Boehler Margaret L, Schwind Cathy J, Markwell Stephen J, Minter Rebecca M
*Department of Surgery, Southern Illinois University School of Medicine, Springfield, IL †Midwest Healthcare Quality Alliance, Springfield, IL ‡University of Texas Southwestern Medical Center, Dallas, TX §ACS/APDS/ASE Resident Preparatory Curriculum, American College of Surgeons, Division of Education, Chicago, IL.
Ann Surg. 2017 Jan;265(1):116-121. doi: 10.1097/SLA.0000000000001575.
Answering pages from nurses about patients in need of immediate attention is one of the most difficult challenges a resident faces during their first days as a physician. A Mock Page program has been developed and adopted into a national surgical resident preparatory curriculum to prepare senior medical students for this important skill.
The purpose of this study is to assess standardized mock page cases as a valid construct to assess clinical decision making and interprofessional communication skills.
DESIGN, SETTING, PARTICIPANTS: Mock page cases (n = 16) were administered to 213 senior medical students from 12 medical schools participating in a national surgical resident preparatory curriculum in 2013 and 2014.
Clinical decision making and interprofessional communication were measured by case-specific assessments evaluating these skills which have undergone rigorous standard-setting to determine pass/fail cut points.
Students' performance improved in general for both communication and clinical decision making over the 4-week course. Cases have been identified that seem to be best suited for differentiating high- from low-performing students. Chest pain, pulmonary embolus, and mental status change cases posed the greatest difficulty for student learners.
Simulated mock pages demonstrate an innovative technique for training students in both effective interprofessional communication and management of common postoperative conditions they will encounter as new surgical interns.
回复护士关于急需关注患者的传呼是住院医师在成为医生的头几天面临的最困难挑战之一。已开发出一个模拟传呼程序并将其纳入全国外科住院医师预备课程，以使高年级医学生掌握这项重要技能。
本研究的目的是评估标准化模拟传呼病例作为评估临床决策和跨专业沟通技能的有效工具。
设计、地点、参与者：2013年和2014年，对来自12所医学院校的213名高年级医学生进行了模拟传呼病例（n = 16）测试，这些学生参加了全国外科住院医师预备课程。
通过针对这些技能的特定病例评估来衡量临床决策和跨专业沟通，这些评估经过严格的标准设定以确定通过/失败的切点。
在为期4周的课程中，学生在沟通和临床决策方面的表现总体上有所提高。已确定一些似乎最适合区分高绩效和低绩效学生的病例。胸痛、肺栓塞和精神状态改变病例给学生学习者带来了最大的困难。
模拟传呼展示了一种创新技术，可用于培训学生进行有效的跨专业沟通以及管理他们作为新外科实习生将会遇到的常见术后情况。
