你无时无刻不在思考、反思、分析自己的所见所闻所为

Carlos Frederico Confort Campos, Nicolle Taissun
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摘要

介绍:各种国际医学教育监管机构都将沟通视为一项核心技能。具体的沟通技巧教学对于提高医生的沟通能力非常重要。与传统模式相比,体验式教学似乎更有优势。真实会诊有助于学员直观地了解自己的面试技巧并进行反思。随着科技的发展,使用视频录制的就诊过程已成为沟通教学的标准方法。然而,这一技术的有效性有赖于学员的积极参与。他们对录制会诊的投入和同行反馈对学习至关重要。尽管这很重要,但他们对视频反馈在医学教育中的作用的看法却很少受到关注。目的了解全科学员对职业培训中视频反馈活动所带来的学习效果的看法。方法:探索性定性研究:对巴西圣保罗一个成熟培训项目的一年级全科学员进行探索性定性研究。在教育课程结束后对参与者进行了访谈,并使用反思性主题分析法对访谈内容进行了分析。结果如下学员们从视频反馈活动中发现了自我实践感知、沟通技巧学习和情感收获等学习要点。此外,在具体的沟通技巧学习方面,他们提到了非语言和语言沟通、理论与实践的联系、咨询结构和知识结晶的机会。情感方面的收获包括感觉自己是团体的一员、提高了自尊、克服了不安全感、感觉咨询更有效、加强了对工作的喜爱以及需要更多的学习。结论:我们在研究中发现的学习收获带来了共同人性的体验,这让参与者在技术上和情感上对病人更加有效。此外,我们还发现,视频反馈教育活动可用于交流教学之外的其他可能的教育目的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
You are thinking, reflecting, analysing what you see and what you do all the time
Introduction: Communication is recognized as a central skill by various international medical education regulatory bodies. Specific teaching on communication skills is important to enhance doctors’ communication. Experiential techniques appear to be superior compared to traditional models. Real-life consultation helps trainees visualize their interview skills and reflect on them. Upgraded by technology, the use of video-recorded medical visits became the standard approach for communication teaching. However, the effectiveness pf this technique relies on trainees’ active involvement. Their inputs and peer feedback on the recorded consultation are essential to learning. Despite its importance, their perspective on the usefulness of video feedback in medical education has received limited attention. Objective: To understand the perception of learning among general practice trainees as a result of the video feedback activity in their vocational training. Methods: An exploratory, qualitative study, conducted with first-year general practice trainees from an established training program in São Paulo, Brazil. Participants were interviewed after educational session, which were analyzed using reflexive thematic analysis. Results: Self-perception of their practice, communication skills learning, and affective gains were identified by participants as learning points derived from the video feedback activity. Furthermore, for specific communication skills learning, they mentioned nonverbal and verbal communication, theory and practice connections, consultation structure and opportunities for crystallizing knowledge. Affective gains included feeling part of a group, improving self-esteem, overcoming insecurities, perception of more effective consultations, reinforcing fondness for their work, and need for more learning. Conclusions: The learning gains identified in our study led to an experience of common humanity, which allowed participants to be more technically and affectively effective with their patients. Also, we identified that the video feedback educational activity can be used for other possible educational purposes, beyond the teaching of communication.
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