构建一个更具包容性的环境:从两年微型攻击研讨会中吸取的教训
Rachel King1, Timothy D Gilligan, Nicole Fennell
1Ms. King: Director of Educational Integrity/Title IX Coordinator, Office of Educational Integrity, Cleveland Clinic, Cleveland, OH. Dr. Gilligan: Associate Professor of Medicine, Vice-Chair for Education, DEI Officer for Graduate Medical Education, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University School of Medicine, Cleveland, OH, and Department of Hematology and Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH. Ms. Fennell: Administrative Director, Center for Youth and College Education, Cleveland Clinic, Cleveland, OH. Dr. Harris: Associate Staff Physician, Program Director, Palliative Medicine Fellowship Program, The Louis and Harry Horvitz Palliative Medicine Program, Department of Palliative and Supportive Care, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH. Dr. Knettle: Medical Director, Assistant Professor, Center for Health Professions Education, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University School of Medicine, Cleveland, OH. Dr. Nowacki: Associate Staff Biostatistician, Associate Professor, Department of Quantitative Health Sciences, and Cleveland Clinic Lerner College of Medicine of Case Western Reserve University School of Medicine, Cleveland, OH. Dr. Stoller: Professor and Chairman, Education Institute, Jean Wall Bennett Professor of Medicine and Samson Global Leadership Academy Endowed Chair, Cleveland Clinic, Cleveland, OH. Dr. Tizzano: Director of Student/Learner Health, Assistant Clinical Professor of Surgery, Cleveland Clinic, Cleveland, OH, and Cleveland Clinic Lerner College of Medicine of Case Western Reserve University School of Medicine, Cleveland, OH. Dr. Wiggins: Program Manager, Mandel Global Learning and Leadership Institute, Cleveland Clinic, Cleveland, OH. Dr. Yepes-Rios: Assistant Dean, Student Community and Engagement, Case Western Reserve University School of Medicine, Cleveland, OH, and Cleveland Clinic Lerner College of Medicine of Case Western Reserve University School of Medicine, Cleveland, OH.
一个研讨会显著提高了医疗保健专业人员在识别和应对微型攻击方面的信心. 这些对包容性和患者护理的积极影响在培训后至少持续了三个月.
科学领域:
- 医学教育 医学教育
- 医疗保健专业发展
- 多样性,平等和包容性在医学上
背景情况:
- 微型攻击在医疗机构中普遍存在,阻碍了包容性和患者护理.
- 开发有效的干预措施来解决微型攻击对于医学教育至关重要.
研究的目的:
- 为医疗保健专业人员开发和评估一个微型攻击研讨会.
- 评估研讨会对参与者识别和应对微型攻击的能力的影响.
主要方法:
- 一个跨专业小组根据现有研究开发了一个研讨会.
- 超过1400名参与者参加了虚拟和面对面的会议.
- 在前后和1个月和3个月后的随访调查中,测量了信心水平.
主要成果:
- 在研讨会后,参与者对识别微型攻击的信心增加了近20个点.
- 对应微型攻击的信心也上升了近20个百分点.
- 这些改善在1个月和3个月的随访中持续.
结论:
- 微侵略研讨会是医疗保健机构的有效和可扩展的干预措施.
- 讲故事是一种强大的工具,可以让参与者参与多样性和包容性培训.
- 辅导员必须解决潜在参与者的创伤复原和不同的知识水平.
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