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Facilitated web-based case discussions in surgery.

机译：促进基于网络的手术案例讨论。

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Context and setting Medical school curricula increasingly use case-based and problem-based learning models, which benefit students in clinical settings because they can be generalised to actual patients. Despite this benefit, time constraints, lack of appropriate fora, and the presence of multilevel learners hinder the widespread implementation of case-based instruction during the clinical years. Why the idea was necessary Students rotating on clerkships often find that patients represent a more attractive learning experience than lecture-style didactics. Student learning during rounds may be limited by both clinical time constraints and student concern about constant evaluation. Meanwhile, attending physicians and house staff are often pulled away from didactics by competing responsibilities. Ideally, forum time should be flexible and free from the pressures of direct evaluation. What was done We developed an online, case-based learning forum where students engaged in discussion with a senior resident. Students discussed specific cases and general clinical issues. They had access to a dedicated resident teacher who provided feedback on clinical learning and decision making. The responsible resident played no other role in the students' clerkship and did not grade the students on their performance.
机译：背景和设置医学院课程越来越多地使用基于案例和基于问题的学习模型，这使学生在临床环境中受益，因为它们可以推广到实际患者。尽管有这种好处，但时间紧迫，缺乏适当的论坛以及多层次学习者的存在阻碍了临床年度中基于案例的教学的广泛实施。为什么需要这个主意的学生换班的学生通常会发现，与演讲风格的教学法相比，患者代表了更有吸引力的学习经历。轮次中的学生学习可能会受到临床时间限制和学生对持续评估的关注所限制。同时，主治医师和内务人员经常因相互竞争的职责而脱离教学法。理想情况下，论坛时间应该灵活并且不受直接评估的压力。完成的工作我们开发了一个基于案例的在线学习论坛，学生可以在其中与一位高级居民进行讨论。学生讨论了具体病例和一般临床问题。他们可以与专门的住院老师联系，他们提供有关临床学习和决策的反馈。负责任的居民在学生文职工作中没有扮演其他角色，也没有根据学生的表现给学生打分。

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