Cheng Anita, Yuen Doris, Cristancho Sayra
Neonatal-Perinatal Medicine, Center for Education Research & Innovation, Western University, Ontario, Canada.
Department of Surgery and Department of Medical Biophysics, Center for Education Research & Innovation, Western University, Ontario, Canada.
Can Med Educ J. 2021 Jun 30;12(3):105-112. doi: 10.36834/cmej.71376. eCollection 2021 Jun.
Rehearsal simulations are patient-specific case- matched tasks performed immediately prior to the actual task, with the objective of improving performance.
How does rehearsal simulation for antenatal consults impact how residents learn to engage in difficult conversations with families?
Residents in the NICU performed case-matched video recorded rehearsal simulations, followed by actual antenatal consults. The purpose of antenatal consults is to prepare parents expecting a complication with their baby before birth. Questionnaires assessed changes in resident confidence and self-assessment of communication skills. Residents were interviewed for qualitative data to explore the overall impact of rehearsal simulation on their learning and performance.
Thirteen residents participated. Rehearsal simulation improved confidence with a more organized approach of medical content and better communication techniques, allowing for a shift of focus from a checklist approach to building rapport and displaying empathy.
While rehearsal simulation did not prepare residents for unexpected parent responses, trainees' increased confidence with medical content organization and communication techniques created space for reflection-in-action and compassionate approaches.
预演模拟是在实际任务之前立即进行的针对特定患者的病例匹配任务，目的是提高表现。
产前咨询的预演模拟如何影响住院医师学习与家属进行困难对话的方式？
新生儿重症监护病房（NICU）的住院医师进行病例匹配的视频记录预演模拟，随后进行实际的产前咨询。产前咨询的目的是在婴儿出生前为预期婴儿会出现并发症的父母做好准备。问卷调查评估了住院医师信心的变化以及对沟通技巧的自我评估。对住院医师进行访谈以获取定性数据，以探讨预演模拟对他们学习和表现的总体影响。
13名住院医师参与。预演模拟通过更有条理地组织医学内容和更好的沟通技巧提高了信心，使关注点从清单式方法转向建立融洽关系和表达同理心。
虽然预演模拟没有让住院医师为家长的意外反应做好准备，但学员对医学内容组织和沟通技巧的信心增强为行动中的反思和富有同情心的方法创造了空间。
