Bakemeier R F, Beck S, Murphy J R
Cancer Education Division, University of Colorado Cancer Center, Denver 80262, USA.
J Cancer Educ. 1995 Winter;9(4):217-25.
The educational and consultative functions, topics, and methods of 20 hospital general tumor conferences in Colorado were studied over a three-year period. Methods used included questionnaires completed by hospital admitting staff members, by tumor conference directors, and by conference attendees. Workshops were held in which a multidisciplinary panel of physicians, nurses, and cancer registrars discussed the educational and patient-management aspects of tumor conferences with tumor conference directors. The study design included evaluation of the effects of providing certain teaching aids, including newsletters, Physician Data Query printouts, and tumor registry data on the functions, topics, and methods of the conferences. Although certain temporal trends were suggested, the handouts as employed added little of perceived effectiveness for the busy clinicians attending. The characteristics of the tumor conferences were analyzed according to hospital size, presence of one or more residency programs, and location (metropolitan or otherwise). One observation was that relatively few primary care physicians attended these tumor conferences, especially those in large hospitals, and approaches to meeting the needs of that group are discussed. The importance of the interpersonal skills of the tumor conference director in the effectiveness of the conference was very evident.
在三年时间里,对科罗拉多州20场医院普通肿瘤会议的教育和咨询功能、主题及方法进行了研究。所采用的方法包括由医院收治工作人员、肿瘤会议主任以及会议参会者填写的调查问卷。举办了研讨会,内科医生、护士和癌症登记员组成的多学科小组与肿瘤会议主任讨论了肿瘤会议的教育和患者管理方面。研究设计包括评估提供某些教学辅助材料(包括时事通讯、医师数据查询打印件和肿瘤登记数据)对会议功能、主题和方法的影响。尽管显示出某些时间趋势,但所采用的资料对忙碌的临床医生而言,在感知到的有效性方面作用甚微。根据医院规模、是否存在一个或多个住院医师培训项目以及地点(大城市或其他地区)对肿瘤会议的特征进行了分析。一个观察结果是,相对较少的初级保健医生参加这些肿瘤会议,尤其是大型医院的此类会议,并讨论了满足该群体需求的方法。肿瘤会议主任的人际沟通技巧对会议有效性的重要性非常明显。