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关于疫苗和疫苗安全的沟通:住院医师在学习什么,他们想学习什么?

Communicating about vaccines and vaccine safety: what are medical residents learning and what do they want to learn?

机构信息

Division of Pediatric Infectious Diseases, Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.

出版信息

J Public Health Manag Pract. 2013 Jan-Feb;19(1):40-6. doi: 10.1097/PHH.0b013e3182495776.

DOI:10.1097/PHH.0b013e3182495776
PMID:23169402
Abstract

OBJECTIVE

Physicians spend significant amounts of time discussing vaccine safety concerns with patients and parents. This study aimed to better understand the educational needs of US residents regarding vaccine safety communication, primarily by quantifying the vaccine safety communication training that residents currently receive and elucidating residents' preferences around education about vaccines and vaccine safety communication.

DESIGN

A mixed-methods needs assessment consisting of focus groups and a survey.

SETTING/PARTICIPANTS: A convenience sample of 303 medical residents in pediatrics, family medicine, and internal medicine from across the United States participated in an online, anonymous survey from March through June 2010. In addition, 9 focus groups with 47 resident participants were held.

MAIN OUTCOME MEASURES/RESULTS: The sample included residents in pediatrics (239, 80.2%), internal or family medicine (30, 10.1%), and dual medicine-pediatrics (29, 9.7%); 20.6% of the residents reported "not learning" about vaccine safety communication in their residency programs. Preferred learning methods, which were also the most commonly used methods, included didactic lectures and role-modeling/cases. Electronic teaching method were not only less desired but also very rarely utilized. More than 95% of residents reported thinking that vaccine safety communication would be very or somewhat important in their careers.

CONCLUSIONS

Improving education on vaccine safety communication within US residency programs, as well as offering self-learning opportunities, can better prepare physicians for their careers.

摘要

目的

医生在与患者和家长讨论疫苗安全性问题上花费了大量时间。本研究旨在更好地了解美国住院医师在疫苗安全沟通方面的教育需求,主要通过量化住院医师目前接受的疫苗安全沟通培训,并阐明住院医师对疫苗和疫苗安全沟通教育的偏好。

设计

一项由焦点小组和调查组成的混合方法需求评估。

地点/参与者:2010 年 3 月至 6 月期间,来自美国各地的 303 名儿科、家庭医学和内科医学住院医师参加了一项在线匿名调查。此外,还进行了 9 次有 47 名住院医师参加的焦点小组。

主要观察指标/结果:该样本包括儿科(239 名,80.2%)、内科或家庭医学(30 名,10.1%)和医学-儿科双重专业(29 名,9.7%)的住院医师;20.6%的住院医师报告在住院医师培训项目中“未学习”疫苗安全沟通。首选的学习方法,也是最常用的方法,包括讲座和角色扮演/案例。电子教学方法不仅不太受欢迎,而且很少被使用。超过 95%的住院医师表示,他们认为疫苗安全沟通在职业生涯中非常重要或有些重要。

结论

改善美国住院医师培训项目中疫苗安全沟通的教育,并提供自学机会,可以更好地为医生的职业生涯做好准备。

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