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模拟作为一种有效手段,可让学员为积极参与多学科团队(MDT)会议做好准备。

Simulation as an effective means of preparing trainees for active participation in MDT meetings.

作者信息

Mackay Ewan Christopher, Patel Kishen Rajan, Davidson Colette, Little Jessica, Tipples Karen, Januszewski Adam, Ricketts William

机构信息

King's College Hospital NHS Trust, Denmark Hill, London, SE5 9RS, UK.

Barts Health NHS Trust, London, London, UK.

出版信息

Future Healthc J. 2024 Feb 28;11(1):100017. doi: 10.1016/j.fhj.2024.100017. eCollection 2024 Mar.

Abstract

INTRODUCTION

Cancer multi-disciplinary team (MDT) meetings are an important component of consultant workload, however previous literature has suggested trainees are not satisfied with their current curriculum in preparing for MDT working.

METHODS

This educational pilot assessed whether multi-speciality simulated scenarios with pre-defined learning objectives, could prepare specialist registrars for interacting within an MDT. Participants completed pre- and post-questionnaires assessing a number of areas including: current experience of training, confidence presenting patients and whether the course would alter future practice.

RESULTS

Trainee confidence increased significantly from a mean of 5 to 7 (mean to nearest whole number, < 0.01). Trainees rated the session highly for utility and altering their future practice (mean scores of 9 for both respectively, out of 10).

CONCLUSION

Simulation has shown success in other multidisciplinary teaching, however to our knowledge there are no cancer specific training programmes. Our results highlight a potential gap in UK specialist training, and suggest simulation may be beneficial in preparing trainees to present in MDT meetings.

摘要

引言

癌症多学科团队(MDT)会议是顾问工作量的重要组成部分,然而以往文献表明,实习生对当前为MDT工作做准备的课程并不满意。

方法

本教育试点评估了具有预先确定学习目标的多专业模拟场景,是否能让专科住院医师为在MDT中进行互动做好准备。参与者完成了课前和课后问卷,评估了多个领域,包括:当前培训经历、展示患者情况的信心以及该课程是否会改变未来的实践。

结果

实习生的信心从平均5分显著提高到7分(平均至最接近的整数,<0.01)。实习生对该课程的实用性和对未来实践的改变给予了高度评价(两者的平均得分均为9分,满分10分)。

结论

模拟在其他多学科教学中已显示出成效,但据我们所知,尚无针对癌症的特定培训项目。我们的结果凸显了英国专科培训中的一个潜在差距,并表明模拟可能有助于实习生为在MDT会议上进行展示做好准备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5d/11025061/7f36e4233a0d/gr1.jpg

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