模拟培训对医学学生的沟通技巧和知情同意实践的影响-一个随机对照试验
Cathleen A McCarrick1, Alice Moynihan2, Philip D McEntee2
1Section of Surgery and Surgical Specialities, School Of Medicine, University College Dublin, Dublin, Ireland. Cathleen.mccarrick@ucdconnect.ie.
BMC medical education
|July 18, 2025
概括
与标准学习相比,通信模拟培训 (CST) 显著提高了医学学生的知情同意技能. 这项培训提高了沟通能力,并提高了学生获得同意的信心.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 沟通技巧 沟通技巧 这些技巧
背景情况:
- 有效的沟通,特别是知情同意,对于外科医生来说至关重要.
- 评估和提高医学学生的沟通技巧是一个持续的挑战.
研究的目的:
- 评估通信模拟培训 (CST) 对高级医学学生知情同意能力的影响.
- 将CST的有效性与标准临床学习方法进行比较.
主要方法:
- 在临床手术模块期间,对高级医学学生进行了一项随机对照试验.
- 干预组接受了CST,包括角色扮演和同行讨论,而对照组接受了标准学习.
- 使用模拟患者评估了知情同意能力,并根据都柏林大学医学院的欧安组织标题和全球通信评分表 (GCRS) 进行了评分.
主要成果:
- 与对照组相比,接受CST的学生在UCD和GCRS评估中显示出明显更高的干预后分数.
- CST组的平均成绩从C提高到B+,效果大小为中大 (0.79).
- 在CST学生获得同意的自信中观察到显著的改善,80%的学生报告了增加的信心.
结论:
- 通信模拟培训是提高医学学生知情同意沟通技能的有效方法.
- 在本科临床外科培训中,CST发挥着有影响力的作用,导致能力和信心得到可衡量的改善.
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