Jones Woodson S, Hanson Janice L, Longacre Jeffrey L
Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814-4799, USA.
Teach Learn Med. 2004 Summer;16(3):264-9. doi: 10.1207/s15328015tlm1603_8.
Most formal instruction in professionalism and communication occurs in the preclinical years of medical school, with an acknowledged need to fortify and apply these competencies during the clinical years. Role modeling provides a powerful way to teach professionalism, particularly when mentors identify specific learning goals and focus the learners' observations.
The authors discuss an innovative process, called Students' Clinical Observations of Preceptors (SCOOP), which reverses the traditional direction of structured observations. With written cues to focus their observations, students observe their preceptors, who intentionally model professionalism and communication during clinical encounters. Students and preceptors discuss the observed patient-physician interaction during postencounter sessions.
Most medical students rated the SCOOP process highly and reported professional behaviors they gained.
As educators seek methods for learners to attain greater competence in communication and interpersonal skills, the SCOOP provides an explicit framework to optimize modeling for the learning of professionalism.
大多数关于职业素养和沟通的正式教学都在医学院校的临床前阶段进行,人们普遍认识到在临床阶段需要强化和应用这些能力。榜样示范是教授职业素养的有力方式,尤其是当导师确定具体的学习目标并引导学习者进行观察时。
作者讨论了一种创新方法,称为“学生对带教教师的临床观察”(SCOOP),它扭转了结构化观察的传统方向。通过书面提示来引导观察,学生观察他们的带教教师,带教教师在临床诊疗过程中有意展示职业素养和沟通技巧。学生和带教教师在诊疗结束后的讨论环节中讨论观察到的医患互动情况。
大多数医学生对SCOOP方法评价很高,并报告了他们所获得的职业行为。
随着教育工作者寻求让学习者在沟通和人际技能方面获得更高能力的方法,SCOOP提供了一个明确的框架,以优化职业素养学习的榜样示范。