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概念化引发共情、同情、反思和社会投射的患者互动:带有分析的模型。

Conceptualizing patient interactions eliciting empathy, compassion, reflection, and social projection: A model with analysis.

机构信息

Professor of Pediatric Dentistry and Dean Emeritus, Iowa Oral Health Research Institute, Iowa City, Iowa, USA.

Clinical Assistant Professor of Prosthodontics, University of Iowa College of Dentistry, Iowa City, Iowa, USA.

出版信息

J Dent Educ. 2024 Oct;88(10):1380-1387. doi: 10.1002/jdd.13585. Epub 2024 May 19.

Abstract

OBJECTIVES

Conceptualizing the next patient interaction is logical, essential, and largely done intuitively with limited literature. The first objective is to elicit student thought experiences to four questions. The secondary objective is to classify responses for respective questions and to review faculty assessments.

METHODS

Forty-two students completed the exercise in the first clinical prosthodontics experience after a simulation course, in the fall of 2023. Four open-ended questions were 1) differentiation from the ideal, 2) desired outcome(s), 3) self-capabilities, and 4) consequences/prognosis. Nine different faculty assessed the exercise.

RESULTS

100% of students responded to all four questions and 83% of responses were judged by faculty to grasp the concept in the question. The authors categorized responses into natural categories for each question. Authors separately assigned responses to categories. The agreement rate was 90%. Little to no overlap in responses was observed among the four questions. The sequence of questions led students to thought experiences from empathy in Question #1, to compassion in Question #2, and to self-reflection in Question #3 to social projection in Question #4.

CONCLUSIONS

The main objective was met by engaging students in thought-provoking responses to questions the experienced clinician asks of every patient encounter. The exercise elicited different kinds of thought experiences on four topics. The format was succinct with acceptance by students and faculty. The project has progressed from a concept some years ago to a recent pilot to full implementation with the current project. The next steps will be refinement and follow-up in some years. The project follows an emulation model for critical thinking.

摘要

目的

构思下一次患者互动是合乎逻辑的、必不可少的,并且主要是凭直觉完成的,相关文献有限。第一个目标是引出学生对四个问题的思考经验。次要目标是对各个问题的回答进行分类,并审查教师的评估。

方法

2023 年秋季,42 名学生在完成模拟课程后的第一次临床修复学体验中完成了这项练习。四个开放式问题是 1)与理想的区别,2)期望的结果,3)自我能力,和 4)后果/预后。九位不同的教师评估了这项练习。

结果

100%的学生回答了所有四个问题,83%的学生回答被教师认为理解了问题中的概念。作者将回答归类为每个问题的自然类别。作者分别将回答归入类别。协议率为 90%。在四个问题中,观察到的回答之间几乎没有重叠。问题的顺序引导学生从第 1 个问题的同理心,到第 2 个问题的同情心,到第 3 个问题的自我反省,再到第 4 个问题的社会投射,进行了有深度的思考。

结论

通过让学生对每个患者遇到的经验丰富的临床医生提出的问题进行深思熟虑的回答,实现了主要目标。练习引出了关于四个主题的不同类型的思考经验。格式简洁,学生和教师都接受。该项目已从几年前的一个概念发展到最近的试点项目,再到目前的全面实施。下一步将是在几年后进行改进和跟进。该项目遵循模仿模型进行批判性思维。

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