跨学科产前小组会诊作为一次重要的学习经历。
Interdisciplinary prenatal group visits as a significant learning experience.
作者信息
McLeod Angela Yerdon, Laclair Cynthia, Kenyon Tina
出版信息
J Grad Med Educ. 2011 Sep;3(3):372-5. doi: 10.4300/JGME-D-10-00139.1.
AIM
Group visits offer documented benefit to patients and clinicians. They also provide an excellent venue to teach residents interdisciplinary care and group facilitation skills.
INTERVENTION
Third-year residents received experiential training to provide prenatal care through group visits rather than one-on-one visits.
STUDY METHOD
A descriptive study is used to illustrate the effectiveness of various facets of resident skill acquisition and patient-centered prenatal care. Evaluation methods included feedback from patients, team members, learner self-reflection, and observation by a behavioral health clinician.
SUMMARY
Residents collaboratively provide prenatal care in a group model during a 6-month period. Interdisciplinary team members explicitly teach and model biopsychosocial whole-person care and effective communication. This inventive experience has increased resident competency-based skills in facilitation and effective team collaboration as measured through observation. These skills are directly applicable in future primary care medical home practice. Using a group visit model benefits patients and clinicians, and promotes enriching and effective resident education. Our model can easily be implemented in other programs.
目的
小组就诊已证明对患者和临床医生有益。它们还为向住院医师传授跨学科护理和小组促进技能提供了绝佳场所。
干预措施
三年级住院医师接受了通过小组就诊而非一对一就诊提供产前护理的体验式培训。
研究方法
采用描述性研究来说明住院医师技能获取和以患者为中心的产前护理各个方面的有效性。评估方法包括患者、团队成员的反馈、学习者的自我反思以及行为健康临床医生的观察。
总结
住院医师在6个月期间以小组模式协作提供产前护理。跨学科团队成员明确教授并示范生物心理社会全人护理及有效的沟通。通过观察测量，这种创新体验提高了住院医师在促进和有效团队协作方面基于能力的技能。这些技能可直接应用于未来的初级保健医疗之家实践。采用小组就诊模式对患者和临床医生有益，并促进丰富且有效的住院医师教育。我们的模式可轻松在其他项目中实施。
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