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医学问诊教学:教师发展课程中的方法与关键学习要点

Teaching the medical interview: methods and key learning issues in a faculty development course.

作者信息

Hatem David S, Barrett Susan V, Hewson Mariana, Steele David, Purwono Urip, Smith Robert

机构信息

American Academy on Communication in Healthcare, Chesterfield, MO, USA.

出版信息

J Gen Intern Med. 2007 Dec;22(12):1718-24. doi: 10.1007/s11606-007-0408-9. Epub 2007 Oct 20.

Abstract

OBJECTIVE

To describe the American Academy on Communication in Healthcare's (AACH) Faculty Development Course on Teaching the Medical Interview and report a single year's outcomes.

DESIGN

We delivered a Faculty Development course on Teaching the Medical Interview whose theme was relationship-centered care to a national and international audience in 1999. Participants completed a retrospective pre-post assessment of their perceived confidence in performing interview, clinical, teaching, and self-awareness skills.

PARTICIPANTS AND SETTING

A total of 79 participants in the 17th annual AACH national faculty development course at the University of Massachusetts Medical School in June 1999.

INTERVENTION

A 5-day course utilized the principles of learner-centered learning to teach a national and international cohort of medical school faculty about teaching the medical interview.

MEASUREMENTS AND MAIN RESULTS

The course fostered individualized, self-directed learning for participants, under the guidance of AACH faculty. Teaching methods included a plenary session, small groups, workshops, and project groups all designed to aid in the achievement of individual learning goals. Course outcomes of retrospective self-assessed confidence in interview, clinical, teaching, self-awareness, and control variables were measured using a 7-point Likert scale. Participants reported improved confidence in interview, clinical, teaching, and self-awareness variables. After controlling for desirability bias as measured by control variables, only teaching and self-awareness mean change scores were statistically significant (p < .001).

CONCLUSIONS

The AACH Faculty Development course on Teaching the Medical Interview utilized learner-centered teaching methods important to insure learning with experienced course participants. Perceived teaching and self-awareness skills changed the most when compared to other skills.

摘要

目的

描述美国医疗保健沟通学会(AACH)的医学访谈教学师资发展课程,并报告某一年的课程成果。

设计

1999年,我们面向国内外受众开展了一门以关系为中心的医疗护理为主题的医学访谈教学师资发展课程。参与者完成了一项回顾性的前后评估,评估他们在进行访谈、临床、教学和自我认知技能方面的自信心。

参与者与背景

1999年6月,在马萨诸塞大学医学院举行的第17届AACH年度全国师资发展课程共有79名参与者。

干预措施

为期5天的课程运用以学习者为中心的学习原则,向国内外医学院教师群体传授医学访谈教学。

测量指标与主要结果

该课程在AACH教员的指导下,促进了参与者的个性化自主学习。教学方法包括全体会议、小组讨论、工作坊和项目小组,所有这些都旨在帮助实现个人学习目标。使用7点李克特量表测量回顾性自我评估在访谈、临床、教学、自我认知和控制变量方面的自信心的课程成果。参与者报告在访谈、临床、教学和自我认知变量方面的自信心有所提高。在控制了由控制变量测量的期望偏差后,只有教学和自我认知的平均变化得分具有统计学意义(p < .001)。

结论

AACH的医学访谈教学师资发展课程采用了以学习者为中心的教学方法,这对于确保有经验的课程参与者的学习非常重要。与其他技能相比,教学和自我认知技能的感知变化最大。

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