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The Validation of Geriatric Cases for Interprofessional Education: A Consensus Method
Journal of Medical Education and Curricular Development ( IF 2.0 ) Pub Date : 2020-01-01 , DOI: 10.1177/2382120520957639
Carolyn Cj Teuwen 1 , Rashmi Ra Kusurkar 2 , Hermien Wh Schreurs 3 , Hester Hem Daelmans 4 , Saskia Sm Peerdeman 5
Affiliation  

Background: Case-based Interprofessional Education (IPE) can help students practise their roles and responsibilities. To construct these cases, input from experts in clinical practice is essential. Consensus between these experts can be facilitated using consensus methods. In this study, a geriatric focus for the cases was chosen because of the interprofessional nature of geriatrics and the ageing population in healthcare facilities. Methods: By combining the 3 most commonly used consensus methods, we developed a 6-step approach to validate cases for IPE. The 6 steps include 3 expert rounds (Steps 1, 3 and 5) and 2 rounds in which discussion points were formulated by the researcher (Steps 2 and 4). The cases were piloted with students as Step 6. Four facets of a case were included: the patient description, the complemented treatment plan, the difficulty of the case and the scoring of the treatment plan. Our educational setting required constructing 4 cases with increasing difficulty. Results: Step 1: 5 typical geriatric cases were assembled. Step 2: Similar characteristics were defined; 5 cases were merged into 4. The 4 cases showed increasing difficulty levels. Step 3: The constructed cases were validated for patient description authenticity, treatment plan adequacy, difficulty and scoring of the treatment plan. Step 4: The items for further discussion were defined. Step 5: Consensus was reached for all 4 cases through a face-to-face discussion. Step 6: The student pilot for Case 1 showed no significant adjustments. Conclusion: We developed a 6-step consensus method to validate cases for IPE, and we constructed 4 geriatric cases based on this method. While consensus about the patient descriptions and difficulty levels was reached easily, consensus on the treatment plans was more difficult to achieve. Validation of the scoring of the treatment plan was unsuccessful. Further research on this will be conducted.

中文翻译:

跨专业教育老年病例的验证:一种共识方法

背景:基于案例的跨专业教育(IPE)可以帮助学生实践他们的角色和责任。为了构建这些病例,临床实践专家的意见是必不可少的。可以使用共识方法促进这些专家之间的共识。在这项研究中,由于老年病学的跨专业性质和医疗机构中的人口老龄化,因此选择了老年病学重点病例。方法:通过结合 3 种最常用的共识方法,我们开发了一种 6 步方法来验证 IPE 病例。这 6 个步骤包括 3 个专家回合(步骤 1、3 和 5)和 2 个由研究人员制定讨论点的回合(步骤 2 和 4)。案例与学生一起作为第 6 步进行试点。包括案例的四个方面:患者描述、补充治疗计划、病例的难易程度和治疗方案的评分。我们的教育环境需要构建 4 个难度越来越大的案例。结果: 步骤1:组装了5个典型的老年病例。第 2 步:定义了类似的特征;5个案例合并为4个。4个案例的难度越来越大。第三步:对构建的病例进行患者描述真实性、治疗计划充分性、治疗计划难度和评分的验证。第 4 步:确定进一步讨论的项目。第 5 步:通过面对面的讨论,就所有 4 个案例达成共识。第 6 步:案例 1 的学生飞行员没有显示出显着的调整。结论:我们开发了一种 6 步共识方法来验证 IPE 病例,并基于此方法构建了 4 个老年病例。虽然很容易就患者描述和难度级别达成共识,但就治疗计划达成共识则更加困难。治疗计划评分的验证不成功。将对此进行进一步研究。
更新日期:2020-01-01
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