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授权医学学生应对来自患者的歧视性评论:一个恰到好处的培训方法
Alice Alexander1, Manisha Singh1, Angela Scott1
1University of Arkansas for Medical Sciences.
MedEdPublish (2016)
|March 15, 2024
概括
经过培训以解决偏见的患者陈述的医学学生感到更准备好以专业的方式作出反应. 研讨会提高了对处理歧视和参与尊重对话的信心,为医学教育提供了可扩展的解决方案.
科学领域:
- 医学教育 医学教育
- 医疗保健专业培训 医疗保健专业培训
- 医学中的偏见和歧视.
背景情况:
- 医生在培训中面临来自各种来源的骚扰和歧视,影响自尊和绩效.
- 医疗机构正在加强课程以解决偏见,为学生提供必要的工具,以专业应对具有挑战性的情况.
- 偏见的患者陈述对在临床环境中导航的学员来说是一个重大挑战.
研究的目的:
- 评估一项专门的培训干预措施的影响,旨在为医学学生提供技能,以解决偏见的患者陈述.
- 评估一个研讨会和决策表的有效性,准备医学三年级学生应对具有挑战性的临床遭遇.
- 确定有针对性的培训是否提高了学生对回应和回复歧视性评论的信心.
主要方法:
- 在临床互动之前,开发了一个结合临床决策流程图的研讨会,并交付给三年级医学学生.
- 该培训被整合到M3年"初级训练营"的方向.
- 研讨会后收集了学生的回应,以衡量他们处理歧视性评论的能力的感知变化.
主要成果:
- 参与者报告说,在研讨会结束后,他们更有可能对歧视性言论作出适当反应.
- 学生们更有信心与患者进行尊重的对话,并与教师进行汇报.
- 较少比例的参与者表示他们可能会使用提供的流程图.
结论:
- 培训研讨会被参与者认为是有用的,提高了他们对偏见患者互动的准备.
- 该干预措施的可扩展性和远程交付潜力使其对教育工作者来说非常有价值,特别是在COVID-19大流行期间.
- 需要进一步的研究来确认这种培训是否转化为改善在整个医学院解决患者和家庭起源偏见的技能.
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