目的 探讨跨专业教育在医学本科教育中的应用及效果。方法 对32名来自不同专业的医学本科生实施跨专业教育项目。采用跨专业学习准备量表对教学效果进行评价。结果 课程结束时,32名医学本科生的跨专业学习准备量表评分由(3.83±0.29)分提高到(4.12±0.33)分,差异具有统计学意义(t=-3.795, P<0.001)。结论 跨专业教育可以有效提升学生的跨专业学习态度,有助于提高其跨专业团队合作能力。在未来的医学教育中,需进一步探索和发展跨专业教育。
Objective To evaluate the application and effect of inter-professional education (IPE) intervention on medical undergraduates.Methods Thirty-two students from medicine, nursing, physiatrics and pharmacy were involved in the IPE program. They completed the readiness for interprofessional learning scale (RIPLS) before and after the IPE program.Results The score of RIPLS was increased from (3.83±0.29) to (4.12±0.33) before and after the IPE program (t=-3.795, P<0.001).Conclusions The IPE program had a positive influence on students' attitudes towards IPE learning and promoted inter-professional collaborative competency. The IPE in medical education should be developed in future.
[1] Oandasan I, Reeves S.Key elements for interprofessional education.Part 1: the learner, the educator and the learning context[J]. JInterprof Care, 2005,19 Suppl 1:21-38. DOI: 10.1080/13561820500083550.
[2] Committee on Quality Health Care in America.Crossing the quality chasm: A new health system for the 21st century [R]. Washington: National Academy Press, 2001.
[3] Centre for the Advancement of Interprofessional Education (CAPIE).Defining IPE[EB/OL]. [2013-04-12]. http://www.caipe.org.uk/resources/defining-ipe/.
[4] Darlow B, Coleman K, McKinlay E, et al.The positive impact of interprofessional education: A controlled trial to evaluate a programme for health professional students[J]. BMC Med Educ, 2015,15:98. DOI: 10.1186/s12909-015-0385-3.
[5] Gilbert JH, Yan J, Hoffman SJ.A WHO report: Framework for action on interprofessional education and collaborative practice[J]. J Allied Health, 2010,39 Suppl 1:196-197.
[6] Frenk J, Chen L, Bhutta ZA, et al.Health professionals for a new century: Transforming education to strengthen health systems in an interdependent world[J]. Rev Peru Med Exp Salud Publica, 2011,28(2):337-341.
[7] Robertson B, Kaplan B, Atallah H, et al.The use of simulation and a modified Team STEPPS curriculum for medical and nursing student team training[J]. Simul Healthc, 2010,5(6):332-337. DOI:10.1097/SIH.0b013e3181f008ad.
[8] Hope JM, Lugassy D, Meyer R, et al.Bringing interdisciplinary and multicultural team building to health care education: The downstate team-building initiative[J]. Acad Med, 2005,80(1):74-83.
[9] Parsell G, Bligh J.The development of a questionnaire to assess the readiness of health care students for interprofessional learning (RIPLS)[J]. Med Educ,1999,33(2):95-100.
[10] 王荣梅, 史念珂, 白锦兵, 等.护理学和临床医学专业学生跨专业学习态度的对比研究[J]. 中国实用护理杂志,2014,30(36):15-18. DOI:10.3760/cma.j.issn.1672-7088.2014.36.004.
Wang RM, Shi NK, Bai JB, et al.The attitudes towards interprofessional learning between nursing students and medical students[J]. Chinese Journal of Practical Nursing,2014,30(36):15-18. DOI:10.3760/cma.j.issn.1672-7088.2014.36.004.
[11] 庄淑梅, 丰小庆.跨专业教育在临床医护操作技术课程中的实施[J]. 中华护理教育,2015,12(8):577-580. DOI:10.3761/j.issn.1672-9234.2015.08.005.
Zhuang SM, Feng XQ.Effects of interprofessional education in the course of clinical operation techniques[J]. Chinese Journal of Nursing Education,2015,12(8):577-580. DOI: 10.3761/j.issn.1672-9234.2015.08.005.
[12] Joseph S, Diack L, Garton F, et al.Interprofessional education in practice[J]. Clin Teach, 2012,9(1):27-31. DOI: 10.1111/j.1743-498X.2011.00486.x.
[13] Lairamore C, George-Paschal L, McCullough K, et al.A case-based interprofessional education forum increases health students' perceptions of collaboration[J]. Med Sci Educ, 2013, 23(3):472-481. DOI:10.1007/BF03341670.
[14] Hertweck ML, Hawkins SR, Bednarek ML, et al.Attitudes toward interprofessional education: Comparing physician assistant and other health care professions students[J]. J Physician Assist Educ,2012,23(2):8-15.
[15] Keshtkaran Z, Sharif F, Rambod M.Students' readiness for and perception of inter-professional learning: A cross-sectional study[J]. Nurse Educ Today, 2014,34(6):991-998. DOI: 10.1016/j.nedt.2013.12.008.
[16] Coster S, Norman I, Murrells T, et al.Interprofessional attitudes amongst undergraduate students in the health professions: A longitudinal questionnaire survey[J]. Int J Nurs Stud,2008,45(11):1667-1681. DOI:10.1016/j.ijnurstu.2008.02.008.
[17] Schmitt M H.Core competencies for interprofessional collaborative practice: A US expert panel report[J]. J Interprof Care, 2013, 27:17-18.
[18] 程筱雯.临床医学和检验医学本科跨专业教育新模式探讨[J]. 科技创新导报,2016(15):156-157. DOI:10.16660/j.cnki.1674-098X.2016.15.156.
[19] Ruebling I, Pole D, Breitbach AP, et al.A comparison of student attitudes and perceptions before and after an introductory interprofessional education experience[J]. J Interprof Care, 2014,28(1):23-27. DOI:10.3109/13561820.2013.829421.
[20] 吴伟, 孙玮, 刘菲, 等.医学模式变化与医学跨专业教育[J]. 中华医学教育杂志,2015,35(2):168-170. DOI:10.3760/cma.j.issn.1673-677X.2015.02.003.
Wu W, Sun W, Liu F, et al.Changes in medical models and interdisciplinary medical education[J]. Chin J Med Edu,2015,35(2):168-170. DOI:10.3760/cma.j.issn.1673-677X.2015.02.003.