Following the clues: teaching medical students to explore patients' contexts.
Following the clues: teaching medical students to explore patients' contexts.
复制标题
追踪线索：教医学生探索患者的背景。
DOI：
10.1016/j.pec.2010.06.035
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发表时间：
2010
影响因子：
3.5
通讯作者：
Haidet,Paul
中科院分区：
文献类型：
--
作者：
Thompson,BrittaM;Teal,CaylaR;Scott,StephenM;Manning,ShewannaN;Greenfield,Eugenia;Shada,Rachel;Haidet,Paul
医生经常忽略病人在诊疗过程中提供的重要线索。我们的研究的目的是增加医学生的知识和技能，在确定上下文的issues.METHODSSix连续的学习经验，包括标准化的病人（SP）的遭遇和活动，旨在引发反思，在第一年的临床医学导论课程。通过自信心，态度，SP历史检查表，学生和小团体的促进者evaluations. CRYSTSStandardized病人的遭遇，再加上旨在引发反思的活动，可以帮助学生识别患者的上下文线索。干预后，学生在引出病人线索方面的信心显著增加。我们的研究结果表明，一些上下文线索是更难为学生outgoe.CONCLUSIONMulti-faceted的方法，包括活动，引发反思是有效的，在教学生认识和应对上下文线索，然而，需要更多的research is needed.Practice IMPLICATIONS虽然学生引起了大多数线索在这项研究中，他们努力确定一些线索。这些结果表明，需要在这一领域进行更多的研究和教育发展。
OBJECTIVEPhysicians often overlook important contextual clues that patients give during an encounter. The objective of our study was to increase medical students’ knowledge and skills in identifying contextual issues.METHODSSix consecutive learning experiences, including a standardized patient (SP) encounter and activities designed to trigger reflection, were implemented within a first-year Introduction to Clinical Medicine course. Evaluation of the intervention was measured through self-confidence, attitudes, SP history checklist, and student and small group facilitator evaluations.RESULTSStandardized patient encounters, coupled with activities designed to trigger reflection, can help students identify patients’ contextual clues. Students’ confidence in eliciting patient clues significantly increased after the intervention. Our results suggest that some contextual clues were more difficult for students to elicit.CONCLUSIONMulti-faceted approaches that include activities to trigger reflection are effective in teaching students to recognize and respond to contextual clues, however, more research is needed.PRACTICE IMPLICATIONSWhile students elicited most clues in this study, they struggled with identifying some clues. These results suggest the need for additional research and educational development in this area.