导航具有挑战性的对话:询问和知识之间的相互作用推动了为未来的学习做准备
Anne A Kawamura1,2,3, Leah Brown4, Angela Orsino1
1Department of Pediatrics, University of Toronto, Canada.
Perspectives on medical education
|July 31, 2023
概括
医生在日常实践中通过"调查习惯"来培养沟通技巧. 这包括从具有挑战性的患者互动中不断学习,以改进知识和建立新的专业知识.
科学领域:
- 医学教育 医学教育
- 医生专业发展医生专业发展
- 沟通技巧培训 培训 沟通技巧培训
背景情况:
- 医生在临床实践中的非正式学习有所不同.
- 了解医生的动机和技能改进方法是有限的.
- 医生与病人之间的沟通是工作场所学习的关键领域.
研究的目的:
- 探索医生如何在临床实践中发展沟通技巧.
- 了解工作场所环境在医生学习中的作用.
- 确定医生追求技能提升背后的驱动因素.
主要方法:
- 对八名儿科康复医生的定性观察研究.
- 100多个小时的直接观察医生与患者的互动.
- 通过现场笔记,后观测和退出访谈收集的数据;使用构造主义立足理论进行分析.
主要成果:
- 医生在日常工作中使用"调查习惯".
- 这些习惯包括监控线索,承担风险和评估策略.
- 持续学习是由对沟通挑战的调查驱动的.
结论:
- 医师的学习是由询问和知识之间的相互作用推动的.
- 具有挑战性的沟通场景促进了新策略的开发.
- "调查习惯"鼓励持续解决问题和提升技能.
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