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在过渡到住院课程中进行交付教育的同行评审:一项前性队列研究
Rajiv Trehan1, Catherine Chen2, Raman Bhalla2
1Robert Wood Johnson Medical School Rutgers University Piscataway New Jersey USA.
Health science reports
|August 9, 2024
概括
同行辅助学习有效地提高了医学学生的患者交接技巧. 同行评价的结果与教师评估相似,突出了将同行评价纳入医学教育的价值.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 临床交流 临床沟通
背景情况:
- 交接错误对患者护理中的哨兵事件有很大影响.
- 认证机构要求对医疗学员进行有效的患者移交交付的培训.
- 在患者过渡期间改善沟通对于住院成功至关重要.
研究的目的:
- 评估同行辅助学习 (PAL) 在提高医学学生交接教育方面的有效性.
- 评估结构化的同行评价过程对交付质量和准确性的影响.
- 在模拟环境中,将同行评估的有效性与教师评估进行比较.
主要方法:
- 医学四年级学生 (n=67) 参加过渡到实习计划.
- 一个修改的I-PASS交付标签被用于评估.
- 学生提交了书面交付,然后在高保真模拟中进行同行评估,并与口头交付一起进行.
- 教师评估了录制的口头交换.
主要成果:
- 学生在同行评估后的交付质量和准确性方面显示出统计学上显著的改善.
- 同行评价的结果与教师评估的质量和准确性相似.
- 同行和教师分数之间没有发现显著差异.
结论:
- 同行评价者可以有效地使用标准化检查清单来评估患者交接报告.
- 移交教育中的同行评审产生了类似于教师评估的结果.
- 标准化的同行评审是医学学生和住院人员交接培训的一个有价值的策略,培养了必要的反技能.
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