基于医疗即兴的内科医生激励面试:一种新课程的混合方法评估
Carolyn A Chan1, Peyton Cabaniss2, Kenneth L Morford1
1Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Medical teacher
|June 28, 2023
概括
医疗即兴培训显著提高了居民对激励面试 (MI) 技能的信心和能力. 这种引人入胜的课程增强了MI坚持的行为,并改善了医疗保健专业人员的学习环境.
科学领域:
- 医学教育 医学教育
- 行为科学 行为科学
背景情况:
- 激励面试 (MI) 是医疗保健中的一个关键的沟通策略.
- 在患者护理中,有效的培训方法对住院人员的MI技能至关重要.
研究的目的:
- 开发和评估一个新的课程,使用医疗即兴表演来教居民动机面试 (MI) 技能.
主要方法:
- 一个为期6小时的医疗即兴创作的基础上MI课程被交付给内部医学专科医生.
- 混合方法评估包括前/后角色扮演 (通过MITI评估),信心调查和焦点小组.
主要成果:
- 在回应反对变革的论点 (29%至72%) 时,引起变革谈话 (21%至86%) 和提供信息 (39%至86%) 时,居民信心显著增加.
- 所有参与者在课程后至少获得了MI能力 (MITI分数) 的初始熟练程度,并增加了MI相关的行为.
- 焦点小组发现,即兴表演增强了MI学习,非医疗场景是有益的,这种方法对学习环境产生了积极的影响.
结论:
- 基于医疗即兴创作的课程是一个有希望和有吸引力的方法来教MI技能给居民.
- 这种创新方法有效地提高了医疗保健学员的MI能力和信心.
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