PedsTalk:为儿科住院医生提供试点沟通技巧教育课程
Samuel M Kase1, Caroline A Christianson2, Lindsay A Dow3
1Department of Pediatrics.
一个基于模拟的沟通技巧课程PedsTalk显著提高了儿科住院医生在处理严重疾病对话时的信心. 这种新的方法增强了为更好的患者-提供者沟通所必需的技能.
科学领域:
- 医学教育 医学教育
- 儿科住院培训培训 儿科住院培训
- 发展沟通技巧 发展沟通技巧
背景情况:
- 在儿科实践中,有效的沟通至关重要,但在实习生课程中经常缺乏正式培训.
- 儿科住院医生经常报告他们对沟通能力的信心很低,特别是在严重疾病讨论时.
- 需要有结构的教育干预措施来加强这些关键技能.
研究的目的:
- 评估基于模拟的沟通技巧课程对儿科住院医生的信心的影响.
- 评估与患者和家人进行严重疾病对话所需的技能改进.
- 将课程参与者的信心水平与非参与者的对照组进行比较.
主要方法:
- 开发了PedsTalk课程,使用VitalTalk框架和多学科教师.
- 与演员进行模拟课程,从训练有素的教师和同行提供实时指导.
- 在基线,课程后立即和4个月后使用5点利克特级别进行自我评价的信心评估;分析包括弗里德曼和威尔科克森等级测试,并对自由文本响应进行主题分析.
主要成果:
- 参与者表现出对关键沟通技能的持续或显著改善的信心,包括困难的对话,识别情绪,使用沉默,标题陈述,引出价值观和请求许可.
- 对照组仅对标题陈述和引起价值观的信心表现出显著的改善.
- 27名居民参与,其中11人完成了所有评估;11名非参与者作为对照.
结论:
- 该PedsTalk课程代表了一种新且有效的方法,用于增强儿科住院的沟通技巧教育.
- 参与导致居民在多个沟通领域的信心显著改善,特别是处理困难的对话.
- 虽然临床经验有助于技能发展,但PedsTalk为儿科学员的沟通能力提供了结构化的增强.
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