“回到床边”倡议对住院医师教育的影响

Nikhil Seth, M. Riaz, Anika Sikka, G. Martinez
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摘要

背景:回到床边是美国研究生医学教育委员会(ACGME)赞助的一个项目,目的是让实习生有机会在他们的临床工作中找到更深层次的意义。由于技术的进步减少了实习生与病人相处的时间,因此开始了一个项目,让实习医生有机会探索他们与病人的互动和沟通技巧。观察:住院医生花了一周的时间进行选修课,在此期间,他们可以不间断地接触10个病人,并能够解决多种因素。他们协助达成护理讨论、疾病教育、药物教育的目标,并练习他们的沟通技巧。结论:选修课结束后,31名住院医师参与并完成了问卷调查。事实证明,这门选修课对许多地区的居民都有很大的好处。他们发现,以易于理解的形式传达医学发现的能力有所提高,一般沟通技巧有所提高,对常规和复杂病理的理解也有所提高。有效的沟通是病患安全的关键,本研究证明沟通课程可以改善医患互动。关键词:传播学,医学教育,医学课程
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The impact of a “Back to Bedside” initiative on resident education
Background: Back to Bedside is an American Council of Graduate Medical Education (ACGME) sponsored program with the goal of giving trainees a chance to find deeper meaning in their clinical work. As technological advances have decreased the amount of time trainees are spending with patients, a program was started that gives residents the opportunity to explore their patient interaction and communication skills. Observations: Residents spent one week on an elective during which they had uninterrupted time during ten patient encounters and were able to address multiple factors. They assisted with goals of care discussions, education on illness, education on medications, and practiced their communication skills.Conclusion: Thirty-one residents participated and completed a survey after the elective. This elective proved to be of great benefit to residents in many areas. They found personal growth in their ability to communicate medical findings in an easy-to-understand format, an improvement in general communication skills, and an improvement in understanding routine and complex pathology. As effective communication is key to patient safety, this study proves that communication curricula can improve physician-patient interactions. Keywords: Communication, medical education, medical curriculum
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