加强医学教育中的同情心 - - 对临床实习与基于模拟的培训方法的有效性进行比较研究
Claudia Ebm1, R Sarti2,3, P Panico2
1Department of Biomedical Sciences, Humanitas University, Milan, Pieve Emanuele, Italy. claudia.ebm@hunimed.eu.
BMC medical education
|February 5, 2025
概括
与基于模拟的培训相比,临床实习显著提高了医学学生的同情心技能,突出了医学教育中真实世界患者互动的重要性.
科学领域:
- 医学教育 医学教育
- 医疗保健专业发展
- 临床心理学 临床心理学
背景情况:
- 慈悲的行为在医学中至关重要,改善了患者与医生的关系和护理质量.
- 虽然同情是天生的,但可以通过结构化的教育干预来培养.
- 在不同学习环境中评估同情心发展存在挑战.
研究的目的:
- 为了比较传统的临床工作人员与基于模拟的培训在培养医学学生的同情心方面的有效性.
- 调查不同学习环境如何影响同情技能的表达和发展.
主要方法:
- 在人文大学对133名医学学生 (2021-2024) 进行了回顾性纵向研究.
- 通过得分卡,学习管理系统,模拟场景和客观结构化临床检查 (OSCE) 每季度评估同情心.
主要成果:
- 在职员和模拟设置之间的同情评分没有初始差异.
- 实习生随着时间的推移显著增加了同情心 (p=0.023).
- 基于模拟的培训同情心得分没有显示持续的改善,突出了对现实世界的实践的需要.
结论:
- 刻意的课程设计对于培养医学教育中的同情心至关重要.
- 仅靠模拟训练,就无法充分复制持续同情所需的患者互动的情感深度.
- 将以同情心为重点的培训纳入医学课程中,对于培养有同情心的医疗保健专业人员至关重要.
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