The Effectiveness of the Geritalk Communication Skills Course: A Real-Time Assessment of Skill Acquisition and Deliberate Practice
The Effectiveness of the Geritalk Communication Skills Course: A Real-Time Assessment of Skill Acquisition and Deliberate Practice
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DOI：
10.1016/j.jpainsymman.2013.12.231
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发表时间：
2014-10-01
影响因子：
4.7
通讯作者：
Kelley, Amy S.
中科院分区：
文献类型：
--
作者：
Gelfman, Laura P.;Lindenberger, Elizabeth;Kelley, Amy S.
背景沟通技巧在老年医学和姑息医学中至关重要，因为这些患者面临复杂的临床情况。我们评估了Geritalk沟通技巧课程的有效性，通过比较课程前和课程后的实时评估的参与者领导的家庭会议。我们还评估了参与者的持续技能实践。我们使用直接观察的家庭会议沟通评估工具比较了参与者在Geritalk之前和之后的技能获得，并在随访时评估了他们的刻意练习。西奈山医疗中心和詹姆斯·J·彼得斯布朗克斯退伍军人医疗中心的第一年老年医学或姑息医学研究员参加了Geritalk. Outcomes。课程前后的家庭会议评估进行了比较。平均6.8项技能的净增益代表着在适用技能的使用方面有超过20%的改进。在两个月的随访中，大多数参与者报告了基础和高级技能的刻意练习。结论/经验教训。这种强化培训和家庭会议评估提供了基于证据的沟通技能培训。爱思唯尔公司出版代表美国临终关怀与姑息医学学会。
Background. Communication skills are critical in Geriatrics and Palliative Medicine because these patients confront complex clinical scenarios. We evaluated the effectiveness of the Geritalk communication skills course by comparing pre- and post-course real-time assessment of the participants leading family meetings. We also evaluated the participants' sustained skills practice.Measures. We compare the participants' skill acquisition before and after Geritalk using a direct observation Family Meeting Communication Assessment Tool and assess their deliberate practice at follow-up.Intervention. First-year Geriatrics or Palliative Medicine fellows at Mount Sinai Medical Center and the James J. Peters Bronx VA Medical Center participated in Geritalk.Outcomes. Pre- and post-course family meeting assessments were compared. An average net gain of 6.8 skills represented a greater than 20% improvement in use of applicable skills. At two month follow-up, most participants reported deliberate practice of fundamental and advanced skills.Conclusions/Lessons Learned. This intensive training and family meeting assessment offers evidence-based communication skills training. Published by Elsevier Inc. on behalf of American Academy of Hospice and Palliative Medicine.