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一种在连续八个临床前季度进行基于模拟的兽医医学交流培训的新方法。

A Novel Approach to Simulation-Based Education for Veterinary Medical Communication Training Over Eight Consecutive Pre-Clinical Quarters.

作者信息

Englar Ryane E

出版信息

J Vet Med Educ. 2017 Fall;44(3):502-522. doi: 10.3138/jvme.0716-118R1.

DOI:10.3138/jvme.0716-118R1
PMID:28876987
Abstract

Experiential learning through the use of standardized patients (SPs) is the primary way by which human medical schools teach clinical communication. The profession of veterinary medicine has followed suit in response to new graduates' and their employers' concerns that veterinary interpersonal skills are weak and unsatisfactory. As a result, standardized clients (SCs) are increasingly relied upon as invaluable teaching tools within veterinary curricula to advance relationship-centered care in the context of a clinical scenario. However, there is little to no uniformity in the approach that various colleges of veterinary medicine take when designing simulation-based education (SBE). A further complication is that programs with pre-conceived curricula must now make room for training in clinical communication. Curricular time constraints challenge veterinary colleges to individually decide how best to utilize SCs in what time is available. Because it is a new program, Midwestern University College of Veterinary Medicine (MWU CVM) has had the flexibility and the freedom to prioritize an innovative approach to SBE. The author discusses the SBE that is currently underway at MWU CVM, which incorporates 27 standardized client encounters over eight consecutive pre-clinical quarters. Prior to entering clinical rotations, MWU CVM students are exposed to a variety of simulation formats, species, clients, settings, presenting complaints, and communication tasks. These represent key learning opportunities for students to practice clinical communication, develop self-awareness, and strategize their approach to future clinical experiences.

摘要

通过使用标准化病人(SP)进行体验式学习是人类医学院校教授临床沟通的主要方式。兽医学专业也纷纷效仿,以回应新毕业生及其雇主对兽医人际技能薄弱且不尽人意的担忧。因此,标准化客户(SC)在兽医课程中越来越多地被视为推进以关系为中心的临床情景护理的宝贵教学工具。然而,各兽医学院在设计基于模拟的教育(SBE)时所采用的方法几乎没有统一性。另一个复杂问题是,预先设定课程的项目现在必须为临床沟通培训留出空间。课程时间限制促使兽医学院各自决定如何在有限的时间内最佳地利用标准化客户。由于这是一个新项目,中西部大学兽医学院(MWU CVM)有灵活性和自由来优先采用创新的SBE方法。作者讨论了MWU CVM目前正在开展的SBE,该项目在连续八个临床前季度纳入了27次与标准化客户的接触。在进入临床轮转之前,MWU CVM的学生接触到各种模拟形式、物种、客户、场景、主诉和沟通任务。这些为学生提供了关键的学习机会,让他们练习临床沟通、培养自我意识并为未来的临床体验制定策略。

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