Andre Hayley E, Daniel Michelle, Haas Mary R C
Department of Emergency Medicine University of Michigan Emergency Medicine Residency Ann Arbor MI USA.
and the Department of Emergency Medicine University of Michigan Medical School Ann Arbor MI USA.
AEM Educ Train. 2020 Jun 29;4(4):435-437. doi: 10.1002/aet2.10491. eCollection 2020 Oct.
The emergency department environment requires the clinician-educator to use adaptive teaching strategies to balance education with efficiency and patient care. Recently, alternative approaches to the traditional serial trainee-attending patient evaluation model have emerged in the literature.
The parallel encounter involves the attending physician and resident seeing the patient independently. Instead of the trainee delivering a traditional oral case presentation, the trainee does not present the history and examination to the attending physician. Rather, the attending and trainee come together following their independent evaluations to jointly discuss and formulate the assessment and plan.
The parallel encounter has the potential to enhance the teaching encounter by emphasizing clinical reasoning, reduce cognitive bias by integrating two independent assessments of the same patient, increase attending workflow flexibility and efficiency, and improve patient satisfaction and outcomes by reducing time to initial provider contact. The attending must be mindful of protecting resident autonomy. This model tends to work better for more senior learners.
The parallel encounter represents a novel approach to the traditional serial trainee-attending patient evaluation model that may enhance the teaching encounter and improve patient care.
急诊科环境要求临床教育工作者采用适应性教学策略，以平衡教育与效率及患者护理之间的关系。最近，文献中出现了替代传统的实习医生 - 主治医生串行患者评估模式的方法。
平行会诊是指主治医生和住院医生独立查看患者。实习医生不再向主治医生进行传统的口头病例汇报，即不再向主治医生陈述病史和检查情况。相反，主治医生和实习医生在各自独立评估后共同讨论并制定评估和治疗方案。
平行会诊有可能通过强调临床推理来加强教学过程，通过整合对同一患者的两次独立评估来减少认知偏差，增加主治医生工作流程的灵活性和效率，并通过减少首次与医疗服务提供者接触的时间来提高患者满意度和治疗效果。主治医生必须注意保护住院医生的自主权。这种模式对高年级学习者往往效果更好。
平行会诊是对传统的实习医生 - 主治医生串行患者评估模式的一种新方法，可能会加强教学过程并改善患者护理。
