一个嵌入式课程,教学关键事件向内部医学住院人员汇报
James H Wykowski1, Susan Merel2, Helene Starks3
1is Chief Resident, Department of Medicine, School of Medicine, University of Washington, Seattle, Washington, USA.
Journal of graduate medical education
|February 2, 2024
概括
一个简短的研讨会有效地教导了内科医生在痛苦的临床事件后领导团队汇报的结构化方法. 这项培训提高了居民的信心和准备能力,以应对关键事件.
科学领域:
- 医学教育 医学教育
- 住院培训 培训 住院培训
- 临床心理学 临床心理学
背景情况:
- 内科医生经常遇到令人痛苦的临床事件.
- 有效的汇报对于减轻这些事件对居民的心理影响至关重要.
- 现有的汇报方法可能被视为耗时或缺乏结构.
研究的目的:
- 评估一小时研讨会的有效性,该研讨会旨在教 residents 居民一种结构化和高效的方法来领导团队汇报.
- 解决在进行关键事件汇报时遇到的时间和信心障碍.
- 引入和评估STREAM (结构化,及时,反思,基于TEAM) 的简报框架.
主要方法:
- 为高级内科医生提供了一个为期1小时的研讨会,讨论使用STREAM框架进行领导报告.
- 参与者完成了研讨会前和后的调查,以及轮换结束的调查.
- 一组没有参加研讨会的居民也完成了轮换结束调查,以评估舒适度.
- STREAM框架提供了一种15分钟的结构化方法,用于进行脱简.
主要成果:
- 77%的受邀老年居民 (50/65) 参加了研讨会.
- 研讨会后,参与者报告说准备能力提高,了解结构化汇报格式,并分配了足够的时间.
- 研讨会参与者比对照组更有可能感到准备好在轮换结束时领导解答报告.
- 68%的研讨会参与者和49%的比较居民完成了轮换结束调查.
结论:
- 一个简短的1小时的研讨会是教 residents一个结构化的团队汇报框架的有效策略.
- STREAM框架为关键事件汇报提供了一种高效和结构化的方法.
- 这种培训干预积极影响住户的信心和准备在管理情绪充满的临床事件的准备.
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