医学本科学生共同决策教学

IF 1.4 Q2 MEDICINE, GENERAL & INTERNAL Rambam Maimonides Medical Journal Pub Date : 2021-10-25 DOI:10.5041/RMMJ.10453
Meira Tidhar, Jochanan Benbassat
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引用次数: 4

摘要

尽管共享决策(SDM)得到了广泛的认可,但其融入临床实践的速度很慢。在本文中,我们建议通过对住院医师和执业医师的SDM教学,以及对本科医学生的SDM教学来促进这种整合。所提出的教学方法假设SDM需要有效的医患沟通;这种交流需要移情;医生的同理心需要能够识别病人的担忧。因此,我们建议将教学SDM的重点从如何向患者传达健康相关信息转移到如何深入了解他们的关注点。此外,我们建议将SDM训练细分为更小的、顺序教学的单元,以帮助学习者阐明患者在关于她/他的护理决策中的首选角色,匹配患者在这些决策中的首选参与,提出选择,讨论不确定性,并鼓励患者获得第二意见。
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Teaching Shared Decision Making to Undergraduate Medical Students.

Despite the wide endorsement of shared decision making (SDM), its integration into clinical practice has been slow. In this paper, we suggest that this integration may be promoted by teaching SDM not only to residents and practicing physicians, but also to undergraduate medical students. The proposed teaching approach assumes that SDM requires effective doctor-patient communication; that such communication requires empathy; and that the doctor's empathy requires an ability to identify the patient's concerns. Therefore, we suggest shifting the focus of teaching SDM from how to convey health-related information to patients, to how to gain an insight into their concerns. In addition, we suggest subdividing SDM training into smaller, sequentially taught units, in order to help learners to elucidate the patient's preferred role in decisions about her/his care, match the patient's preferred involvement in these decisions, present choices, discuss uncertainty, and encourage patients to obtain a second opinion.

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来源期刊
Rambam Maimonides Medical Journal
Rambam Maimonides Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
6.70%
发文量
55
审稿时长
8 weeks
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