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"掌握困难的对话"沟通课程:利用欧安组织和研讨会来为学习者准备居住
John R Hayes1, Tavinder Ark2, Leslie Ruffalo3
1Medical College of Wisconsin, Department of Community and Family Medicine, Wauwatosa, WI.
PRiMER (Leawood, Kan.)
|July 29, 2025
概括
医疗教育往往缺乏培训,难以进行患者对话. 在线选修课通过互动研讨会和客观结构化临床检查 (OSCE) 提高了高级医学学生的沟通技巧,提高了对具有挑战性的讨论的准备.
科学领域:
- 医疗教育 医学教育
- 沟通技巧培训 培训 沟通技巧培训
背景情况:
- 医生需要提高谈话难度的技能,包括健康素养,行为改变和生命末期护理.
- 传统的医学课程往往不足以为这些基本的沟通挑战做好准备.
研究的目的:
- 分析高级医学学生"掌握困难的对话"在线选修课程的有效性.
- 评估结构化沟通培训对医生为挑战性患者互动做好准备的影响.
主要方法:
- 4周的在线选修课程包括交互式研讨会和客观结构化临床检查 (OSCE).
- 课程的主题包括健康素养,管理激动的患者,行为改变和传递坏消息.
- 从35名学生的质量 (反思论文) 和定量 (标准化评估) 数据分析了4年的时间.
主要成果:
- 对反思论文的分析揭示了关键主题:目标,同情心,经验教训,优势和积极反.
- 匿名评估表明学生的满意度很高,并且成功实现了课程目标.
- 采用基于Zoom的欧安组织会议的在线格式得到了好评,并证明了远程教育的可行性.
结论:
- 一个结构化的沟通计划,包括交互式讨论和形成性的欧安组织,显著提高了医学学生的准备艰难的患者接触.
- 基于Zoom的在线交付模式是培养沟通技能的有效和可复制的教育工具.
- 扩大结构化沟通课程对于改善患者结果和医生福祉至关重要.
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