Janice-Woods Reed Danielle, Sharma Jotishna
Neonatologist, Children's Mercy-Kansas City.
MedEdPORTAL. 2016 Sep 23;12:10467. doi: 10.15766/mep_2374-8265.10467.
This 3-hour simulation module provides a safe situation for neonatal-perinatal fellows to learn communication techniques and develop skills for delivering difficult news to patients' families. These skills are critical for a practicing neonatologist in an academic or private-practice setting yet are often underrepresented in the educational content of training programs. This module is intended for fellows who have had basic communication skills instruction, as well as interactions with parents as part of their pediatric residency training.
The fellows practice delivering difficult news by interacting with standardized parents in scenarios designed for one to three learners at a time. Each scenario runs for approximately 10 to 15 minutes and is followed by a 25- to 30-minute debriefing. Those not participating in the scenario view the simulation in real-time video broadcast from another room so they can learn from the scenario and participate in the debriefing. The module also includes 10 to 15 minutes for discussion of literature. This publication includes an introductory slide presentation and a comprehensive compilation of communication recommendations from attending neonatologists. Also included are scripts for the standardized parents, background information for learners, guidelines and suggestions for discussion during the debriefing, and an evaluation form.
This module has been incorporated into the yearly simulation curriculum for our neonatal-perinatal fellowship. After completing the module, fellows have reported feeling more comfortable with delivering difficult news. The average score in fellows' comfort level for having these conversations rose from 5.8 to 7.5 on a 10-point scale.
This module was designed for use in a perinatal-neonatal fellowship training program, but it could be used in all pediatric residencies, as well as for support staff training (social work, nursing, chaplaincy) with the use of a confederate physician.
这个为期3小时的模拟模块为新生儿围产期研究员提供了一个安全的环境，让他们学习沟通技巧，并培养向患者家属传达坏消息的能力。这些技能对于在学术或私人执业环境中执业的新生儿科医生至关重要，但在培训项目的教育内容中往往没有得到充分体现。该模块适用于已经接受过基本沟通技能指导，并且在儿科住院医师培训期间与家长有过互动的研究员。
研究员通过与标准化家长在一次为一至三名学习者设计的场景中互动，练习传达坏消息。每个场景持续约10至15分钟，之后是25至30分钟的汇报。未参与场景的人员在另一个房间通过实时视频观看模拟，以便他们可以从场景中学习并参与汇报。该模块还包括10至15分钟的文献讨论时间。本出版物包括一个介绍性幻灯片演示文稿，以及来自新生儿科主治医生的沟通建议的综合汇编。还包括标准化家长的脚本、学习者的背景信息、汇报期间讨论的指导方针和建议，以及一份评估表。
该模块已被纳入我们新生儿围产期研究员的年度模拟课程。完成该模块后，研究员报告说在传达坏消息时感觉更自在了。在10分制中，研究员进行这些对话时的舒适度平均得分从5.8分提高到了7.5分。
该模块设计用于围产期 - 新生儿研究员培训项目，但也可用于所有儿科住院医师培训，以及通过使用一名协同医生用于支持人员培训（社会工作、护理、牧师工作）。
