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在医学生教学中使用标准化病人来评估退伍军人患者的创伤后应激障碍

Use of a Standardized Patient in Teaching Medical Students to Assess for PTSD in Military Veteran Patients.

作者信息

Fabrizio Jennifer, DeNardi Kathleen, Boland Michael, Suffoletto Jo-Anne

机构信息

Clinical Psychologist, Veterans Affairs Pittsburgh Healthcare System.

Training Specialist, Veterans Affairs Pittsburgh Healthcare System.

出版信息

MedEdPORTAL. 2017 Jul 26;13:10608. doi: 10.15766/mep_2374-8265.10608.

Abstract

INTRODUCTION

The purpose of this resource is to introduce first- and second-year medical students to the psychiatric concerns of military veterans. The number of veterans receiving care outside of the Veterans Health Administration (VHA) results in many nonVHA medical doctors treating military veterans; thus, it is important that medical students have exposure to military veterans and their unique issues during medical training. A noncombat veteran with posttraumatic stress disorder (PTSD) was specifically chosen for this training to highlight the fact that PTSD can result from a number of different traumatic events that one may experience during military service.

METHODS

The student learners were presented with an hour-long didactic on PTSD, depression, and suicide in military veterans. They subsequently engaged in an hour-long simulation with a standardized patient who was trained in the symptom presentation of PTSD. Each student in the class had an opportunity to complete a medical interview with the standardized patient (SP) and receive feedback from both their peers and the SP. The student learners then evaluated the learning experience.

RESULTS

Feedback for the course was overwhelmingly positive. The average response to the quality of the presentation question was 4.83 out of 5 (with 1 = ; 5 = ).

DISCUSSION

The results indicate that using SPs is a valuable learning modality for teaching medical students about psychiatric concerns in the veteran population.

摘要

引言

本资源旨在向医学专业一、二年级学生介绍退伍军人的精神健康问题。在退伍军人健康管理局(VHA)之外接受治疗的退伍军人数量众多,这导致许多非VHA的医生为退伍军人提供治疗;因此,医学生在医学培训期间接触退伍军人及其独特问题非常重要。本次培训特意选择了一名患有创伤后应激障碍(PTSD)的非战斗退伍军人,以突出PTSD可能由一个人在服役期间经历的许多不同创伤事件导致这一事实。

方法

向学生学习者提供了一个小时关于退伍军人创伤后应激障碍、抑郁症和自杀问题的教学课程。随后,他们与一名经过PTSD症状表现培训的标准化病人进行了长达一小时的模拟。班上的每个学生都有机会与标准化病人(SP)进行医学访谈,并从同伴和标准化病人那里获得反馈。然后,学生学习者对学习体验进行了评估。

结果

对该课程的反馈总体上是积极的。对课程质量问题的平均回答是4.83分(满分5分,1分为最低分;5分为最高分)。

讨论

结果表明,使用标准化病人是一种有价值的学习方式,可用于向医学生传授退伍军人精神健康方面的问题。

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