Bigby J, Barnes H N
Department of Medicine, Harvard Medical School, Boston, MA.
J Gen Intern Med. 1993 Jun;8(6):301-5. doi: 10.1007/BF02600141.
To determine whether a faculty development program was effective in increasing clinical skills and the amount of substance abuse teaching of individual general medical faculty.
Program participants were evaluated with a structured assessment before and several months after participating in a faculty development program in substance abuse education.
Eighty percent were general internal medicine faculty, who on average devoted 25% of their time to teaching. The remainder of the participants were family medicine, psychiatry, or other internal medicine faculty and nonphysician teachers.
The participants attended a learner-centered, largely experiential faculty development program in substance abuse education to improve their clinical and teaching skills relevant to substance abuse among patients in the general medical setting.
Eighty-six percent of the participants completed the evaluation. The participants reported increased confidence in their clinical skills in recognizing substance abuse, presenting the problem to the patient, and referring the patient for treatment. The participants also reported improved attitudes toward patients and increased teaching about the management of the primary problem of substance abuse, but not at the expense of teaching about medical complications.
Clinically oriented, interactive faculty development courses in substance abuse education can contribute to increased confidence in clinical skills in substance abuse as well as teaching about substance abuse.
确定一个师资培训项目是否能有效提高普通内科教师个人的临床技能以及药物滥用教学量。
在参与药物滥用教育师资培训项目之前和几个月之后,通过结构化评估对项目参与者进行评价。
80%为普通内科教师,他们平均将25%的时间用于教学。其余参与者为家庭医学、精神病学或其他内科教师以及非医师教师。
参与者参加了一个以学习者为中心、主要基于体验的药物滥用教育师资培训项目,以提高他们在普通医疗环境中与患者药物滥用相关的临床和教学技能。
86%的参与者完成了评估。参与者报告称,他们在识别药物滥用、向患者提出问题以及为患者安排治疗等临床技能方面的信心有所增强。参与者还报告称,他们对患者的态度有所改善,并且增加了关于药物滥用主要问题管理的教学,但并没有以牺牲医疗并发症教学为代价。
以临床为导向的药物滥用教育互动式师资培训课程有助于提高对药物滥用临床技能的信心以及药物滥用教学水平。