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一个多模式工作坊,旨在提高医学生对自杀倾向患者的知识自我评估以及管理此类患者的舒适度。

A Multimodal Workshop to Improve Medical Student Self-Assessment of Knowledge and Comfort Managing Patients With Suicidality.

作者信息

Chardavoyne Paige C, Liewen Amanda, McKenzie Paige, Sorby Jill, Navarro Ana, Owen Julie R

机构信息

Fourth-Year Resident, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin.

Assistant Professor, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin.

出版信息

MedEdPORTAL. 2025 Jan 17;21:11488. doi: 10.15766/mep_2374-8265.11488. eCollection 2025.

Abstract

INTRODUCTION

Suicide is a preventable public health concern, yet suicide remains a leading cause of death for Americans. Physicians are well positioned to screen for and address suicidality. It is important to provide formal suicide education during medical school so that physicians are better prepared to address this topic with their patients. The goal of this workshop was to improve medical student self-assessment of knowledge and comfort managing patients with suicidality.

METHODS

This was a 2.5-hour multimodal workshop developed for formal third-year medical student suicide education that included: flipped learning with a preworkshop presentation; experiential learning, scaffolding, reflection, and feedback with two standardized patient encounters; think-pair-share with small- and large-group discussion; and a facilitator-led large-group didactic.

RESULTS

Of the 105 third-year medical students who completed the workshop in the first half of the 2023-2024 academic year, 84% (88/105) completed the presurvey and 70% (73/105) completed the postsurvey. Prior to the workshop, on a 5-point Likert scale (1 = , 5 = ), respondents rated their knowledge regarding suicide assessment as 2.2 and their comfort managing suicidality as 2.6. This improved to 4.0 and 3.9, respectively, on the postworkshop survey. Students felt the workshop was helpful and relevant.

DISCUSSION

Future work should involve identifying if this reported self-improvement transfers to clinical skill advancement and, if so, measuring the clinical impact of this innovation for patients. Furthermore, assessing if this self-reported improvement in knowledge and comfort managing suicidality is long-lasting should be explored.

摘要

引言

自杀是一个可预防的公共卫生问题,但自杀仍是美国人的主要死因。医生在筛查和处理自杀倾向方面具有优势。在医学院提供正式的自杀预防教育很重要,这样医生就能更好地与患者探讨这个话题。本次工作坊的目标是提高医学生对自杀相关知识的自我评估以及处理有自杀倾向患者时的自信程度。

方法

这是一个为三年级医学生开展的时长2.5小时的多模式工作坊,用于正式的自杀预防教育,包括:课前通过翻转课堂进行预习;通过两次标准化患者问诊进行体验式学习、逐步引导、反思和反馈;小组及大组讨论中的“思考-结对-分享”环节;以及由主持人引导的大组授课。

结果

在2023-2024学年上半年完成该工作坊的105名三年级医学生中,84%(88/105)完成了课前调查,70%(73/105)完成了课后调查。在工作坊之前,在5分制李克特量表(1 = ,5 = )上,受访者将他们对自杀评估知识的评分定为2.2,对处理自杀倾向的自信程度评分为2.6。在课后调查中,这两项评分分别提高到了4.0和3.9。学生们认为该工作坊很有帮助且与实际相关。

讨论

未来的工作应确定这种报告的自我提升是否转化为临床技能的进步,如果是,则衡量这一创新对患者的临床影响。此外,还应探索评估这种在自杀相关知识和处理自杀倾向方面自我报告的提升是否持久。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da52/11739282/5cba98ddf94c/mep_2374-8265.11488-g001.jpg

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