外科住院人员的沟通经验:一个潜在的观察需要评估评估
Anna Newcomb1, McKenna Stidham2, Holly Wehrlen3
1Advanced Surgical Technology and Education Center, Department of Surgery, Inova Fairfax Hospital, Falls Church, Virginia.
Journal of surgical education
|September 20, 2025
概括
外科住院医生发现医院系统,技术和同事的分歧比患者的讨论更具挑战性. 培训应优先考虑这些复杂的沟通问题,以改善外科教育.
科学领域:
- 医学教育 医学教育
- 手术沟通手术沟通
- 医疗保健专业培训 医疗保健专业培训
背景情况:
- 有效的沟通对于外科医生来说至关重要,包括患者同意,家庭讨论,护理协调和表现出能力.
- 对于外科住院医生来说,最具挑战性的沟通任务和最佳的培训优先级仍然未被确定.
- 没有先前的研究前性地评估了外科 residents 的沟通活动,舒适度和能力.
研究的目的:
- 为了前性地观察和分析外科住院医生的沟通经历.
- 确定不同培训水平的居民所经历的具有挑战性的沟通任务和主题.
- 为外科医生实习生制定有针对性的沟通培训课程提供信息.
主要方法:
- 一项前性观察性研究,涉及23名外科住院医生和300次记录的沟通接触.
- 数据收集包括遭遇细节 (地点,持续时间,主题),居民反思和研究人员的观察.
- 对居民评论和现场笔记进行定性分析,以确定共同的主题和经验.
主要成果:
- 实习生报告说,对不熟悉的协议,非标准化的护理,口译技术和电子中断的舒适度最低.
- 经验更丰富的居民面临着专业间协调和不清楚流程的挫折.
- 虽然高风险的患者/家庭讨论具有挑战性,但系统性问题 (技术,同事) 在各个层面造成了更多的痛苦.
结论:
- 培训应涉及复杂的场景,如谈判临床计划,管理咨询和在时间压力下支持家庭.
- 系统性和人际沟通挑战,而不是直接的患者互动,为住户带来更大的困难.
- 需要进一步的纵向,多机构研究来完善沟通培训需求.
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