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引流问答:患者咨询的综合方法。

DRAI²Ned Q and A: A Comprehensive Approach to Patient Counseling.

作者信息

Aluisio Gabrielle, Schultz Alison, Lindsey Tom

机构信息

Medicine, Edward Via College of Osteopathic Medicine (VCOM) - Carolinas, Spartanburg, USA.

Simulation and Technology, Edward Via College of Osteopathic Medicine (VCOM) - Carolinas, Spartanburg, USA.

出版信息

Cureus. 2025 Jul 23;17(7):e88587. doi: 10.7759/cureus.88587. eCollection 2025 Jul.

Abstract

Effective, patient-centered communication often declines over the course of medical training, particularly during standardized patient (SP) encounters. To address this gap, the DRAINed Q&A mnemonic was created to address the critical need for patient-centered communication in medical education, particularly during SP encounters. DRAINed Q&A systematically guides medical students through essential communication components, including diagnosis explanation, reasoning, patient knowledge assessment, shared decision-making, as well as addressing questions and creating a mutually-agreeable plan. It emphasizes empathy, patient education, and alignment of care plans, fostering collaboration and understanding. Unlike prior frameworks, it uniquely incorporates steps for clarifying misconceptions, addressing patient emotions, and gaining agreement on care plans. Although limitations like time constraints exist, DRAINed Q&A has the potential to enhance SP performance and real-world patient satisfaction. With further validation, it can become a vital component of medical curricula, equipping future physicians with essential communication skills.

摘要

有效的、以患者为中心的沟通在医学培训过程中往往会下降,尤其是在与标准化患者(SP)接触期间。为了弥补这一差距,创建了DRAINed Q&A助记法,以满足医学教育中对以患者为中心的沟通的迫切需求,特别是在与SP接触期间。DRAINed Q&A系统地指导医学生掌握基本的沟通要素,包括诊断解释、推理、患者知识评估、共同决策,以及回答问题和制定双方都同意的计划。它强调同理心、患者教育和护理计划的一致性,促进协作和理解。与先前的框架不同,它独特地纳入了澄清误解、处理患者情绪以及就护理计划达成一致的步骤。尽管存在时间限制等局限性,但DRAINed Q&A有潜力提高与SP接触时的表现以及现实世界中患者的满意度。经过进一步验证,它可以成为医学课程的重要组成部分,为未来的医生提供必要的沟通技能。

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