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探索针对遗传咨询研究生的简短医学即兴表演艺术干预措施。

Exploring a brief medical improvisational performing arts intervention for genetic counseling graduate students.

机构信息

Graduate Program in Genetic Counseling, Northwestern University, Chicago, Illinois, USA.

Physician Assistant Studies Program, Salus University, Elkins Park, Pennsylvania, USA.

出版信息

J Genet Couns. 2022 Oct;31(5):1193-1205. doi: 10.1002/jgc4.1590. Epub 2022 May 26.

DOI:10.1002/jgc4.1590
PMID:35617028
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9795887/
Abstract

Psychosocial counseling is the foundation of genetic counseling. Genetic counseling students are required to receive in-depth training on psychosocial counseling techniques. In other medical disciplines, "medical improv," an educational method derived from improvisational theatre, has been used to allow trainees to practice clinical skills without also having to focus on medical knowledge they've not yet mastered. The present study aims to investigate the acceptability of medical improv as an educational tool for genetic counseling students. Fourteen genetic counseling students and new genetic counselors completed a 2-hr medical improv workshop and participated in follow-up interviews to discuss the workshop. Participants' responses to the intervention were positive, with 92.9% of participants responding that they would recommend medical improv training to other genetic counseling students. Participants described the medical improv workshop as helping build psychosocial skills in a safe environment, which may facilitate the use of more advanced counseling skills in clinical situations. By training students to practice psychosocial skills and building students' confidence, medical improv may help genetic counseling students and genetic counselors be more effective in challenging clinical situations, and to feel more comfortable in experimenting with new ideas and psychosocial techniques in their clinical practice.

摘要

心理社会咨询是遗传咨询的基础。遗传咨询的学生需要接受深入的心理社会咨询技巧培训。在其他医学学科中,“医学即兴”作为一种源自即兴戏剧的教育方法,已经被用于让学员在无需关注尚未掌握的医学知识的情况下,练习临床技能。本研究旨在调查医学即兴作为遗传咨询学生教育工具的可接受性。14 名遗传咨询学生和新的遗传咨询师完成了 2 小时的医学即兴工作坊,并参加了后续访谈,以讨论工作坊的情况。参与者对干预措施的反应是积极的,92.9%的参与者表示他们将向其他遗传咨询学生推荐医学即兴培训。参与者描述医学即兴工作坊有助于在安全的环境中建立心理社会技能,这可能有助于在临床情况下更有效地运用更先进的咨询技巧。通过培训学生练习心理社会技能并增强学生的信心,医学即兴可能有助于遗传咨询学生和遗传咨询师在具有挑战性的临床情况下更有效地工作,并在他们的临床实践中更舒适地尝试新想法和心理社会技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a49/9795887/31d78357827d/JGC4-31-1193-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a49/9795887/31d78357827d/JGC4-31-1193-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a49/9795887/31d78357827d/JGC4-31-1193-g001.jpg

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本文引用的文献

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Improvisation in the Time of a Pandemic: Field Notes on Resilience.大流行时期的即兴创作:关于复原力的实地记录
J Grad Med Educ. 2022 Feb;14(1):13-17. doi: 10.4300/JGME-D-21-00663.1.
2
Improv: Transforming Physicians and Medicine.即兴表演:改变医生与医学。
Med Sci Educ. 2020 Dec 1;31(1):263-266. doi: 10.1007/s40670-020-01174-x. eCollection 2021 Feb.
3
Association of Self-Reported Burnout and Protective Factors in Single Institution Resident Physicians.单机构住院医师自述倦怠与保护因素的关联。
J Grad Med Educ. 2020 Jun;12(3):284-290. doi: 10.4300/JGME-D-19-00645.1.
4
Hilariously Bad News: Medical Improv as a Novel Approach to Teach Communication Skills for Bad News Disclosure.极其糟糕的消息:将医学即兴表演作为一种传授坏消息告知沟通技巧的新方法。
Acad Pediatr. 2020 Aug;20(6):879-881. doi: 10.1016/j.acap.2020.05.003. Epub 2020 May 7.
5
Interprofessional Improv: Using Theater Techniques to Teach Health Professions Students Empathy in Teams.跨专业即兴创作:运用戏剧技巧教授卫生专业学生团队同理心。
Acad Med. 2020 Aug;95(8):1210-1214. doi: 10.1097/ACM.0000000000003420.
6
Can I Get a Suggestion? Medical Improv as a Tool for Empathy Training in Obstetrics and Gynecology Residents.我能得到一个建议吗?将医学即兴表演作为妇产科住院医师共情训练的工具。
J Grad Med Educ. 2019 Oct;11(5):597-600. doi: 10.4300/JGME-D-19-00185.1.
7
An exploration of novice genetic counselors' transitional challenges: Commencement is just the beginning.新手遗传咨询师转型挑战探索:入职只是开始。
J Genet Couns. 2019 Aug;28(4):822-835. doi: 10.1002/jgc4.1125. Epub 2019 May 6.
8
Teaching Genetic Counseling Skills: Incorporating a Genetic Counseling Adaptation Continuum Model to Address Psychosocial Complexity.教授遗传咨询技能:纳入遗传咨询适应连续体模型以应对心理社会复杂性。
J Genet Couns. 2017 Apr;26(2):215-223. doi: 10.1007/s10897-016-0042-y. Epub 2016 Nov 28.
9
Creativity in Medical Education: The Value of Having Medical Students Make Stuff.医学教育中的创造力:让医学生动手制作的价值。
J Med Humanit. 2016 Dec;37(4):475-483. doi: 10.1007/s10912-016-9397-1.
10
Medical improvisation training to enhance the antenatal counseling skills of neonatologists and neonatal fellows: a pilot study.医学即兴训练以提高新生儿科医生和新生儿专科住院医生的产前咨询技能:一项试点研究。
J Matern Fetal Neonatal Med. 2017 Aug;30(15):1865-1869. doi: 10.1080/14767058.2016.1228059. Epub 2016 Sep 5.