在多个早期采用者计划中开发一个综合的里程碑评估工具,以打破坏消息:一个试点项目
Anisha Turner1, Sricharan Gopakumar2, Charles Minard3
1Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA. anisha.turner@bcm.edu.
BMC medical education
|March 21, 2024
概括
一个新的综合里程碑评估 (IMA) 工具有效地评估了居民打破坏消息的能力,超过了SPIKES协议. 该工具支持医学教育中的协作评估.
科学领域:
- 医学教育 医学教育
- 沟通技能的评估 沟通技能的评估
- 研究生医学培训研究生医学培训
背景情况:
- 研究生医学教育认证委员会 (ACGME) 的里程碑评估过渡需要协作工具.
- 打破坏消息是医疗专业的核心能力.
- 现有的评估方法可能无法完全捕捉到这种基本技能.
研究的目的:
- 开发和试点一个综合里程碑评估 (IMA) 工具,以打破坏消息.
- 通过ACGME里程碑标准评估IMA工具的有效性.
- 将IMA工具的性能与已建立的SPIKES协议进行比较.
主要方法:
- 开发了具有专业性和人际交往技能子的IMA工具.
- 利用标准化患者进行"轻松"和"中等"的坏消息传递场景.
- 使用IMA和SPIKES检查清单对六个专业的第一年居民进行评估.
主要成果:
- 居民参与率高 (两次会议均为70.6%).
- IMA和SPIKES协议确定了表现极端的居民.
- 居民报告说,低于"舒适"的自我评估舒适度水平与坏消息打破.
结论:
- 开发的IMA工具优于SPIKES协议,用于评估突破坏消息的技能.
- IMA是基于里程碑的医学教育的宝贵补充工具.
- 未来的工作包括对不同专业和机构的IMA进行验证.
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