Antoun Jumana, Romani Maya, Johnson Alan, Brock Clive, Hamadeh Ghassan
Family Medicine, American University of Beirut, Beirut, Lebanon and.
Family Medicine, Medical University of South Carolina, Charleston, SC, USA.
Fam Pract. 2014 Dec;31(6):733-8. doi: 10.1093/fampra/cmu065. Epub 2014 Oct 15.
The Balint seminar is used in many family medicine residencies to improve and strengthen the patient-doctor relationship: to make better doctors. Given the lack of Balint leaders in developing countries, the family medicine department at the American University of Beirut (AUB) decided to collaborate with the Medical University of South Carolina (MUSC)-with more than 30 years of experience-to start Balint seminars through videoconferencing.
Evaluate the feasibility and effectiveness of Balint seminars conducted through videoconference.
A qualitative research using focus group and leaders' feedback to evaluate feasibility of delivery of Balint seminars through videoconference. A Polycom videoconference was set up between residents at AUB and two credentialed Balint leaders at MUSC. The videoconference was composed of two parts: (i) MUSC faculty facilitating Balint seminars; and (ii) MUSC and AUB faculty debriefing following each Balint session.
Twenty-six videoconferences were conducted from 15 February 2013 to 31 March 2014. Four themes emerged: technology and connectivity issues, administrative issues, coordination among different time zones and cultural/contextual issues. The videoconferencing with family medicine residents at AUB seemed quite natural and very familiar to the Balint leaders at MUSC. The seminars encouraged the residents to see things from the patients' perspective, inspiring new thoughts and ideas on how to deal with troubling patients.
Videoconference Balint seminars offer a promising way to extend the activity to health care providers in other disciplines, states and countries. Moreover, this format has the potential to increase the number of trained Balint leaders.
巴林特研讨会在许多家庭医学住院医师培训项目中被用于改善和加强医患关系，以培养更优秀的医生。鉴于发展中国家缺乏巴林特研讨会的领导者，美国贝鲁特大学（AUB）家庭医学系决定与拥有30多年经验的南卡罗来纳医科大学（MUSC）合作，通过视频会议开展巴林特研讨会。
评估通过视频会议开展巴林特研讨会的可行性和有效性。
采用焦点小组和领导者反馈的定性研究方法，评估通过视频会议开展巴林特研讨会的可行性。在AUB的住院医师与MUSC的两名有资质的巴林特研讨会领导者之间建立了宝利通视频会议。视频会议由两部分组成：（i）MUSC教员主持巴林特研讨会；（ii）每次巴林特研讨会结束后，MUSC和AUB教员进行汇报总结。
2013年2月15日至2014年3月31日期间共进行了26次视频会议。出现了四个主题：技术与连接问题、管理问题、不同时区之间的协调以及文化/背景问题。与AUB家庭医学住院医师进行的视频会议对MUSC的巴林特研讨会领导者来说似乎很自然且非常熟悉。这些研讨会鼓励住院医师从患者的角度看待问题，激发了关于如何应对棘手患者的新思维和新想法。
视频会议形式的巴林特研讨会为将该活动扩展到其他学科、州和国家的医疗保健提供者提供了一种很有前景的方式。此外，这种形式有可能增加经过培训的巴林特研讨会领导者的数量。
