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通过围产期咨询传达不确定性:为产科学员提供多模式课程的随机对照试验
Melissa Spiel1,2, Eve M Roth3, Allison A Merz-Herrala3
1Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (Spiel, Modest and Young).
AJOG global reports
|July 21, 2025
概括
一个新的基于SPIKES协议的课程显著提高了产科医生学员沟通不确定的预后的能力. 这项培训提高了以患者为中心的沟通技巧,并减少了在模拟咨询会议期间的学员压力.
科学领域:
- 医学教育 医学教育
- 产科和妇科 产科和妇科
- 沟通技巧培训 培训 沟通技巧培训
背景情况:
- 在产科中,对不确定的预后进行有效的沟通至关重要.
- 现有的培训研究生医学教育实习生的课程在这些高风险的对话中是有限的.
研究的目的:
- 设计和评估一个多式调节课程,旨在提高产科学员在传达不确定的预后方面的技能.
- 该课程的重点是提高沟通效率和以患者为中心的护理.
主要方法:
- 一个盲目的,随机的受控试验与产科住院生进行.
- 干预组接受了基于SPIKES协议的结构化,多式联络课程,包括阅读,视频和讨论.
- 通过标准化的患者接触和调查来评估沟通表现和压力水平.
主要成果:
- 与对照组相比,干预组的沟通得分明显高 (19.5比15.5,P=.02).
- 干预组的实习生使用了更多以患者为中心的技术,并报告了较低的压力水平 (3.2对4.0,P=.003).
- 干预后的调查表明,在提供复杂的预后和响应情绪线索方面,实习生舒适度有所提高.
结论:
- 基于SPIKES的结构化课程有效地提高了产科学员的沟通表现和对模拟情景的信心,其中包括不确定的预后.
- 该课程可用于研究生医学教育,并与ACGME能力保持一致.
- 更广泛地实施这种培训可以提高学习者成果和以患者为中心的产科护理.
关键词:
通信 通信 通信 通信 通信.咨询咨询 咨询 咨询 咨询课程 课程 课程 课程教育教育教育教育的教育.同理心同理心同情心产科 产科 产科 产科预后 预后 预后模拟模拟是指一个模拟模拟.培训培训培训培训培训培训培训更多相关视频
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