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以患者为中心的问诊中的同伴辅助学习:对学生导师的影响。

Peer assisted learning in patient-centred interviewing: the impact on student tutors.

作者信息

Nestel Debra, Kidd Jane

机构信息

Department of Psychological Medicine, Imperial College, London, UK.

出版信息

Med Teach. 2005 Aug;27(5):439-44. doi: 10.1080/01421590500086813.

Abstract

Effective methods for teaching patient-centred interviewing skills are resource intensive. Providing students the opportunity to work in small groups with simulated patients is highly valued and has demonstrable long-term benefits. Expanding cohorts of medical students and diminishing faculty resources led to the implementation of a peer assisted learning (PAL) project in patient-centred interviewing skills. The paper reports the evaluation of a PAL project on student tutors. The methodology included direct and indirect measures of student tutors' skills in facilitation and patient-centred interviewing. The self-report evaluations strongly suggest that participating in a PAL project has substantial benefits for student tutors that included both interviewing and facilitation skills. Objective measures revealed no change in patient-centred interviewing skills after participating in the project. The study concludes that formalizing PAL may tap a valuable resource within the medical school and provide benefits for student tutors. Careful consideration needs to be given to ways in which student tutors are supported before, during and after the project.

摘要

教授以患者为中心的问诊技巧的有效方法需要大量资源。为学生提供与模拟患者进行小组合作的机会备受重视,且具有明显的长期益处。随着医学院学生人数的增加和教师资源的减少,一个关于以患者为中心的问诊技巧的同伴辅助学习(PAL)项目得以实施。本文报告了对一个关于学生导师的PAL项目的评估。该方法包括对学生导师在引导和以患者为中心的问诊方面技能的直接和间接测量。自我报告评估强烈表明,参与PAL项目对学生导师有很大益处,包括问诊和引导技能。客观测量结果显示,参与该项目后,以患者为中心的问诊技能没有变化。该研究得出结论,将PAL正式化可能会挖掘医学院内部的宝贵资源,并为学生导师带来益处。需要仔细考虑在项目前、项目中和项目后支持学生导师的方式。

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