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缓解错误信息工具包:通过使用基于标准化患者的教育模块进行跨专业学习和合作来应对 COVID-19 错误信息。

Mitigating Misinformation Toolkit: Addressing COVID-19 Misinformation Through Interprofessional Learning and Collaboration Using a Standardized Patient-Based Educational Module.

机构信息

Clinical Associate Professor, Department of Pediatrics, Tufts University School of Medicine; Assistant Dean of Educational Affairs, Tufts University School of Medicine-Maine Track; Pediatric Hospitalist, Maine Medical Center.

Associate Professor, Department of Emergency Medicine, Tufts University School of Medicine and Maine Medical Center; Director of Innovative Curriculum, Tufts University School of Medicine-Maine Track.

出版信息

MedEdPORTAL. 2024 Sep 3;20:11461. doi: 10.15766/mep_2374-8265.11461. eCollection 2024.

Abstract

INTRODUCTION

Medical mis- and disinformation are on the rise and impact patient health outcomes. The complexity of modern medicine and health care delivery necessitates that care be delivered by an interprofessional team of providers well versed in addressing this increased prevalence of medical misinformation. Health professions educational curricula often lack opportunities for students to learn how to address medical misinformation, employ advanced communication techniques, and work collaboratively.

METHODS

Based on literature and our previous qualitative research, we created a module offering prework learning on COVID-19 and addressing misinformation through advanced communication techniques and interprofessional collaboration. After completing prework, students participated in a standardized patient encounter addressing COVID misinformation. Health professions student dyads completed a preencounter planning huddle and together interviewed a standardized patient. Students received global and checklist-based feedback from standardized patients and completed pre- and postsession self-assessments.

RESULTS

Twenty students participated (10 third-year medical, nine third-year pharmacy, one fourth-year pharmacy). Key findings included the following: Nine of 15 survey questions demonstrated statistically significant improvement, including all three questions assessing readiness to have difficult conversations and six of 10 questions assessing interprofessional collaboration and team function.

DISCUSSION

Students participating in this novel curriculum advanced their readiness to address medical misinformation, including COVID-19 vaccine disinformation, with patients and coworkers to improve health decision-making and patient care. These curricular methods can be customized for use with a range of health professions learners.

摘要

简介

医学错误和虚假信息日益增多,影响患者的健康结果。现代医学和医疗服务的复杂性要求由精通解决这种日益增多的医学错误信息的跨专业医疗团队来提供护理。医疗保健专业的教育课程通常缺乏学生学习如何解决医学错误信息、运用高级沟通技巧和协作的机会。

方法

基于文献和我们之前的定性研究,我们创建了一个模块,提供有关 COVID-19 的预作业学习,并通过高级沟通技巧和跨专业合作来解决错误信息。完成预作业后,学生参与了一个标准化患者的就诊,以解决 COVID 错误信息。医疗保健专业的学生二人一组进行预诊计划讨论,并一起采访了一个标准化患者。学生从标准化患者那里获得了全球和检查表式的反馈,并完成了课前和课后自我评估。

结果

共有 20 名学生参加了(10 名三年级医学生,9 名三年级药剂学学生,1 名四年级药剂学学生)。主要发现包括以下内容:15 个调查问题中有 9 个问题显示出统计学上的显著改善,包括所有三个评估进行困难对话准备程度的问题和 10 个评估跨专业合作和团队功能的问题中的 6 个问题。

讨论

参与这个新颖课程的学生提高了他们与患者和同事一起解决医学错误信息(包括 COVID-19 疫苗错误信息)的能力,以改善健康决策和患者护理。这些课程方法可以针对不同的医疗保健专业学习者进行定制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7882/11369098/849102b5ed1c/mep_2374-8265.11461-g001.jpg

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