对内部医学过渡到住院计划的知情同意的最低标准评估:一个队列研究
Mannat Marwaha1, Raman Bhalla2, Shivani Rao1
1Rutgers School of Graduate Studies Rutgers University New Brunswick New Jersey USA.
Health science reports
|September 7, 2023
概括
医学四年级学生在过渡到住院研讨会后提高了他们的知情同意 (IC) 技能,特别是在讨论好处和替代方案时. 该研究开发了一个工具来评估IC熟练程度,确定课程增强的领域.
科学领域:
- 医学教育 医学教育
- 患者沟通 患者沟通
- 临床技能培训 临床技能培训
背景情况:
- 知情同意 (IC) 是医疗实习生的关键技能,但学生在职员期间的实践机会有限.
- 这可能导致在获得知情同意方面不一致的熟练程度,这是一个关键的可信任专业活动 (EPA).
研究的目的:
- 开发和验证一个工具,评估过渡到住院 (TTR) 研讨会在提高医学四年级学生的信息通信技能的有效性.
- 为了确定学生是否能够满足在研讨会后获得知情同意的最低标准.
主要方法:
- 60名医学四年级学生参加了一个虚拟的内科TTR课程.
- 学生完成了研讨会前和后的作业,记录了他们的IC讨论.
- 从现有工作中修改了7项IC抽象工具,用于根据以下领域评估学生表现:"什么"",为什么"",如何"",好处"",定量风险"",质量风险"和"替代方案".
主要成果:
- 学生对IC的"什么"",为什么"和"如何"有强烈的基础理解.
- 在研讨会后讨论"好处" (p=0.039) 和"替代方案" (p=0.031) 中观察到显著的改善.
- 满足最低IC标准的学生人数从15名研讨会前增加到22名研讨会后.
结论:
- 该TTR研讨会提高了学生讨论IC的好处和替代方案的能力.
- 开发的抽象工具有效地确定了学生IC技能的优缺点.
- 这些发现突出了课程改进的领域,以确保学生达到最低IC标准.
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