コード ステータス ディスカッション: 医学生のための標準化された患者ワークショップ
Hunter Bechtold1, Reagan T Smith2, Peter Wallenhorst3
1Resident, Internal Medicine/Pediatrics Residency Program, Department of Medicine, University of Kentucky College of Medicine.
MedEdPORTAL : the journal of teaching and learning resources
|September 4, 2025
まとめ
この研究では,医学生に標準化された患者を用いてコードステータスディスカッション (CSD) を行うことを訓練しました. ワークショップは学生の成績を大幅に向上させました.
科学分野:
- 医学教育
- 緩和ケア
- コミュニケーションスキルの訓練
背景:
- コードステータスディスカッション (CSD) は,患者中心のケアに不可欠です.
- 多くの居住者は,中央証券取引所 (CSD) の運営に関する正式な訓練を受けていないため,コミュニケーションの質に悪影響を及ぼしています.
- 既存のトレーニングプログラムには 標準化,一般化,大規模テストが欠けていることが多い.
研究 の 目的:
- 医学生のCSD訓練のための新しいカリキュラムを評価する.
- 標準化された患者 (SP) シミュレーションが学生の自信に与える影響を評価する.
- 訓練の汎用性を決定する.
主な方法:
- 4年生の医学生192人に2時間の研修会を開催しました.
- シミュレーションベースの学習のために標準化された患者 (SPs) を利用した.
- ワークショップ前の調査とワークショップ後の調査を行い,信頼レベルを評価した.
主要な成果:
- ワークショップの後,評価されたすべての分野において,学生の信頼感は統計的に有意に増加した.
- 大規模で多様な医学生の参加が成功しました
- ワークショップ前の調査とワークショップ後の調査の完成率が高いことは,参加率が高いことを示しています.
結論:
- 標準化された患者ベースのワークショップは,医療学生のCSD実施に対する自信を効果的に高めました.
- このスケーラブルなカリキュラムは,CSDの研修を改善しようとする機関にモデルを提供しています.
- これは,CSD教育に新しい,大規模な,一般化可能なアプローチを表しています.
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