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将基于能力的沟通培训推广到规模:为紧急医疗住院人员提供一个多机构的基于虚拟模拟的掌握学习课程
Laurie M Aluce1, Julie J Cooper2,3, Lillian Liang Emlet4,5
1Instructor of Medicine and Emergency Medicine, Department of Medicine and Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Medical teacher
|May 28, 2024
概括
这项研究表明,基于虚拟模拟的掌握学习课程有效训练医生打破坏消息 (BBN) 沟通技巧. 可扩展模型为所有参与者实现了掌握,解决了基于能力的培训方面的差距.
科学领域:
- 医学教育 医学教育
- 沟通技巧培训 培训 沟通技巧培训
- 基于模拟的学习
背景情况:
- 医生缺乏严重疾病沟通技能的基于能力的培训.
- 可扩展性障碍阻碍了传播技能教育的广泛采用.
- 打破坏消息 (BBN) 是一个关键的医生沟通技巧,需要有效的培训.
研究的目的:
- 评估基于虚拟模拟的多中心掌握学习 (vSBML) 课程对BBN技能的可行性.
- 解决基于能力的沟通技能培训中的可扩展性障碍.
- 评估vSBML对医生BBN能力的影响.
主要方法:
- 在三个学术医疗中心向第一年急诊医生提供了一个虚拟课程.
- 参与者接受了与标准化患者 (SPs) 的前后测试和研讨会.
- 掌握被定义为在经过验证的BBN评估工具上达到最低合格标准 (MPS),并有机会进行故意练习.
主要成果:
- 90%的符合条件的居民 (28/31) 完成了课程.
- 观察到BBN技能的显著改善,干预后的检查清单表现从53%上升到93% (p < 0.001).
- 所有参与者都成功完成了MPS,证明了对BBN通信的掌握.
结论:
- 多站点vSBML课程是教BBN技能的可行和可扩展的模型.
- 这种方法使得基于能力的沟通技能教育能够广泛普及.
- 该研究成功地使所有参与者掌握了打破坏消息的技巧.
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