尊重地治疗和指导：医学培训中处理种族、民族和文化的关系模式。
Treating and precepting with RESPECT: a relational model addressing race, ethnicity, and culture in medical training.
机构信息
Department of Family Medicine, Boston Medical Center, Boston, MA 02118, USA.
出版信息
J Gen Intern Med. 2010 May;25 Suppl 2(Suppl 2):S146-54. doi: 10.1007/s11606-010-1274-4.
Abstract
BACKGROUND
In 2000 a diverse group of clinicians/educators at an inner-city safety-net hospital identified relational skills to reduce disparities at the point of care.
DESCRIPTION
The resulting interviewing and precepting model helps build trust with patients as well as with learners. RESPECT adds attention to the relational dimension, addressing documented disparities in respect, empathy, power-sharing, and trust while incorporating prior cross-cultural models. Specific behavioral descriptions for each component make RESPECT a concrete, practical, integrated model for teaching patient care.
CONCLUSIONS
Precepting with RESPECT fosters a safe climate for residents to partner with faculty, address challenges with patients at risk, and improve outcomes.
摘要
背景
2000 年，一家位于市中心的保障医院的临床医生/教育工作者群体多样性，确定了减少医患关系中差异的沟通技巧。
描述
由此产生的访谈和指导模式有助于在医患关系中建立信任，同时也有助于学习者之间建立信任。RESPECT 关注关系维度，解决了尊重、同理心、权力共享和信任方面的记录差异，同时融入了先前的跨文化模式。每个组成部分的具体行为描述使 RESPECT 成为一个具体的、实用的、综合的患者护理教学模式。
结论
以 RESPECT 进行指导可以为住院医师与教师合作、处理有风险的患者的挑战以及改善结果营造一个安全的环境。
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