提高患者对医学生参与的接受度：利用互动戏剧进行教师发展。

Increasing patient acceptance of medical student participation: using interactive theatre for faculty development.

机构信息

Department of Medical Education, University of Michigan Medical School, Ann Arbor, Michigan 48109-5201, USA.

出版信息

Teach Learn Med. 2009 Jul;21(3):195-200. doi: 10.1080/10401330903014145.

DOI:10.1080/10401330903014145

PMID:20183338

Abstract

BACKGROUND

Interactive theatre (IT) has been used to train faculty the skills and strategies to address challenging dynamics in educational settings.

PURPOSE

This study described the development, implementation, and evaluation of an IT approach to improve preceptors' skills for increasing patients' acceptance of medical student participation in clinical care.

METHODS

Focus groups were conducted with faculty, residents, medical students, and clinic staff to discuss issues related to patients declining medical student participation. Findings were used to develop a faculty development session using an IT approach. At a Family Medicine grand rounds presentation, faculty and resident preceptors (n = 42) participated in the IT workshop and completed a pre-post survey assessing skills specific to increasing students' training opportunities in patient care and educational impact of the session.

RESULTS

Following the IT session, preceptors reported greater self-efficacy for helping patients feel more comfortable with medical students in the exam room (p =.031, d = 0.338) and increased comfort level with talking to patients about medical students performing sensitive exams (p =.010, d = 0.357). Eighty-eight percent of preceptors agreed or strongly agreed that the session was relevant to improving clinical precepting skills and helped them develop strategies for enhancing medical student involvement in care.

CONCLUSIONS

Findings suggest that the interactive theatre approach to faculty development is an innovative and effective method to increase preceptors' comfort with discussing medical student involvement with patients.

摘要

背景

互动戏剧（IT）已被用于培训教师掌握在教育环境中应对具有挑战性的动态的技能和策略。

目的

本研究描述了一种 IT 方法的开发、实施和评估，以提高主管人员增加患者接受医学生参与临床护理的技能。

方法

与教师、住院医师、医学生和诊所工作人员进行焦点小组讨论，讨论与患者拒绝医学生参与相关的问题。研究结果被用于开发一种使用 IT 方法的教师发展课程。在家庭医学大查房介绍中，教师和住院医师主管（n=42）参加了 IT 研讨会，并完成了一项前后测调查，评估了增加学生在患者护理培训机会方面的技能以及该课程的教育影响。

结果

在 IT 课程之后，主管人员报告称，在帮助患者在检查室中对医学生感到更舒适方面的自我效能感有所提高（p=.031，d=0.338），并且在与患者谈论医学生进行敏感检查方面的舒适度也有所提高（p=.010，d=0.357）。88%的主管人员同意或强烈同意该课程对于提高临床指导技能是相关的，并帮助他们制定了增强医学生参与护理的策略。