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探寻卡塔尔急诊医学住院医师反馈技能的最有效教学方法:一项混合设计研究

In Pursuit of the Most Effective Method of Teaching Feedback Skills to Emergency Medicine Residents in Qatar: A Mixed Design.

作者信息

Bashir Khalid, Elmoheen Amr, Seif Mohammed, Anjum Shahzad, Farook Saleem, Thomas Stephen

机构信息

Emergency Medicine, Hamad Medical Corporation, Doha, QAT.

Medicine, Qatar University, Doha, QAT.

出版信息

Cureus. 2020 May 16;12(5):e8155. doi: 10.7759/cureus.8155.

Abstract

Purpose The study aimed to find an effective method of teaching feedback skills to residents and to gauge their preference. Method This was a mixed design study conducted at the emergency department of a large tertiary care hospital. The residents were randomized to groups A, B, and C. Group A (control) received a traditional lecture, Group B read a specifically written brief document, and Group C received 1:1 tutoring from one faculty. Each resident individually watched a four-minute video on an emergency procedure and provided feedback in simulated settings, which was audio-recorded and rated by two blinded raters. An assessment form was created and validated. The residents' preference was attained through a semi-structured interview. Results The baseline characteristics of the three groups were similar. Compared to Group A, Groups B and C scored significantly higher on the overall assessment and were statistically similar to each other. There was no sign of association between both gender and postgraduate score (PGY) year on the total score. Residents' equally preferred self-reading and 1:1 tutoring. Conclusion The acquisition of feedback skills by emergency medicine (EM) residents was comparable between self-learning from an appropriately written document and 1:1 teaching by adequately trained faculty.

摘要

目的 本研究旨在找到一种向住院医师传授反馈技巧的有效方法,并评估他们的偏好。方法 这是一项在一家大型三级护理医院急诊科进行的混合设计研究。住院医师被随机分为A、B、C组。A组(对照组)接受传统讲座,B组阅读一份专门编写的简短文档,C组接受一名教员的一对一辅导。每位住院医师单独观看一段关于急诊程序的四分钟视频,并在模拟环境中提供反馈,反馈内容进行录音并由两名不知情的评分者评分。创建并验证了一份评估表。通过半结构化访谈了解住院医师的偏好。结果 三组的基线特征相似。与A组相比,B组和C组在总体评估中的得分显著更高,且两组之间在统计学上无差异。性别和研究生年级(PGY)与总分之间均无关联迹象。住院医师同样偏好自我阅读和一对一辅导。结论 急诊医学(EM)住院医师通过从适当编写的文档中自学和由训练有素的教员进行一对一教学,在获得反馈技巧方面效果相当。

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How to give and receive 
feedback effectively.如何有效地给予和接受反馈。
Breathe (Sheff). 2017 Dec;13(4):327-333. doi: 10.1183/20734735.009917.
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Residents as Educators: A Modern Model.住院医师作为教育者:一种现代模式。
J Surg Educ. 2015 Sep-Oct;72(5):949-56. doi: 10.1016/j.jsurg.2015.04.004. Epub 2015 Jul 2.

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