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告知坏消息:继续医学教育研讨会的影响

Breaking bad news: impact of a continuing medical education workshop.

作者信息

Ladouceur Roger, Goulet François, Gagnon Robert, Boulé Richard, Girard Gilles, Jacques André, Frenette Jacques, Carrier Robert, Lalonde Viateur, Bélisle Claude

机构信息

Department of Family Medicine, Université de Montréal, Canada.

出版信息

J Palliat Care. 2003 Winter;19(4):238-45.

Abstract

OBJECTIVE

To evaluate the impact of an interactive continuing medical education workshop designed to help physicians in breaking bad news to their patients.

METHODOLOGY

Analysis of post-workshop questionnaires from 539 physicians assessing the retention of the key concepts and the perception of the potential impact of the workshop on their practice immediately after the workshop and six months later.

RESULTS

The most significant concepts retained by the respondents are: the need to take into consideration the whole patient (42.7% post-workshop and 45.6% of follow-up responses), the need to be prepared for the consultation (11.6% and 15%), the importance of better guiding the interview (18.8% and 13.6%), and the value of taking more time during the consultation (5.8% and 8.3%). Analysis of paired responses on the post-workshop and the follow-up questionnaires shows that 35% of the concepts retained are identical.

CONCLUSION

The majority of physicians retained the key concepts, both immediately following the workshop and in the longer term.

摘要

目的

评估一个旨在帮助医生向患者传达坏消息的交互式继续医学教育研讨会的影响。

方法

对539名医生的研讨会后调查问卷进行分析,评估他们对关键概念的掌握情况,以及在研讨会结束后立即和六个月后对该研讨会对其临床实践潜在影响的看法。

结果

受访者记住的最重要概念有:需要考虑患者的整体情况(研讨会后为42.7%,随访时为45.6%)、需要为会诊做好准备(分别为11.6%和15%)、更好地引导问诊的重要性(分别为18.8%和13.6%)以及在会诊时多花些时间的价值(分别为5.8%和8.3%)。对研讨会后问卷和随访问卷的配对回答分析表明,记住的概念中有35%是相同的。

结论

大多数医生在研讨会结束后立即以及长期都记住了关键概念。

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