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眼科医学的坏消息:为住院医生举办试点技能研讨会
Kimberly M Papp1, Ian M MacDonald2
1Department of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, AB.
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie
|October 20, 2023
概括
眼科医生在正式技能研讨会后,对打破坏消息的信心增加了. 通过使用SPIKES协议和标准化患者的培训,提高了他们设定现实的期望的能力,同时保持希望.
科学领域:
- 医学教育 医学教育
- 眼科医生 眼科 眼科
- 沟通技巧 沟通技巧 这些技巧
背景情况:
- 对医疗保健专业人员来说,有效的沟通至关重要,特别是在传递困难的新闻时.
- 眼科住院医生需要专门的培训,以打破坏消息,由于眼科诊断的敏感性.
- 现有的沟通技巧培训计划可能无法充分解决眼科医学的独特挑战.
研究的目的:
- 设计和实施一个正式的技能研讨会,眼科医生居民.
- 提高居民使用既定协议练习打破坏消息的能力.
- 评估研讨会在提高居民信心和技能方面的有效性.
主要方法:
- 一个为7名眼科住院医生开发的2次会议研讨会,从俄俄州立大学的项目中改编.
- 居民参与了关于SPIKES协议的讨论,以打破坏消息.
- 模拟病例与标准化患者进行实践,并补充了患者的证词.
主要成果:
- 所有参与的居民都报告说,他们对突破坏消息遭遇的信心增加了.
- 在不减少希望的情况下设置现实的期望方面,注意到了显著的改善,反映了类似研究的发现.
- 在SPIKES讲座和标准化患者会议的有效性被评为高.
结论:
- 试点的"坏消息"研讨会受到眼科专业医生的积极欢迎.
- 研讨会展示了在居留课程中增强软技能发展的潜力.
- 对于正式的居住计划,建议进一步整合此类培训.
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