改变包容性政策:医学院同行对同行体检实践
Allae Abdelrahman1, Tegan Whitney1, Natalie Mariam Salas1
1University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Teaching and learning in medicine
|January 22, 2024
概括
医学学生经常练习身体检查技巧,包括亲密检查. 一所学校的强制性政策造成了困扰,突出了对创伤相关医学教育和临床技能培训中患者安全的需要.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 创伤信息化的护理
背景情况:
- 身体检查技能是医学培训的核心组成部分.
- 训练时间的很大一部分用于练习体检技巧,包括亲密检查.
- 现有文献表明,这些做法对女性尤其不舒服,并强调需要自愿参与和知情同意.
研究的目的:
- 为了评估美国医学院的强制性体检实践政策.
- 评估政策造成的潜在伤害和孤立.
- 倡导一种更安全,更包容的临床技能培训方法.
主要方法:
- 对强制性体检实践要求的政策评估.
- 分析学生的经验和倡导政策变革.
- 审查现有的关于最佳实践和潜在危害的文献.
主要成果:
- 强制性政策要求学生脱衣服,造成不适,并要求弱势个人寻求住宿.
- 这种政策可能是有害和孤立的,需要披露个人弱点.
- 学生的倡导导致了对政策的审查,旨在制定一个更安全,更具包容性的程序.
结论:
- 强制性体检实践政策可能会损害学生的福祉,可能与创伤知情原则不一致.
- 在医学教育中,对创伤信息的课程设计进行研究是非常需要的.
- 学生倡导可以成为医疗培训环境的积极变革的强大力量.
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