GITalk: 胃腸内科フェローのためのコミュニケーションスキルのトレーニングは,重症疾患の会話に対する自己評価の準備を改善します
Alan Noll1, Arpan A Patel2, Rene Claxton3
1Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Journal of palliative medicine
|September 4, 2025
まとめ
胃腸内科のフェローは重症病会話 (SIC) の新しいトレーニングを受け,自己評価の準備を大幅に改善しました. REMAPの枠組みに基づいたGITalkプログラムは,参加者の高い満足度と推奨率を示しました.
科学分野:
- 医学教育
- 胃腸内科
- 深刻な 病気 に 関する コミュニケーション
背景:
- 胃腸内科 (GI) のフェローは重症の患者をケアしますが,重症の会話 (SIC) の正式な訓練はありません.
- 効果的なコミュニケーションスキルは 複雑な患者のニーズと 胃腸内科における終末期の議論の管理に不可欠です
研究 の 目的:
- GITalkという新しい研修プログラムを開発し,実施し,評価し,GITalkフェローに重要な重篤な病気の会話スキルを備えるように設計されています.
- GITalkの研修が,重症者との対話の準備能力の自己評価に与える影響を評価する.
主な方法:
- GITalkのトレーニングプログラムは,REMAPのフレームワークを使用して開発され,2つのシミュレートされた患者との出会いを組み込みました.
- シミュレートされた症例には,不補償性肝硬変の患者と,認知症の栄養管置換を必要とする患者が含まれていました.
- アカデミックメディカルセンターの GIフェローが参加し,準備とコースの評価に関するトレーニング前と後の調査を完了しました.
主要な成果:
- 4年間に渡って23人の GIフェローが参加し,9つの調査質問すべてにおいて,トレーニング後の自己評価の準備度合いが著しく高かったと報告した.
- 参加者の91%がGITalkのトレーニングを強く推奨し,プログラムの内容と提供に高い満足度を示しました.
- 研修は重篤な病気の会話に フレンドの自信を高めるのに ポジティブな影響を与えました
結論:
- GITalkの研修プログラムでは 深刻な病気の会話を行うための GIフェローの自己評価の準備が効果的に強化されました
- この新しいトレーニングアプローチは 複雑な患者シナリオに直面する 胃腸内科の研修生たちの コミュニケーションスキルを向上させる見込みを示しています
- このようなコミュニケーションスキルのトレーニングを GIフェローシップのカリキュラムにさらに統合することは正当です.
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