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伴阅读障碍的安全有效处方。

Safe and effective prescribing with dyslexia.

机构信息

Department of Medical Education, Brighton and Sussex Medical School, Brighton, East Sussex, UK.

出版信息

BMC Med Educ. 2019 Jul 24;19(1):277. doi: 10.1186/s12909-019-1709-5.

DOI:10.1186/s12909-019-1709-5
PMID:31340792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6657109/
Abstract

BACKGROUND

The term 'dyslexia' refers to a condition that impacts upon reading and writing abilities whilst not altering intelligence. Individuals with dyslexia may have difficulties with the speed and accuracy and their reading and writing, amongst other issues. Dyslexia is not automatically considered a disability but is a protected characteristic under the UK Equality Act (2010), and therefore employers and educational institutions are required to provide 'reasonable adjustments' in order to allow individuals to reach their full potential. There is a lack of research on this issue, but what little there is suggests that doctors feel as though any support they received ended when they graduated from medical school.

MAIN BODY

A core distinction between medical school and medical practice is the requirement to prescribe medicines as registered medical practitioners. Junior doctors have to master this complex and potentially hazardous skill "on the job", with a perceived lack of support. Here, we open up a debate about the potential impact of dyslexia on prescribing, and the need to find supports that may be effective in enabling doctors with dyslexia prescribe medicines safely and effectively - and thus reach their full potential as medical practitioners and promote patient safety.

CONCLUSION

We argue that medical schools and hospitals could immediately provide dyslexia awareness training in both undergraduate and postgraduate settings. We discuss electronic prescribing systems, and conclude that research is required to identify effective supports for junior doctors with dyslexia.

摘要

背景

“dyslexia”一词是指一种影响阅读和写作能力但不改变智力的状况。患有诵读困难症的人在阅读和写作方面可能存在速度和准确性方面的困难,以及其他问题。诵读困难症并不自动被视为残疾,但根据英国《平等法》(2010 年),它是一种受保护的特征,因此雇主和教育机构必须提供“合理调整”,以允许个人充分发挥潜力。关于这个问题的研究很少,但现有的研究表明,医生们觉得他们从医学院毕业后就不再得到任何支持。

正文

医学院和医疗实践之间的一个核心区别是作为注册医生开具药物的要求。初级医生必须在工作中掌握这项复杂且潜在危险的技能,而他们感受到的支持不足。在这里,我们就诵读困难症对处方的潜在影响以及寻找可能有效支持诵读困难症医生安全有效地开具药物的支持措施展开讨论,以帮助他们充分发挥作为医生的潜力并促进患者安全。

结论

我们认为医学院和医院可以立即在本科和研究生阶段提供诵读困难症意识培训。我们讨论了电子处方系统,并得出结论,需要进行研究以确定对诵读困难症的初级医生有效的支持措施。

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The learning experiences of dyslexic medical students during the COVID-19 pandemic: a phenomenological study.新冠肺炎疫情期间诵读困难医学生的学习经历:一项现象学研究。
Adv Health Sci Educ Theory Pract. 2022 Mar;27(1):107-124. doi: 10.1007/s10459-021-10074-7. Epub 2021 Sep 17.

本文引用的文献

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Progress towards a paperless NHS.向无纸化国民医疗服务体系迈进。
BMJ. 2016 Oct 7;355:i4448. doi: 10.1136/sbmj.i4448.
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Twelve tips for teaching medical students with dyslexia.十二点医学诵读困难学生教学技巧。
Med Teach. 2017 Jul;39(7):686-690. doi: 10.1080/0142159X.2017.1302080. Epub 2017 Mar 15.
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Safe prescribing training provision for junior doctors: is this optimal?为初级医生提供安全处方培训:这是最佳方案吗?
BMC Med Educ. 2016 Aug 24;16(1):220. doi: 10.1186/s12909-016-0748-4.
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"If they can't tell the difference between duphalac and digoxin you've got patient safety issues". Nurse Lecturers' constructions of students' dyslexic identities in nurse education.“如果他们分不清杜秘克和地高辛,那患者安全就会出问题”。护士教育中护士讲师对学生阅读障碍身份的建构。
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The use and functionality of electronic prescribing systems in english acute NHS trusts: a cross-sectional survey.英国国民保健制度中电子处方系统的使用和功能:一项横断面调查。
PLoS One. 2013 Nov 20;8(11):e80378. doi: 10.1371/journal.pone.0080378. eCollection 2013.
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The experiences of nursing students with dyslexia.患有诵读困难症的护理专业学生的经历。
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