采用跨专业(IP)角色扮演和病人叙述的教育方法,向乳腺癌管理专业的本科生灌输同理心和沟通技巧。

IF 2.7 2区 医学 Q1 EDUCATION & EDUCATIONAL RESEARCH BMC Medical Education Pub Date : 2024-11-16 DOI:10.1186/s12909-024-05997-9
Caren D'souza, Animesh Jain, Tatiyana Mandal, Ciraj Ali Mohammed, Kishan Prasad Hl, Supriya Pinto
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引用次数: 0

摘要

背景:病人叙述和角色扮演等互动式教学方法是医学教育的有效工具。在教学过程中融入病人对疾病和标准化治疗的看法,有助于学生提高同理心,更好地进行医患沟通:方法:针对乳腺癌患者面临的各种社会心理问题,随机选取了 77 名医学专业四年级学生,通过角色扮演和患者叙述的方式开展互动模块,教授沟通技巧和医患关系。通过前后测试、课程反馈和访谈收集了参与者对干预措施的看法。根据情况对数据进行了定量和定性分析。评估中使用了结构化临床考试(OSCE)观察站,通过案例情景模拟向模拟患者宣布坏消息:结果:大多数学员认为,在面对真正的病人之前,需要进行这样的互动环节,让他们扮演医生的角色。在阅读叙述时,他们感到叙述者的情感是真实的,他们有一种参与感。他们中的大多数人都能体会到病人的社会和情感方面的感受,并理解在治疗乳腺癌病人时的跨专业(IP)团队合作。93.4%的参与者认为他们获得了处理与病人沟通困难情况的能力:叙事和角色扮演等互动式教学方法有助于提高学生的沟通能力和同理心,这对未来的医生至关重要。这些方法可与现有课程无缝整合,在不影响学习的情况下提供实践经验,加深理解和移情。
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An educational approach using interprofessional (IP) role plays and patient narratives to inculcate empathy and communication among undergraduates in breast cancer management.

Background: Interactive teaching methods such as patient narratives and role plays are effective tools in medical education. Incorporating the patient's perspective of the disease and standardized treatment in the teaching process helps the students become more empathetic and have better doctor-patient communication.

Methods: An interactive module was conducted using role plays and patient narratives to teach communication skills and doctor-patient relationships to randomly chosen Seventy-seven final-year(4th year) medical students to address the various psychosocial problems faced by the patients with breast cancer. Participants' perspectives regarding the intervention were collected using pre and post-tests, session feedback, and interviews. The data were analyzed quantitatively and qualitatively, as appropriate. Observed Structured Clinical Examination (OSCE)stations with case scenarios to break bad news to simulated patients were used for the assessment.

Results: Most participants felt that such interactive sessions were needed where they played the role of a doctor before facing an actual patient. While reading the narratives, they felt that the narrators' emotions were genuine and that they felt involved. Most of them could relate to the social and emotional aspects of the patient and understood the Interprofessional (IP) teamwork in the treatment of a breast cancer patient. 93.4% of the participants felt they gained competence in managing difficult communication situations with patients.

Conclusion: Interactive teaching methods like narratives and role play may help enhance students' communication and empathy, which is vital for future doctors. They seamlessly integrate into existing curricula, offering practical experiences that deepen understanding and empathy without disrupting learning.

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来源期刊
BMC Medical Education
BMC Medical Education EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
4.90
自引率
11.10%
发文量
795
审稿时长
6 months
期刊介绍: BMC Medical Education is an open access journal publishing original peer-reviewed research articles in relation to the training of healthcare professionals, including undergraduate, postgraduate, and continuing education. The journal has a special focus on curriculum development, evaluations of performance, assessment of training needs and evidence-based medicine.
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