Saint-Dizier de Almeida Valérie, Agnoletti Marie-France
Université de Lorraine, Laboratoire InterPsy, EA 4432, CLSH Nancy, BP 33-97, 54015 Nancy Cedex, France.
Université de Lorraine, Laboratoire InterPsy, EA 4432, CLSH Nancy, BP 33-97, 54015 Nancy Cedex, France.
Appl Ergon. 2015 Sep;50:242-50. doi: 10.1016/j.apergo.2015.03.020. Epub 2015 Apr 22.
This paper deals with developing and assessing the training of physicians to deliver a difficult diagnosis to patients. The training is provided by a web-based self-training package. This online training emphasizes the structural, functional and relational dimensions of interviews delivering a serious diagnosis, and a logical set of recommendations for behavior towards the patient. The content is illustrated by numerous delivery interview sequences that are described and for which commentary is provided. This online package was expected to enable physicians to acquire new skills and change their mental picture of diagnosis delivery. Here we discuss the assessment of training in managing the delivery of a serious diagnosis. The approach taken and the methods used to measure knowledge and skills are presented.
本文探讨了如何开展和评估针对医生向患者传达疑难诊断的培训。该培训由一个基于网络的自我培训包提供。这种在线培训强调传达严重诊断的问诊在结构、功能和关系方面的维度，以及针对对待患者的行为提出的一套合理建议。内容通过大量描述的问诊序列进行说明，并配有相关评论。预计这个在线包能使医生获得新技能，并改变他们对诊断传达的思维模式。在此，我们讨论对管理严重诊断传达培训的评估。介绍了所采用的方法以及用于衡量知识和技能的手段。
