Stephanie E. Pierce2014-05-06 3:57 PM

 使用小团体角色扮演的情境式模拟来培养综合学习和临床职业素质 Fostering Integrated Learning and Clinical Professionalism Using Contextualized Simulation in a Small-Group Role-Play

Abstract

Teaching and learning in a clinical setting is important in veterinary and medical training but presents many challenges, including providing enough hands-on experience while not putting patients (animal or human) at risk. Some of the issues have been addressed with the introduction of clinical skills laboratories and communication skills training using role play. However, in both instances skills are learned in isolation, whereas the real task requires the integration of many skills including technical competencies, effective communication, decision making, and professionalism. In our study, we trialed “contextualized simulation” by combining role play with a simulator, the haptic cow, in a small-group tutorial, the Simulated Fertility Visit. Students took turns as the veterinarian; they had to establish the cow's history from the farmer (a role player), palpate the simulation, make a diagnosis, and decide on treatment, if appropriate. We included scenarios varying from common cases to challenging situations. The tutorial was introduced in the farm-animal clinical rotation, and feedback was gathered from students by means of a questionnaire. The tutorial was attended by 178 students (98% of that year's students), and 151 questionnaires were returned (85% response rate). Students reported that the tutorial was a positive learning experience and recognized that it presented an opportunity to integrate the skills needed for clinical work. Student feedback suggests that contextualized simulation provides a valuable complement to clinical cases, and we recommend extending this teaching method to other clinical scenarios and species, particularly because it provides a safe environment in which to experience, and learn from, mistakes.

KEYWORDS

SHARE & LIKE

COMMENTS

ABOUT THE AUTHOR

Stephanie E. Pierce

0 Following 0 Fans 0 Projects 19 Articles

SIMILAR ARTICLES

AbstractAlthough continuing professional development (CPD) is regarded as mandatory by the Royal College of Veterinary Surgeons, it is not yet a statut

Read More

论文摘要脊柱结构已被用作定义和诊断早期四足动物类群的关键性解剖特征。棘状椎骨长期以来被视为四足动物的原祖形态,脊柱椎骨中具有背侧置入的椎弓和神经棘,即前腹置入的间椎体和和成对的后背侧置入的半侧椎骨体。然而,我们对有关最早四足动物躯干的椎解剖仍所知甚少,因为大多数标本仍然被困在周围基质中,这模糊了重要的

Read More

论文摘要中生代镶嵌踝类主龙表现出了不同的形态和喂养方式,这表明了相当大的生态多样性,然而宏观进化模式仍然尚未被探索。在此,我们以下颌骨作为形态功能的代表,使用了形态学和生物力学差距指标的独特组合来量化生态多样性以及中生代镶嵌踝类主龙的摄食辐射。我们复原了三大主流趋势。首先,晚三叠世镶嵌踝类主龙的多样化

Read More

论文摘要传播相衬同步辐射显微层析(PPC- SRμCT)已被证明用来研究化石是非常适合的。由于化石的埋藏保存,大小,形状和密度范围十分广泛,X射线计算机断层扫描协议正为此不断发展和完善。在此我们提出了结合过滤高能量多色光束和长距PPC-SRμCT(样品检测:4-16米)的1-h过程以及正规化吸收曲线的

Read More

论文摘要在过去一个世纪中,各种现代类似生物已被用来推断躯干四足动物和他们鱼类祖先运动表现的演变且获得了不同的成功。 在此,我们对这些从软骨鱼类到哺乳动物的现代类似生物进行了系统发育审查,这强调了脊椎动物类群和运动行为的广泛谱系。我们对由水到陆地过渡早期阶段中的现代类似生物背后的利弊也进行了讨论。尤其值

Read More

论文摘要四足动物的起源以及从游泳到步行的转变是陆生脊椎动物进化和多样化的一个关键步骤。在此期间,四肢的进化,尤其是关节的专门分化和控制运动的结构,从根本上改变了早期四足动物的行动方式。尽管如此,很少有人了解早期四足动物肢体解剖学的功能性后果以及该解剖学如何影响脊椎动物在该进化的非常关键阶段中的运动能力

Read More

AbstractRegional variation in the axial skeleton of pinnipeds (seals and walruses) and its correlation with aquatic locomotory behaviour is examined us

Read More

AbstractVariation in modern crocodilian and extinct thalattosuchian crocodylomorph skull morphology is only weakly correlated with phylogeny, implying

Read More

AbstractSkull shape variation in thalattosuchians is examined using geometric morphometric techniques in order to delineate species, especially with re

Read More