课程创新:通过以患者为中心的互动教学系列,提高居民对门诊神经病学的知识和兴趣
Christopher T Doughty1, Galina Gheihman1, Tracey A Milligan1
1From the Department of Neurology (C.T.D., G.G.), Brigham and Women's Hospital/Harvard Medical School, Boston, MA; Department of Neurology (T.A.M.), New York Medical College/Westchester Medical Center, Valhalla; and Department of Neurology (T.A.C.), University of Iowa, Iowa City.
神经科住院医生通过患者主导的讨论获得了门诊技能. 听取患者的经验改善了对慢性神经病的理解和共享决策,提高了对门诊神经病学职业的兴趣.
科学领域:
- 医学教育 医学教育
- 神经学 神经学
- 门诊护理 门诊护理 门诊护理
背景情况:
- 神经病学实习培训传统上强调住院护理,导致门诊疾病和管理技能的代表性不足.
- 在居民暴露于患有慢性神经疾病的患者视角和有效的共享决策策略方面存在差距.
研究的目的:
- 增强神经病学住院人员对门诊神经病学家角色和责任的理解.
- 为居民提供患者对患有慢性神经疾病的生活的见解.
- 改善居民对临床实践中有效共享决策的理解.
主要方法:
- 一个新的教学系列介绍了患者与他们的门诊神经科医生之间的讨论.
- 试点进行了六次每隔两个月一次的1小时的会议,最初是面对面的,后来是虚拟的,重点是特定的神经系统疾病.
- 对住户,教师和患者进行了调查,以评估该计划的有效性和完善格式.
主要成果:
- 定性反突出了患者的观点作为居民和教师最有价值的组成部分.
- 大多数居民,所有参与的教师和所有患者都同意学习目标得到了实现.
- 48%的住户报告说,他们对追求门诊神经病学职业的兴趣增加了.
结论:
- 该教学系列有效地解决了神经病学培训中代表性不足的门诊主题.
- 纳入患者叙述对于实现与慢性疾病管理和共享决策相关的学习目标至关重要.
- 关键的成功因素包括教师调节,结构化的讨论点和视觉辅助工具;未来的研究应该评估长期的行为影响.
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