问问家长:为医学学习者开发儿科反表
Sarah-Marie Durr1, Sanjida Newaz2, Susan Petryk1
1Department of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Journal of medical education and curricular development
|March 17, 2025
概括
家长,模拟患者和医学学习者都同意,反对于儿科培训至关重要. 关键的反领域包括清晰的沟通,共享决策和专注的倾听,这导致了新的儿科反形式.
科学领域:
- 医学教育 医学教育
- 以患者为中心的护理
- 儿科 儿科 儿科
背景情况:
- 目前的患者反表是为成年人而设计的,而不是为儿科患者.
- 以患者为中心的医学需要将患者的观点纳入医学教育和评估中.
- 这项研究解决了对儿科专用反机制的需求.
研究的目的:
- 为了确定家长/照顾者和模拟患者 (SPs) 向医学学习者提供反的意愿.
- 评估医学学习者对收到反的接受度.
- 从护理人员,SP和学习者的角度确定最重要的反领域.
主要方法:
- REDCap调查分发给儿童和青少年服务机构和萨斯喀彻温大学 (USask) 的专科医生看过的儿童的照顾者.
- 调查还发送给USask的医学学生和住院医生 (家庭医学和儿科).
- 参与者使用利克特尺度来评价他们更喜欢给予或接受的特定反的重要性;使用R.软件计算了描述性统计数据.
主要成果:
- 高比例的护理人员 (73.6%),医疗服务人员 (89.5%) 和学习者 (88.9%) 认为学习者应该从非医生来源获得反.
- 确定的前五个反领域是:"清楚地解释事情"",让我参与 (我孩子的) 医疗计划的决定"",解决我的担忧并认真对待它们"",倾听并给予他们充分的关注"",做或说任何让我 (或我的孩子) 不舒服的事情.
结论:
- 在护理人员,医生和学习者之间,关于反对儿科临床技能评估的价值有很强的共识.
- 确定的主要反领域被整合到一个用户友好的儿科反表格中.
- 该表格包括五个利克特尺度问题和一个叙事反部分,增强了儿科医学学习者的评估.
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