Prazak Kristine A
Physician Assistant Studies, New York Institute of Technology, Northern Boulevard, Riland Building, Suite 352, Old Westbury, NY 11568, USA. Tel 516-686-4019.
J Allied Health. 2017 Winter;46(4):e71-e76.
The purpose of this project was to infuse palliative medicine and end-of-life care creatively into physician assistant (PA) education.
Nine second-year PA students volunteered to participate in this quasi-experimental, pretest-posttest pilot study. Students initially completed an anonymous survey evaluating seven domains of knowledge in palliative medicine coupled with a self-assessment in competence. Virtual patient software was then used to simulate clinical encounters that addressed major palliative care domains. Upon completion of these cases, the same survey, with the addition of three questions about their own personal feelings, was administered.
Overall response was positive in regard to improved knowledge and the virtual patient experience. After completion of the cases, students rated their self-assessed skills higher in all domains than prior to completing the cases. Factual knowledge scores showed a slight but not significant improvement, with an average pre-survey score of 4.56 and post-survey score of 4.67.
Using virtual patient software can be a way of infusing palliative medicine and end-of-life care into PA education. These encounters can then be modified to include interprofessional encounters within the health professions.
本项目的目的是将姑息医学和临终关怀创造性地融入医师助理（PA）教育中。
九名二年级PA学生自愿参与这项准实验性的前测-后测试点研究。学生们最初完成了一项匿名调查，评估姑息医学知识的七个领域，并进行了自我能力评估。然后使用虚拟患者软件模拟涉及主要姑息治疗领域的临床会诊。完成这些病例后，进行了相同的调查，并增加了三个关于他们个人感受的问题。
总体反馈对知识的提高和虚拟患者体验是积极的。完成病例后，学生们对自己在所有领域的自我评估技能评分均高于完成病例之前。事实性知识得分有轻微但不显著的提高，调查前平均得分为4.56，调查后平均得分为4.67。
使用虚拟患者软件可以作为将姑息医学和临终关怀融入PA教育的一种方式。然后可以对这些会诊进行修改，以纳入卫生专业内的跨专业会诊。
