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我如何做到:避免认知陷 手术课程的基础
K E Kopecky1, M R Kapadia2, C Sobol3
1Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
Journal of surgical education
|September 23, 2025
概括
手术学员可以通过学习识别和响应患者的情绪来避免认知陷. 一个新的基于场景的工具可以帮助外科住院医生练习同情的沟通,增强患者关系.
科学领域:
- 医学教育 医学教育
- 手术沟通手术沟通
- 以患者为中心的护理
背景情况:
- 外科医生经常错过联系的机会,因为他们会用纯粹的认知或后勤信息来响应患者/家庭的情绪暗示.
- 这种常见的沟通陷被称为"认知陷".
研究的目的:
- 描述手术患者互动中的认知陷.
- 介绍一种新的,基于场景的教育工具,以提高外科学员识别和响应患者和家人的情绪的能力.
主要方法:
- 一份描述性报告,概述一种沟通技巧和一种新的培训工具.
- 该工具是一个基于场景的纸牌游戏,被整合到外科手术沟通基础 (FCS) 课程中.
- 在美国各地的各种普通外科住院项目中进行了试点.
主要成果:
- 在处理技术方面之前,纸牌游戏有助于练习识别情绪线索和制定同情的反应.
- 便利的小组讨论增强了情绪识别,并提供实时反.
- 该工具提高了意识,支持有意识的练习,并提高了情绪调整的沟通流性.
结论:
- 避免认知陷是一种可教练的技能,对于增强外科手术中的治疗关系至关重要.
- 一个基于场景的游戏化练习提供了一个可扩展的方法来教授以同理心驱动的沟通.
- 这种方法已经成功地被整合到国家外科住院生课程中.
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