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在模拟过程中,教师和医生在培训中的对话中的沟通:什么不是说的
Tanya N Beran1, Ghazwan Altabbaa2, Elizabeth Oddone Paolucci1
1Medical Education, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Journal of communication in healthcare
|July 4, 2023
概括
医学学习者经常表现出沉默的沟通,在床边模拟期间与学员分享一些事实,想法或感受. 这表明,教师需要积极鼓励公开对话和表达观点.
科学领域:
- 医疗教育 医学教育
- 在医疗保健领域的沟通
- 基于模拟的学习
背景情况:
- 现有的沟通模式往往无法解决将个人思想和感受排除在外的专业对话.
- 这项研究应用了一种特定的沟通概念化,以了解床边模拟期间的医学学习者-学前者相互作用.
研究的目的:
- 调查医学学习者如何在高保真性模拟环境中与受理器进行通信.
- 分析学习者在患者病例管理讨论中分享信息,想法和感觉的程度.
主要方法:
- 84名医学学习者 (居民和学生) 参与了高保真模拟.
- 一位教师提供了模两可的建议,以促使困难的对话.
- 导师和学习者之间的沟通被视频录制,并由两个评分员独立编码.
主要成果:
- 大多数学习者 (66.70%) 参与了沉默的对话.
- 这些学习者分享了很少的病例事实,个人想法或感受.
- 学习者也没有探索教师的观点.
结论:
- 医学学员可能不愿意与学员公开表达自己的想法和感受.
- 鼓励教师主动让学习者进行直接对话,以促进更开放的沟通.
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