学习与患者沟通潜在的痛苦的妇科手术程序
1Professor emerita at Stanford University School of Medicine in Stanford, California.
AMA journal of ethics
|February 3, 2025
概括
医疗学员需要对患者的疼痛和知情同意进行教育. 有反的早期和持续的实践对于开发产科和妇科的共享决策技能至关重要.
科学领域:
- 医学教育 医学教育
- 产科和妇科 产科和妇科
- 疼痛管理 疼痛管理
背景情况:
- 疼痛的程序在产科和妇科中很常见.
- 患者的疼痛感知是主观的,并受到生活经历的影响,包括创伤和不良童年事件.
研究的目的:
- 概述一个框架,教育医学学习者疼痛和在产科和妇科的知情同意.
- 强调将疼痛讨论纳入医疗培训中的知情同意过程的重要性.
主要方法:
- 关于疼痛和知情同意的临床前教育.
- 与标准化和真实患者进行知情同意讨论的观察和实践.
- 经验丰富的临床医生对共享决策的反.
- 在与病人接触后,纳入反思性实践.
主要成果:
- 学习者需要有结构的机会来理解疼痛和知情同意过程.
- 监督的实践和反对于发展讨论疼痛和管理技能至关重要.
- 共享决策是有效知情同意的关键组成部分.
结论:
- 医学教育必须包括关于疼痛的全面培训和产科和妇科的知情同意.
- 通过实践和反思不断学习,提高了管理患者疼痛的临床技能.
- 有效的知情同意需要解决患者的疼痛经历,并促进共享决策.
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