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应对教学查房的复杂性:平衡教育目标与以患者为中心的目标。

Navigating the complexities of teaching rounds: balancing educational and patient-centered objectives.

作者信息

Li Yang, Lu Lu, Yin Yanming, Wang Aijun, Huang Denghui, Yang Wenjiang

机构信息

Science and Education Section, Wenshang County People's Hospital, Jining, Shandong, China.

English Research Group, Wenshang County No. 1 Middle School, Jining, Shandong, China.

出版信息

Front Med (Lausanne). 2025 Jun 26;12:1615532. doi: 10.3389/fmed.2025.1615532. eCollection 2025.

Abstract

BACKGROUND

Teaching rounds are a fundamental component of medical education, offering essential clinical learning opportunities for students while ensuring high-quality care for patients. Despite their importance, the psychological and emotional experiences of participants-attending physicians, interns, and patients-during these rounds remain underexplored. This study addresses this gap by examining the impact of patient presence on the learning environment, focusing on three key themes: psychological comfort and anxiety, cognitive load management, and emotional engagement and detachment.

MATERIAL AND METHODS

A design-based research approach was employed, conducted in a surgical ward affiliated with a medical college. The study involved 40 participants, including attending physicians, interns, and patients. Data were collected through 40 in-depth interviews, with analysis focusing on the experiences and perspectives of all parties involved.

RESULTS

The findings reveal that transparency in communication is crucial for building trust but can also induce anxiety among both trainees and physicians due to the scrutiny of their actions. Managing cognitive load was identified as a significant challenge, particularly for interns who must balance learning with patient interaction. Emotional engagement is vital for effective patient care but must be carefully balanced with professional detachment to maintain clinical objectivity.

CONCLUSION

This study contributes to the understanding of the complex dynamics in teaching rounds, emphasizing the need for strategies that balance educational goals with patient-centered care. The insights gained offer valuable guidance for enhancing the learning environment in medical education.

摘要

背景

教学查房是医学教育的基本组成部分,为学生提供重要的临床学习机会,同时确保为患者提供高质量的护理。尽管教学查房很重要,但参与者(主治医生、实习生和患者)在查房过程中的心理和情感体验仍未得到充分探索。本研究通过考察患者在场对学习环境的影响来填补这一空白,重点关注三个关键主题:心理舒适度与焦虑、认知负荷管理以及情感投入与超脱。

材料与方法

采用基于设计的研究方法,在一所医学院附属的外科病房进行。该研究涉及40名参与者,包括主治医生、实习生和患者。通过40次深度访谈收集数据,分析重点关注所有相关方的经历和观点。

结果

研究结果表明,沟通透明对于建立信任至关重要,但由于其行为受到审视,这也可能在实习生和医生中引发焦虑。管理认知负荷被认为是一项重大挑战,尤其是对于必须在学习与患者互动之间取得平衡的实习生而言。情感投入对于有效的患者护理至关重要,但必须与专业超脱仔细平衡,以保持临床客观性。

结论

本研究有助于理解教学查房中的复杂动态,强调需要采取将教育目标与以患者为中心的护理相平衡的策略。所获得的见解为改善医学教育中的学习环境提供了宝贵指导。

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