Strain J J, Biller H F, Estock L
Gen Hosp Psychiatry. 1987 Jan;9(1):64-70. doi: 10.1016/0163-8343(87)90104-6.
An attempt to enhance psychiatric teaching on the Otolaryngology Service was undertaken by employing the vehicle of Ombudsman Rounds. The structure of these rounds is dictated by its major goal of maximizing the relationship of the surgeon and liaison psychiatrist as coteachers among the staff of the ENT surgical unit. Surgical residents, surgical clerks, nurses, and the social worker meet with the Chairman of the ENT Department and the liaison psychiatrist in a scheduled weekly conference, which addresses both staff and patient needs on the in-patient surgical service. Through patient interviews, multidiscipline staff presentations, chief of service surgical and prognostic summaries, and liaison psychiatrists' formulations, group discussions are undertaken. Through such an experience the staff become aware of the patient's feelings and understandings about their illness and care. The goal of Ombudsman Rounds is to enhance patient care, advance psychiatric knowledge of the multidiscipline staff, and provide an ongoing vehicle to change attitudes so that they incorporate a biopsychosocial approach to patient management on the ENT Service.
通过采用巡视官查房这一方式，尝试加强耳鼻喉科服务中的精神科教学。这些查房的结构取决于其主要目标，即最大限度地增进外科医生和联络精神科医生作为耳鼻喉外科病房工作人员共同教师的关系。外科住院医师、外科实习医生、护士和社会工作者在每周一次的定期会议上与耳鼻喉科主任和联络精神科医生会面，该会议讨论住院外科服务中工作人员和患者的需求。通过患者访谈、多学科工作人员报告、科室主任的手术和预后总结以及联络精神科医生的诊断，进行小组讨论。通过这样的经历，工作人员能够了解患者对其疾病和护理的感受和理解。巡视官查房的目标是改善患者护理，增进多学科工作人员的精神科知识，并提供一个持续的途径来改变态度，以便在耳鼻喉科服务中采用生物心理社会方法进行患者管理。
