持续影响:诊断不确定性的长期应用 沟通培训 培训
Danielle M McCarthy1, Jethel Hernandez2, Dimitrios Papanagnou3
1Department of Emergency Medicine Northwestern University, Feinberg School of Medicine Chicago Illinois USA.
AEM education and training
|August 7, 2025
概括
在诊断不确定性沟通方面接受过培训的急诊医生在几年后继续使用这些技能. 最有价值的技能是向患者保证严重疾病已经被排除在外.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 沟通技巧 沟通技巧 这些技巧
背景情况:
- 很大一部分急诊室 (ED) 患者在没有确定的诊断的情况下出院.
- 对诊断不确定性的有效沟通对于患者的理解和满意度至关重要.
研究的目的:
- 评估在基于模拟的掌握学习课程后,紧急医疗住院人员长期应用诊断不确定性沟通技能.
- 为未来的培训确定不确定性沟通检查清单 (UCC) 中最有价值的组件.
主要方法:
- 对2019-2020年接受培训的109名居民进行了调查,评估了当前的不确定性遭遇和技能利用.
- 受访者在4点的利克特等级上对21个UCC项目对未来培训的重要性进行了评价.
主要成果:
- 60%的受访者 (65名居民) 完成了调查.
- 超过90%的人经常遇到诊断的不确定性,74%的人经常应用学到的技能.
- 最受欢迎的UCC项目 (90%) 是"明确声明没有发现"危及生命"或"危险"的情况.
结论:
- 紧急医疗人员在初始培训后很长一段时间内有效地保留和利用诊断不确定性沟通技巧.
- 排除严重疾病的核心信息是患者沟通培训中最关键的要素.
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