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[评估一项干预措施对一年级儿科住院医师沟通技巧的影响]

[Evaluation of the impact of an intervention on the communication skills of first-year pediatric residents].

作者信息

Urtasun Marcela, Labanca Vanesa Denise, González Pannia Paula, De Rochebouët Luisa, Chiappino Romina, Ferrero Fernando Claudio, Ossorio María Fabiana, Torres Fernando Adrian

机构信息

Hospital General de Niños Pedro de Elizalde .

Hospital Gerneral de Niños Pedro de Elizalde.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2021 Jun 28;78(2):130-136. doi: 10.31053/1853.0605.v78.n2.31036.

Abstract

INTRODUCTION

Communication is a basic competence in medical education. It requires knowledge, attitudes and skills that can be taught, learned and evaluated during the training process.

OBJECTIVE

To explore if the implementation of a specific intervention improves the communication skills of first-year pediatric residents.

POPULATION

23 first-year pediatric resident physicians from a pediatric hospital were included.

MATERIAL AND METHODS

Prospective study of impact evaluation, before and after type (within-subject control). A video recording of a medical consultation was made, with the prior informed consent of the participants. Two researchers independently assessed performance in communicational competence using the CICAA scale, an instrument designed and validated for this purpose. In an instance of feedback, each physician observed their recording and received feedback on their strengths and weaknesses. Subsequently, a video recording of another consultation and a new assessment was made using the CICAA scale, in order to evaluate the impact of the intervention.

RESULTS

The total score on the CICAA scale prior to the intervention, presented a median of 16.4 (IIC 13-20) and after it a median value of 31.1 (IIC 27-36) (p <0 , 01).

CONCLUSION

An intervention based on critical and objective observation (CICAA scale), self-observation of medical consultations, together with constructive feedback, had a positive impact on the communication skills of first-year pediatric residents.

摘要

引言

沟通是医学教育中的一项基本能力。它需要在培训过程中能够教授、学习和评估的知识、态度和技能。

目的

探讨实施特定干预措施是否能提高一年级儿科住院医师的沟通技巧。

研究对象

纳入了一家儿童医院的23名一年级儿科住院医师。

材料与方法

前瞻性影响评估研究,前后对照类型(受试者内对照)。在参与者事先知情同意的情况下,录制了一次医疗咨询的视频。两名研究人员使用CICAA量表独立评估沟通能力表现,该量表是为此目的设计并验证的工具。在反馈环节,每位医生观看自己的录像,并收到关于其优点和缺点的反馈。随后,录制了另一次咨询的视频,并使用CICAA量表进行新的评估,以评估干预措施的效果。

结果

干预前CICAA量表的总分中位数为16.4(四分位间距13 - 20),干预后中位数为31.1(四分位间距27 - 36)(p <0.01)。

结论

基于批判性和客观观察(CICAA量表)、医疗咨询的自我观察以及建设性反馈的干预措施,对一年级儿科住院医师的沟通技巧产生了积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a165/8741311/aa882b2f43d4/1853-0605-78-2-130-gf001.jpg

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