Can elearning be used to teach palliative care? - medical students' acceptance, knowledge, and self-estimation of competence in palliative care after elearning.

Can elearning be used to teach palliative care? - medical students' acceptance, knowledge, and self-estimation of competence in palliative care after elearning.
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DOI:
10.1186/s12909-018-1186-2
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发表时间:
2018-04-27
影响因子:
3.6
通讯作者:
Fetz K
Fetz K
中科院分区:
医学3区
文献类型:
--
作者:
Schulz-Quach C;Wenzel-Meyburg U;Fetz K

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2009年,本科姑息治疗教育(UPCE)被强制纳入德国的医学教育。实施姑息治疗(QB 13)的新的横截面考试科目仍然是医学院的一个重大挑战。很明显,学生需要更多的UPCE。另一方面,实践课的教学资源和病人的可用性不足。数字媒体和电子学习可能是解决这个问题的一个办法。本研究的主要目的是评估电子学习课程姑息治疗基础知识,关于学生接受这种教学方法和他们的表现在笔试的姑息治疗的主题。此外,学生的自我评估能力在姑息治疗进行了评估。为了调查学生对电子学习课程姑息治疗基础知识的接受程度,我们进行了一项适用于概念验证评估的横断面研究。样本由杜塞尔多夫海因里希海涅大学的三组医学生组成(N = 670)。通过海因里希海涅大学的标准评估调查了电子学习方法的接受情况。通过德国修订版的姑息治疗教育与实践问卷(PCEP-GR)测量电子学习对学生姑息治疗能力自我评估的影响。电子学习课程姑息治疗基础受到医学生的欢迎。本研究之资料显示,网路学习课程对学生自我评估缓和医疗能力并无显著影响。网络学习对医学生笔试成绩有积极的影响,网络学习是一种很有前途的学习方式,被医学生广泛接受。它可能能够增加学生在姑息治疗方面的知识。然而,很可能还有其他方法需要改变学生的自我估计姑息治疗能力。这似乎是合理的,基于经验的学习和遇到垂死的病人和他们的亲属需要增加学生的自我估计在姑息治疗能力。Heinrich海涅大学医学院临床试验登记处编号4876(批准日期2014年11月26日)。
Undergraduate palliative care education (UPCE) was mandatorily incorporated in medical education in Germany in 2009. Implementation of the new cross-sectional examination subject of palliative care (QB13) continues to be a major challenge for medical schools. It is clear that there is a need among students for more UPCE. On the other hand, there is a lack of teaching resources and patient availabilities for the practical lessons. Digital media and elearning might be one solution to this problem. The primary objective of this study is to evaluate the elearning course Palliative Care Basics, with regard to students’ acceptance of this teaching method and their performance in the written examination on the topic of palliative care. In addition, students’ self-estimation in competence in palliative care was assessed. To investigate students’ acceptance of the elearning course Palliative Care Basics, we conducted a cross-sectional study that is appropriate for proof-of-concept evaluation. The sample consisted of three cohorts of medical students of Heinrich Heine University Dusseldorf (N = 670). The acceptance of the elearning approach was investigated by means of the standard evaluation of Heinrich Heine University. The effect of elearning on students’ self-estimation in palliative care competencies was measured by means of the German revised version of the Program in Palliative Care Education and Practice Questionnaire (PCEP-GR). The elearning course Palliative Care Basics was well-received by medical students. The data yielded no significant effects of the elearning course on students’ self-estimation in palliative care competencies. There was a trend of the elearning course having a positive effect on the mark in written exam. Elearning is a promising approach in UPCE and well-accepted by medical students. It may be able to increase students’ knowledge in palliative care. However, it is likely that there are other approaches needed to change students’ self-estimation in palliative care competencies. It seems plausible that experience-based learning and encounters with dying patients and their relatives are required to increases students’ self-estimation in palliative care competencies. Heinrich Heine University Medical School Clinical Trial Registry No. 4876 (date of approval 26.11.2014).
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