改善包容性沟通:基于模拟的性健康史实践学习机会的试点结果

Rachel Kupferman, Bette Gray, Bethany Rocheleau, Christine Mallar, Karissa Hannifan, V. Hayes, Leah B. Mallory, B. Brown
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引用次数: 1

摘要

性少数和性别少数(女同性恋、男同性恋、双性恋、跨性别者、质疑;LGBTQ+)患者经历了医疗保健的不公平。使用标准化患者(SP)进行模拟是基于沟通的培训的有效工具。为了促进公平的实践,我们为居民创造了一个体验式学习机会,让他们在保持SP的心理安全的同时,进行包容性沟通,提高他们照顾LGBTQ+患者的舒适度。方法:我们的跨学科团队探索了相关的模拟课程,与LGBTQ+SP进行了焦点小组讨论,创建了一个教学演示,并设计和实施了一个模拟案例。家庭医学住院医师参加了培训,并完成了培训前和培训后的调查,评估了他们对性健康沟通以及与性少数群体和性别少数群体患者合作的信心。我们使用Wilcoxon符号秩检验比较了训练前和训练后调查中的Likert量表评分。SP完成了模拟后的调查,对其心理安全性进行了评级。结果:居民完成了培训前(n=13)和培训后(n=12)的调查。每个类别的信心都有所提高,对获得LGBTQ+患者性健康史的信心具有重要意义。四个SP完成了模拟后调查。所有SP都报告说,这次活动具有教育价值,是一次积极的经历。
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Improving Inclusive Communication: Pilot Results from a Simulation-Based Learning Opportunity to Practice Taking a Sexual Health History
Sexual and gender minority (lesbian, gay, bisexual, transgender, questioning; LGBTQ+) patients experience health care inequities. Simulation using standardized patients (SPs) is an effective tool for communication-based training. To promote equitable practice, we created an experiential learning opportunity for residents to practice inclusive communication and improve their comfort in caring for LGBTQ+ patients while maintaining the psychological safety of SPs. Methods: Our interdisciplinary team explored relevant simulation curricula, conducted a focus group with LGBTQ+ SPs, created a didactic presentation, and designed and implemented a simulated case. Family medicine residents participated in the training and completed pre-and post-training surveys rating their confidence in sexual health communication and working with sexual and gender minority patients. We compared Likert scale ratings in pre-and post-training surveys using a Wilcoxon signed-rank test. SPs completed post-simulation surveys rating their psychological safety. Results: Residents completed pre-training (n = 13) and post-training (n = 12) surveys. Confidence improved in every category, reaching significance for confidence in obtaining a sexual health history from LGBTQ+ patients. Four SPs completed post-simulation surveys. All SPs reported that the event had educational value and was a positive experience.
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