Division of Neonatal-Perinatal Medicine, 12250Indiana University School of Medicine, Indianapolis, IN, USA.
Department of Emergency Medicine, 12250Indiana University School of Medicine, Indianapolis, IN, USA.
Am J Hosp Palliat Care. 2021 Dec;38(12):1451-1456. doi: 10.1177/1049909121999791. Epub 2021 Mar 4.
Evaluate pediatric intern self-reported preparedness to Deliver Serious News, Express Empathy, and Medical Error Disclosure after a 1-day simulation based-empathic communication training. Additionally, we sought to evaluate self-reported use of communication skills and describe the clinical scenarios in which the skills were used.
Pediatric interns completed the survey immediately and 3 months after participating in the communication course.
Self-reported preparedness to Deliver Serious News, Express Empathy, and Medical Error Disclosure all significantly improved. At 3 months, 73.9% of respondents reported using the skills at least weekly and 62% described the clinical scenarios in which they used skills. These descriptions show an ability to use the skills appropriately, and in some cases apply the skills in advanced, more difficult scenarios.
A 1 day simulation-based reflective teaching course for pediatric interns is an effective way to teach empathic communication skills. They feel more prepared to deliver serious news, respond with empathy and disclose a medical error. In addition, the interns value the training as a part of their education and report using the skills in appropriate scenarios at 3 months.
评估儿科实习医生在为期 1 天的基于模拟的同理心沟通培训后,自我报告在传递严重消息、表达同理心和披露医疗错误方面的准备情况。此外,我们还试图评估自我报告的沟通技巧的使用情况,并描述使用这些技能的临床场景。
儿科实习医生在参加沟通课程后立即和 3 个月后完成了这项调查。
自我报告在传递严重消息、表达同理心和披露医疗错误方面的准备情况都显著提高。在 3 个月时,73.9%的受访者表示每周至少使用这些技能一次,62%的受访者描述了他们使用这些技能的临床场景。这些描述表明他们能够恰当地使用这些技能,并且在某些情况下,能够将技能应用于更高级、更困难的场景。
为期 1 天的基于模拟的儿科实习医生反思性教学课程是教授同理心沟通技巧的有效方法。他们感到在传递严重消息、回应同理心和披露医疗错误方面更有准备。此外,实习医生认为这种培训是他们教育的一部分,并报告在 3 个月时在适当的场景中使用这些技能。