Internal Medicine resident, University of Texas Medical Branch (UTMB), Galveston, TX, USA.
John Sealy School of Medicine, University of Texas Medical Branch (UTMB), Galveston, TX, USA.
Med Educ Online. 2023 Dec;28(1):2173995. doi: 10.1080/10872981.2023.2173995.
Graduating medical students require multiple skills that are not traditionally taught in medical school. Mock paging activities, where school of medicine (SOM) students receive pages as if from nursing staff in a practice environment, are being used as a tool to teach communication and to enhance confidence. Prior small-scale, specialty specific mock page activities have demonstrated improvement in confidence, communication with other healthcare personnel, and medical decision-making. This Mock Page Activity aimed to evaluate the effect on confidence and communication for large graduating SOM class entering different specialties. SOM faculty collaborated with the School of Nursing (SON) faculty in the design and implementation of this activity. Medical students completed pre-/post surveys regarding confidence in communication, interaction with other healthcare professionals, and patient management. Two years of medical student survey data (n=420) after the Mock Page Activity implementation demonstrated a significant increase in general confidence (30.4%, p <0.001) related to receiving communication from nursing staff, making clinical decisions over the phone, and using a pager as a communication device. This multidisciplinary Mock Page Activity improved communication and confidence during paging activities for a large group of medical students pursuing different specialties. Strengths of the study include being the largest, specialty non-specific mock page activity reported in the literature. Limitations include varied individual experience of students and questionable benefits for students pursuing non-patient care careers in medicine. Future directions include iterative improvement based on feedback and incorporation of an interprofessional debrief session to ensure equal benefit to the participating SON students.
医学生在毕业后需要掌握许多传统医学教育中未教授的技能。模拟传呼活动是一种教学工具，它可以帮助医学生在实践环境中模拟接收来自护理人员的传呼，以提高沟通能力和自信心。先前的小规模、特定专业的模拟传呼活动已经证明，它可以提高医学生的自信心、与其他医疗保健人员的沟通能力和医疗决策能力。本模拟传呼活动旨在评估其对进入不同专业的大量医学生的自信心和沟通能力的影响。医学院教师与护理学院（SON）教师合作设计并实施了这项活动。医学生在模拟传呼活动之前和之后完成了关于沟通信心、与其他医疗保健专业人员互动以及患者管理的调查。在实施模拟传呼活动后的两年中，共有 420 名医学生的调查数据显示，他们在与护理人员沟通、通过电话做出临床决策以及使用传呼机作为通讯设备方面的总体信心有了显著提高（30.4%，p<0.001）。这种多学科的模拟传呼活动提高了医学生在不同专业领域的传呼活动中的沟通能力和自信心。该研究的优势在于它是文献中报告的最大规模、非特定专业的模拟传呼活动。其局限性在于学生的个人经验各不相同，而且对于从事非患者护理职业的医学生来说，其益处也值得商榷。未来的方向包括根据反馈进行迭代改进，并纳入跨专业的汇报环节，以确保参与 SON 学生同等受益。
