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Basic practical skills teaching and learning in undergraduate medical education – a review on methodological evidence

机译:本科医学教育中的基本实践技能教与学–方法论证据综述

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摘要

>Objective: Practical skills are an essential part of physicians’ daily routine. Nevertheless, medical graduates’ performance of basic skills is often below the expected level. This review aims to identify and summarize teaching approaches of basic practical skills in undergraduate medical education which provide evidence with respect to effective students’ learning of these skills.>Methods: Basic practical skills were defined as basic physical examination skills, routine skills which get better with practice, and skills which are also performed by nurses. We searched PubMed with different terms describing these basic practical skills. In total, 3467 identified publications were screened and 205 articles were eventually reviewed for eligibility. >Results: 43 studies that included at least one basic practical skill, a comparison of two groups of undergraduate medical students and effects on students’ performance were analyzed. Seven basic practical skills and 15 different teaching methods could be identified. The most consistent results with respect to effective teaching and acquisition of basic practical skills were found for structured skills training, feedback, and self-directed learning. Simulation was effective with specific teaching methods and in several studies no differences in teaching effects were detected between expert or peer instructors. Multimedia instruction, when used in the right setting, also showed beneficial effects for basic practical skills learning.>Conclusion: A combination of voluntary or obligatory self-study with multimedia applications like video clips in combination with a structured program including the possibility for individual exercise with personal feedback by peers or teachers might provide a good learning opportunity for basic practical skills.
机译:>目标:实践技能是医师日常工作中必不可少的一部分。尽管如此,医学专业毕业生的基本技能表现往往低于预期水平。这篇综述旨在确定和总结本科医学教育中的基本实践技能的教学方法,这些方法为有效学生学习这些技能提供了证据。>方法:基本实践技能被定义为基本体检技能,通过练习会变得更好的常规技能,以及由护士执行的技能。我们使用不同的术语搜索PubMed,这些术语描述了这些基本的实践技能。总共筛选了3467篇鉴定出的出版物,最终对205篇文章进行了资格审查。 >结果:分析了43项研究,这些研究至少包括一项基本的实践技能,两组本科医学生的比较以及对学生表现的影响。可以确定7种基本的实践技能和15种不同的教学方法。在结构化技能培训,反馈和自主学习方面,发现了关于有效教学和掌握基本实践技能的最一致的结果。在特定的教学方法下,模拟是有效的,在一些研究中,专家或同伴的教学效果没有发现差异。多媒体教学在正确的环境中使用时,也显示出对基本实践技能学习的有益效果。>结论:将自愿或强制性自学与多媒体应用(例如视频剪辑)结合并结合结构化程序包括同伴或老师的个人反馈下进行个人锻炼的可能性,可能为基本的实践技能提供良好的学习机会。

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