Parekh Kendra, Benningfield Margaret, Burrows Heather, Fleming Amy, Golden W Christopher, Keeley Meg, Kileny Sharon, Klink Thomas E
Assistant Professor, Department of Emergency Medicine, Vanderbilt University School of Medicine.
Associate Professor, Department of Psychiatry, Vanderbilt University School of Medicine.
MedEdPORTAL. 2018 Sep 18;14:10751. doi: 10.15766/mep_2374-8265.10751.
Motivational interviewing (MI) is a counseling method that utilizes a patient's own motivation to effect personal change. MI has been applied routinely and successfully to managing medical conditions (e.g., substance abuse). Employing MI techniques to engage medical learners (termed motivational advising [MA]) may help them overcome professional and/or personal challenges limiting their career development.
Medical educators from four academic medical centers developed a module focused on teaching fellow educators MI theory and techniques for MA using didactic and interactive components. Participants participated in facilitated role-plays to practice MA delivery techniques and observed videos of a traditional advisor-advisee interaction as well as an MA-focused engagement. A postworkshop survey was used to evaluate the workshop.
In a survey of 48 educators attending the workshop at two medical conferences, over 80% of respondents demonstrated an interest in learning more about MA. Additionally, over 60% indicated that they would seek opportunities to practice and/or implement MA with their advisees. Knowledge of the technical components of MA also increased significantly in pre- and posttest analysis.
This module introducing the concept of MA was well received by medical educators and was viewed as a valuable tool in advising medical learners. The provided components enable replication of this workshop in other settings with or without an expert in MI techniques. Although the workshop has been conducted with physicians involved in medical education, it would be applicable to other health professionals who advise trainees such as nursing, dentistry, pharmacy, or veterinary medicine.
动机性访谈(MI)是一种咨询方法,它利用患者自身的动机来实现个人改变。MI已被常规且成功地应用于医疗状况管理(例如,药物滥用)。运用MI技巧来引导医学学习者(称为动机性指导[MA])可能有助于他们克服限制其职业发展的专业和/或个人挑战。
来自四个学术医疗中心的医学教育工作者开发了一个模块,该模块通过讲授和互动组件,专注于向其他教育工作者传授MI理论及MA技巧。参与者参与了有指导的角色扮演,以练习MA的实施技巧,并观看了传统的指导者-被指导者互动视频以及以MA为重点的互动视频。会后调查用于评估该工作坊。
在对参加两个医学会议工作坊的48名教育工作者的调查中,超过80%的受访者表示有兴趣进一步了解MA。此外,超过60%的人表示他们会寻找机会与被指导者一起实践和/或实施MA。在前后测试分析中,对MA技术组件的了解也显著增加。
这个介绍MA概念的模块受到了医学教育工作者的好评,并被视为指导医学学习者的宝贵工具。所提供的组件使该工作坊能够在有或没有MI技术专家的其他环境中进行复制。尽管该工作坊是与参与医学教育的医生一起开展的,但它也适用于指导学员的其他健康专业人员,如护理、牙科、药学或兽医学领域的人员。