EM Talk: communication skills training for emergency medicine patients with serious illness
EM Talk: communication skills training for emergency medicine patients with serious illness
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DOI：
10.1136/bmjspcare-2015-000993
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发表时间：
2016-06-01
影响因子：
2.7
通讯作者：
Arnold, Robert
中科院分区：
文献类型：
--
作者：
Grudzen, Corita R.;Emlet, Lillian L.;Arnold, Robert
急诊科对重症患者的访问代表了一个哨兵事件，标志着疾病轨迹的变化。通过更好地了解患者和家属的愿望，急诊医生可以加强预先护理计划，并确保医院提供的护理符合患者的价值观。尽管急诊医生在生命末期的护理中很重要，但在如何与重病患者及其家属谈论护理目标方面，他们几乎没有接受过培训。为了将沟通技巧培训扩展到急诊医学，我们制定了一个项目，让急诊医生能够移情地传达严肃的新闻，并谈论护理目标。我们从先前的研究中吸取教训，采用最有效的教学技术设计干预措施，包括使用模拟患者/家庭，角色扮演和小组学习，并从临床医生那里获得建设性的反馈。在这里，我们用模拟、反思性反馈和刻意练习来描述我们的循证沟通技巧培训课程EM Talk。
The emergency department visit for a patient with serious illness represents a sentinel event, signalling a change in the illness trajectory. By better understanding patient and family wishes, emergency physicians can reinforce advance care plans and ensure the hospital care provided matches the patient's values. Despite their importance in care at the end of life, emergency physicians have received little training on how to talk to seriously ill patients and their families about goals of care. To expand communication skills training to emergency medicine, we developed a programme to give emergency medicine physicians the ability to empathically deliver serious news and to talk about goals of care. We have built on lessons from prior studies to design an intervention employing the most effective pedagogical techniques, including the use of simulated patients/families, role-playing and small group learning with constructive feedback from master clinicians. Here, we describe our evidence-based communication skills training course EM Talk using simulation, reflective feedback and deliberate practice.