一个真实的学习经验,医学生在进行家庭会议的学习经验
Mariana Khawand-Azoulai1, Elisse Kavensky1,2,3, Julia Sanchez1
1Division of Geriatrics and Palliative Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
医学学生通过模拟的家庭会议接受了严重疾病对话的培训. 该课程改善了对生命结束讨论的准备,学生满意度很高.
科学领域:
- 医学教育 医学教育
- 抚慰性护理是一种缓解性护理.
- 沟通技巧 沟通技巧 这些技巧
背景情况:
- 医学院通常缺乏针对严重疾病对话的结构化培训.
- 生命末期的讨论对实习生来说至关重要,但也是具有挑战性的.
- 制定了一个课程,以解决医疗教育中的这个差距.
研究的目的:
- 评估一个旨在培训医学学生进行严重疾病对话的课程.
- 评估学生的准备和接受终身讨论培训的情况.
- 提供课程及其成果的概述.
主要方法:
- 一个翻转的课堂格式被使用,学生们事先审查材料.
- 学生们参加了一个基于Zoom的跨专业团队模拟家庭会议.
- 角色扮演涉及讨论复杂的患者病例,护理目标和呼吸机停用.
主要成果:
- 80名学生参加了为期两年的培训.
- 会议前的调查表明,学生预计预后和情绪将面临挑战.
- 会议后的评估非常积极,平均为4.7-4.9/5.5.
结论:
- 会议前的反思加强了学生为模拟严重疾病对话的准备.
- 严重疾病对话课程受到医学学生的好评.
- 这项培训旨在更好地为临界患者和家庭讨论做好住院人员的准备.
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