Barnhoorn Pieter C
Department of Public Health and Primary Care, Leiden University Medical Center, Albinusdreef 2, 2333, ZA, Leiden, the Netherlands.
Patient Educ Couns. 2020 Jul;103(7):1446-1447. doi: 10.1016/j.pec.2020.02.019. Epub 2020 Feb 13.
The finding in the article by Driever et al.; "Shared decision,making: Physicians' preferred role, usual role and their perception of its key components" of lower preferred and practiced SDM role in residents in favour of a paternalistic role, compared to their more seasoned colleagues deserves more in depth, qualitative research. Because our residents are tomorrows doctors, I would strongly encourage the authors of this insightful article to consider research focused on residents as the next step in their research on SDM and to see this future research through a 'medical-education-PIF-lens'. The multi-level professionalism framework, designed as a framework for reflection and development in medical education might be of help is this future research.
德里弗等人在《共同决策：医生偏好的角色、通常扮演的角色及其对关键组成部分的认知》一文中发现，与经验更丰富的同事相比，住院医生偏好和实际践行的共同决策角色较低，而更倾向家长式角色。这一发现值得进行更深入的定性研究。鉴于我们的住院医生将成为未来的医生，我强烈鼓励这篇见解深刻的文章的作者，在其关于共同决策的研究中，将聚焦住院医生的研究视为下一步，并通过“医学教育-患者为中心的框架”视角开展这项未来研究。为医学教育反思与发展设计的多层次专业素养框架，可能会对这项未来研究有所帮助。
