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外科住院医师年度结构化沟通技巧培训。

Annual Structured Communication Skills Training for Surgery Residents.

机构信息

Department of Surgery, Division of General Surgery, Columbia University Irving Medical Center, New York, New York.

Department of Surgery, Division of General Surgery, Columbia University Irving Medical Center, New York, New York; Department of Medicine, Adult Palliative Care Services, Columbia University Irving Medical Center, New York, New York.

出版信息

J Surg Res. 2023 Jan;281:314-320. doi: 10.1016/j.jss.2022.09.005. Epub 2022 Oct 10.

Abstract

INTRODUCTION

There is no formalized communication curriculum for surgical training. The aim of this study is to determine the benefit of annual communication skill-building workshops for surgical residents over several years.

METHODS

The general surgery and the integrated cardiothoracic surgery residents in a tertiary care, urban academic center participated in a 2-hour communication skill-building workshop each year from July 2017 to June 2021. Each participant was administered an anonymous pre-session and post-session survey with a 5-point Likert scale to assess their self-reported preparedness and their evaluation of the workshop. Survey responses were divided into three groups based on their experience in this workshop; no experience (Experience 0), 1 y of experience (Experience 1), and two or more years of experience (Experience 2+). They were compared among groups.

RESULTS

Seventy-one surgical residents participated in the workshop generating 124 survey results (Experience 0, 71 [57.3%], Experience 1, 41 [33.1%], and Experience 2+, 12 [9.7%]). Self-reported preparedness scores improved for the overall group as well as for each experience group. While scores decreased significantly in the following years, they improved after each workshop. Scores were significantly better with more experience (4, interquartile range [IQR] 3-4 in Experience 0, 4, IQR 3-5 in Experience 1, 4, IQR 4-5 in Experience 2+, P < 0.001 between Experience 0 and Experience 1, P = 0.041 between Experience 1 and Experience 2+). All residents reported an overwhelmingly positive review of the curriculum.

CONCLUSIONS

Yearly 2-hour communication skills practice increased surgical residents' self-reported preparedness, and the repetition helped the improvement. Annual workshops are important for residents to be more prepared for serious illness communication.

摘要

简介

目前针对外科培训尚未形成规范化的交流课程。本研究旨在确定多年来为外科住院医师举办年度交流技能建设研讨会的益处。

方法

参与本研究的是一家三级城市学术中心的普通外科和心胸外科住院医师,他们于 2017 年 7 月至 2021 年 6 月期间,每年参加时长为 2 小时的交流技能建设研讨会。每位参与者都在会前和会后接受了一项匿名的 5 点李克特量表调查,以评估他们的自我准备情况以及对研讨会的评价。根据他们在本研讨会上的经验,将调查结果分为三组:无经验(经验 0)、1 年经验(经验 1)和 2 年以上经验(经验 2+)。并对这三组进行了比较。

结果

共有 71 名外科住院医师参加了该研讨会,共生成 124 项调查结果(经验 0,71 例[57.3%];经验 1,41 例[33.1%];经验 2+,12 例[9.7%])。总体而言,以及每个经验组的自我准备评分都有所提高。尽管评分在随后的几年中显著下降,但在每次研讨会后都有所提高。经验越多,评分越高(经验 0 组的评分为 4,四分位距[IQR] 3-4;经验 1 组的评分为 4,IQR 3-5;经验 2+组的评分为 4,IQR 4-5;经验 0 与经验 1 之间的评分差异具有统计学意义,P<0.001;经验 1 与经验 2+之间的评分差异具有统计学意义,P=0.041)。所有住院医师都对课程给予了极高的评价。

结论

每年 2 小时的交流技能实践提高了外科住院医师的自我准备情况,而重复则有助于提高他们的水平。年度研讨会对住院医师做好严重疾病沟通准备工作非常重要。

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