一个身体的难题:远程咨询对研究生医学教育所带来的挑战
John R Campion1, Peter Cantillon2
1School of Medicine, University of Galway, Galway, Ireland.
The clinical teacher
|October 9, 2023
概括
实习医生发现远程咨询具有挑战性,缺少患者的身体存在以获得全面的理解. 这凸显了需要更好的方法来培训医生,当病人没有物理存在.
科学领域:
- 医学教育 医学教育
- 临床培训 临床培训
- 数字健康数字健康
背景情况:
- 随着COVID-19的流行,医院的远程诊断也开始出现.
- 远程环境对临床和学习环境的影响尚未完全理解.
- 这项研究调查了实习生如何适应新型远程咨询培训.
研究的目的:
- 探索医疗学员在远程咨询环境中学习的经验.
- 了解新型远程临床环境中学员所面临的挑战.
主要方法:
- 针对八名胃肠病学医生 (四名顾问,四名实习生) 进行了有目的的抽样.
- 个人,半结构面试.
- 对成绩单的解释性现象学分析.
主要成果:
- 实习生发现,远程创建精神病患者模型比咨询师更难.
- 实习医生强调了患者身体存在对于整体评估的重要性.
- 缺乏体检阻碍了学员形成可行的心理模型的能力.
结论:
- 患者的身体存在是教学和学习的关键教育要素.
- 需要进一步研究临床医生对缺席患者的心理建模.
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