectives to a general framework that is less favorable in comparison with the Practical Year, the least that is required appears to be simultaneous and continuous mentoring of the lecturers, as well as an increase in staffing resources.
机译：背景日志日志越来越广泛地用作改善医学教育和进一步培训的手段。他们将在所有概率中继续在德国的实际年份（PJ）中强制性，即使在即将到来的医疗许可条例（AAPPO）修正案之后。但是，他们的设计和使用方法不同，这些方法也在目前正在进行相当大的变化。本研究首次审查并探讨了对数对学生对妇科实习的影响的影响。方法该研究基于一个成熟的两部分1周实习课程，初始非结构化的晨课在病房和职责地区，以及精确计划的下午课程，并通过豁免医生监督的同行教师和研讨会的技能培训。研究生讲师准备在一个特别课程中引入日志，目的是通过引入适应各个地点的学习目标来优化早晨课程。在评估中，在评估中，在235名前瞻性组随机化学生中检测了超过38周的实际培训的效果分别没有日志（n = 166和n = 66;三个数据集没有评估）。结果在队列比较中，日志组在课程开始时响应实习（P = 0.046）。然而，在最终评估中，整个实习期间的医疗监督得多，更加差（P = 0.007）。 Logbook Cohort还考虑了基于学习目标的指导显着差，因为为学生准备了病房和税收区域的程度（p = 0.001和p = 0.029）。结论介绍了一个日志，以优化实习的临床教学可能会提高不能达到的期望。除了将学习目标适应与实际年相比不太有利的一般框架之外，所需的最少似乎是讲师的同时和连续的指导，以及人员配置资源的增加。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号