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如果我是一名急诊医生,我会怎么做?一个引发讨论的工具。

What Would I Do if I Was an Emergency Physician? A Tool To Generate Discussion.

作者信息

Eley Rob, Eley Diann, Greentree Charley

机构信息

Emergency Department, Princess Alexandra Hospital (PAH), Brisbane, Queensland Australia.

PAH-Southside Clinical Unit, Faculty of Medicine, The University of Queensland, Brisbane, Australia.

出版信息

Med Sci Educ. 2025 Jan 23;35(2):657-661. doi: 10.1007/s40670-025-02282-2. eCollection 2025 Apr.

Abstract

Although safety is imperative in health care, medical practice carries a degree of uncertainty which in turn introduces risk, and perception of risk influences behaviour. Doctors worldwide are guided by professional practice frameworks, yet the perception of risk is subjective, meaning that individuals make their own judgements on its severity and consequences in ambiguous situations. The intent of this study was to develop a self-directed learning tool for medical students and doctors in training to prompt reflection on "what would I do" scenarios in ambiguous clinical emergency situations. We present the development and testing of scenarios based on the Australasian College for Emergency Medicine's education and professionalism domains for use as a reflection tool in small group learning activities.

摘要

尽管安全在医疗保健中至关重要,但医疗实践存在一定程度的不确定性,这反过来又带来了风险,而且对风险的认知会影响行为。世界各地的医生都遵循专业实践框架,但对风险的认知是主观的,这意味着在不明确的情况下,个人会对风险的严重性及其后果做出自己的判断。本研究的目的是为医学生和实习医生开发一种自主学习工具,以促使他们思考在不明确的临床紧急情况下“我会怎么做”的情景。我们展示了基于澳大利亚急诊医学学院教育和专业领域开发并测试的情景,将其用作小组学习活动中的反思工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c963/12058628/db42a2ce7dbf/40670_2025_2282_Fig1_HTML.jpg

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