评估严重疾病沟通能力:开发一个Rater培训计划
Laurie M Aluce1, Julie J Cooper, Lillian L Emlet
1Dr. Aluce: Instructor of Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL. Dr. Cooper: Associate Professor of Clinical Emergency Medicine, Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. Dr. Emlet: Professor, Department of Critical Care Medicine and Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, and Staff Physician, Critical Care Service Line, VA Pittsburgh Healthcare System, Pittsburgh, PA. Ms. Cohen: Research Associate, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL. Dr. Wood: Associate Professor, Department of Medicine and Department of Medical Education, Northwestern University Feinberg School of Medicine, Chicago, IL. Dr. Vermylen: Associate Professor, Department of Medicine and Department of Medical Education, Northwestern University Feinberg School of Medicine, Chicago, IL.
对严重疾病的沟通技能的有效评级员培训确保了一致的反. 这项研究提出了一种经过验证的方法,在医生之间达成了可靠的沟通评估的实质性协议.
科学领域:
- 医学教育 医学教育
- 沟通技能的评估 沟通技能的评估
- 医疗保健专业培训 医疗保健专业培训
背景情况:
- 在沟通技巧培训中提供一致的反需要严格的评分员培训.
- 缺乏公布的建议妨碍了在这个关键领域的可靠评估.
- 对严重疾病传播的基于能力的培训带来了独特的挑战.
研究的目的:
- 描述一个有效的方法,用于评估者培训严重疾病的沟通技巧.
- 通过使用经过验证的工具,评估受过训练的评级人员之间的可靠性.
主要方法:
- 调整了一个团队绩效评分员培训计划,用于严重疾病沟通.
- 使用了先前公布和验证的评估工具.
- 通过使用卡帕系数和类内相关系数评估评价者之间的可靠性.
主要成果:
- 五名具有沟通专业知识的医生评级人员完成了培训计划.
- 经过培训的评级员表现出与黄金标准评级员的实质性协议.
- 获得了高可靠性得分:平均kappa = 0.83 (检查清单) 和ICC = 0.83 (缩放项).
结论:
- 展示了一种有效的评级员培训方法,用于严重疾病的沟通技巧.
- 关键的调整包括促进视频讨论和代指南更新.
- 这种方法确保了沟通技巧培训中的可靠和一致的评估.
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