定制课程以增强住院医师沟通技巧。

Customizable Curriculum to Enhance Resident Communication Skills.

机构信息

From the Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

Edward Via College of Osteopathic Medicine, Blacksburg, Virginia.

出版信息

Anesth Analg. 2019 Nov;129(5):e155-e158. doi: 10.1213/ANE.0000000000004084.

DOI:10.1213/ANE.0000000000004084

PMID:30829671

Abstract

Communication remains challenging to teach and evaluate. We designed an online patient survey to assess anesthesia residents' communication skills from August 2014 to July 2015. In December 2014, we implemented a customized, simulation-based curriculum. We calculated an overall rating for each survey by averaging the ratings for the individual questions. Based on the Hodges-Lehmann 2-sample aligned rank-sum test, overall ratings, reported as the median (interquartile range) of residents' average overall ratings, differed significantly between the preintervention (3.86 [3.76-3.94]) and postintervention (3.91 [3.84-3.95]) periods (P = .025). Future studies should assess the intervention's effectiveness and generalizability.

摘要

沟通仍然是一个具有挑战性的教学和评估领域。我们设计了一个在线患者调查，以评估麻醉住院医师的沟通技巧，时间为 2014 年 8 月至 2015 年 7 月。2014 年 12 月，我们实施了一项定制的、基于模拟的课程。我们通过平均个别问题的评分来计算每个调查的总体评分。基于 Hodges-Lehmann 2 样本一致秩和检验，总体评分（以居民平均总体评分的中位数（四分位距）表示）在干预前（3.86 [3.76-3.94]）和干预后（3.91 [3.84-3.95]）期间差异有统计学意义（P =.025）。未来的研究应该评估干预的有效性和普遍性。