Acad Med. 2024 Apr 1;99(4S Suppl 1):S84-S88. doi: 10.1097/ACM.0000000000005607. Epub 2023 Jan 18.
Clinical touch is the cornerstone of the doctor-patient relationship and can impact patient experience and outcomes. In the current era, driven by an ever-increasing infusion of point-of-care technologies, physical exam skills have become undervalued. Moreover, touch and hands-on skills have been difficult to teach due to inaccurate assessments and difficulty with learning transfer through observation. In this article, the authors argue that haptics, the science of touch, provides a unique opportunity to explore new pathways to facilitate touch training. Furthermore, haptics can dramatically increase the density of touch-based assessments without increasing human rater burden-essential for realizing precision assessment. The science of haptics is reviewed, including the benefits of using haptics-informed language for objective structured clinical examinations. The authors describe how haptic devices and haptic language have and can be used to facilitate learning, communication, documentation and a much-needed reinvigoration of physical examination, and touch excellence at the point of care. The synergy of haptic devices, artificial intelligence, and virtual reality environments are discussed. The authors conclude with challenges of scaling haptic technology in medical education, such as cost and translational needs, and opportunities to achieve wider adoption of this transformative approach to precision education.
临床触觉是医患关系的基石,能够影响患者体验和治疗效果。在当前时代,由于即时护理技术的不断增加,体格检查技能的重要性被低估。此外,由于评估不准确以及通过观察进行学习迁移的难度,触觉和动手技能很难教授。在本文中,作者认为触觉学,即触摸科学,为探索新途径以促进触觉培训提供了独特的机会。此外,触觉学可以在不增加人力评估负担的情况下显著增加基于触摸的评估密度,这对于实现精确评估至关重要。本文回顾了触觉学的科学原理,包括使用触觉感知语言进行客观结构化临床考试的好处。作者描述了触觉设备和触觉语言如何以及已经被用于促进学习、沟通、记录以及急需的重新激发即时护理中的体格检查和触觉卓越。还讨论了触觉设备、人工智能和虚拟现实环境的协同作用。最后,作者总结了触觉技术在医学教育中的规模化所面临的挑战,如成本和转化需求,以及实现这一变革性精确教育方法广泛应用的机会。