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[基于模拟患者的教育项目以提高医生与青少年沟通技巧:以色列医学模拟中心的7年经验]

[Simulated-patient-based educational programs for improvement of physicians' communication skills with adolescents: 7-years experience at the Israel Center For Medical Simulation].

作者信息

Hardoff Daniel, Ziv Amitai

机构信息

The Israel Center for Medical Simulation, MSR, Sheba Medical Center, Tel Hashomer.

出版信息

Harefuah. 2011 Apr;150(4):314-7, 422.

PMID:22164907
Abstract

BACKGROUND

Appropriate communication between healthcare providers and adolescent patients and their parents is the key for successful medical care that recognizes the unique needs of teenagers, who remain their parents' responsibility but deserve individual attention separately. Guidelines addressing adolescents' healthcare have been developed, and include recommendations for appropriate communication with adolescents. Simulated-patient-based education has become a significant tool for improving communication skills of heaLthcare providers.

OBJECTIVE

To describe the experience gained at the Israel Center for Medical Simulation (MSRJ during the past 7 years in communication training for physicians who encounter adolescents in their cLinical practice.

METHODS

Simulated-patient-based communication workshops were conducted dedicated to physicians who provide healthcare to adolescents. Eight to twelve physicians participated in each workshop, where 8 scenarios were exercised from a pooL of 20 typical scenarios of adolescent-physician encounters that have been prepared at MSR. The participants completed a feedback questionnaire at the end of each workshop regarding its quality, its contribution and its value as an educational tool.

RESULTS

Five hundred physicians--pediatricians, family practitioners, gynecologists and military recruitment centers physicians--were trained in simulated-patient-based workshops on communication with adolescents between the years 2002 and 2008. Feedback questionnaires of 470 physicians completed at the end of 41 workshops were surveyed. High ranks were given to all the evaluation issues in the questionnaire.

CONCLUSIONS

Training physicians in communication with adolescents at simulated-patient-based workshops is a powerful educational tool, enabling hands-on Learning and application of communication skills. These workshops are highly appreciated and recommended by the participating physicians as useful mechanisms in various medical education Levels.

摘要

背景

医疗服务提供者与青少年患者及其父母之间的恰当沟通是成功医疗护理的关键,这要认识到青少年的独特需求,他们仍是父母的责任,但应得到单独的个人关注。已制定了针对青少年医疗保健的指南,其中包括与青少年进行恰当沟通的建议。基于模拟患者的教育已成为提高医疗服务提供者沟通技巧的重要工具。

目的

描述以色列医学模拟中心(MSRJ)在过去7年中为临床实践中接触青少年的医生提供沟通培训所获得的经验。

方法

为为青少年提供医疗服务的医生举办了基于模拟患者的沟通工作坊。每个工作坊有8至12名医生参加,他们从MSR准备的20个典型青少年与医生接触场景中选取8个场景进行演练。参与者在每个工作坊结束时填写一份关于其质量、作为教育工具的贡献和价值的反馈问卷。

结果

2002年至2008年期间,有500名医生——儿科医生、家庭医生、妇科医生和征兵中心医生——在基于模拟患者的与青少年沟通工作坊中接受了培训。对41个工作坊结束时470名医生填写的反馈问卷进行了调查。问卷中的所有评估问题都获得了高分。

结论

在基于模拟患者的工作坊中培训医生与青少年沟通是一种强大的教育工具,能让他们实际学习和应用沟通技巧。这些工作坊受到参与医生的高度赞赏,并被推荐为不同医学教育层面的有用机制。

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