使用基于模拟的学习与标准化患者 (SP) 在隐性偏见缓解临床医师培训计划中
Jennifer Tjia1, Michele Pugnaire2, Joanne Calista2,3
1Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, USA.
Journal of medical education and curricular development
|June 16, 2023
概括
这项研究改进了医疗保健专业人员使用社区投入和模拟的隐性偏见培训计划. 修订后的课程将教学与模拟分开,增强学员和患者倡导者的经验.
科学领域:
- 医学教育 医学教育
- 健康差距 研究 研究 研究 研究
- 隐含偏见培训 隐含偏见培训
背景情况:
- 由于隐性偏见的影响,医疗保健的差异仍然存在.
- 临床实习生需要有效的偏见识别和管理技能.
- 社区参与对于开发相关的医疗保健干预措施至关重要.
研究的目的:
- 描述隐性偏见识别和管理培训计划的开发和完善.
- 将社区反纳入临床学员偏见缓解策略.
- 通过代设计来提高培训计划的有效性.
主要方法:
- 参与性行动研究涉及社区成员和学术教师.
- 开发一个为期两会的培训计划,用于医疗居民和护理学生.
- 利用教学,隐含关联测试 (IAT) 和基于模拟的与标准化患者 (SPs) 的遭遇.
主要成果:
- 最初的程序改进解决了关于会话顺序和教师支持的实习生和SP反.
- 修订后的课程将教学内容与IAT和SP模拟分开.
- 改进的节目包含了更多关于身份,种族,民族和结构性种族主义的互动讨论.
结论:
- 使用模拟和社区参与的隐性偏见培训计划是可行的.
- 根据当地患者群体量身定制内容可以提高相关性.
- 需要进一步的研究来评估这种培训模式的更广泛的影响和可复制性.
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