"谁在看?探究患者对为教育目的直播咨询的接受程度。

IF 3.3 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Medical Teacher Pub Date : 2025-05-01 Epub Date: 2024-07-18 DOI:10.1080/0142159X.2024.2377813
Kelvin Gomez, Helen L Edwards, Jane Kirby
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引用次数: 0

摘要

临床实习机会短缺是一个日益严峻的全球性挑战。为远程学习者提供直播临床经验有望应对这一挑战。然而,患者对直播临床经验的接受程度却知之甚少。了解患者的观点对于确定这种提供临床经验的方法是否可行至关重要。本研究报告了 11 名患者在英国约克郡全科诊所参加直播临床体验的经历。每次会诊都有多达五名远程医疗学生参与。研究人员进行了半结构式访谈,并采用主题分析法对访谈内容进行了分析。研究结果表明,直播临床体验不会影响患者的就诊体验,包括退出就诊的意愿。临床医生佩戴的智能眼镜并不妨碍患者与医生之间的互动,这可能是因为智能眼镜并不妨碍目光接触。对于是否希望在问诊过程中看到电脑屏幕上的学生,患者意见不一,这可能会引起学生学习需求与患者偏好之间的矛盾。大多数患者对学生是远程参与还是亲自参与没有偏好。这些研究结果表明,病人的接受程度是有希望的,但在其他临床环境中对更多病人的观点进行评估的进一步研究是非常重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"Who's watching?": Exploring patients' acceptance of having their consultations livestreamed for educational purposes.

Shortages of clinical placements are an ever-increasing global challenge. Livestreaming clinical experiences to remotely-located learners shows promise in addressing this challenge. However, little is known about the acceptability of livestreamed clinical experiences for patients. Understanding patient views is critical to determine feasibility of this method of delivering clinical experience. This study reports on the experiences of 11 patients who participated in a livestreamed clinical experience in general practices in Yorkshire, United Kingdom. Up to five remotely-located medical students participated in each consultation. Semi-structured interviews were conducted and analysed using thematic analysis. Findings suggest that a livestreamed clinical experience did not impact patients' experience of their consultation, including willingness to withdraw from the consultation. Smartglasses worn by clinicians did not impede patient-clinician interaction, likely because they did not obstruct eye contact. Patient views varied as to whether or not they preferred to see students on the computer screen during the consultation, raising potential tensions between student learning needs and patient preference. Most patients had no preference as to whether students participated remotely or in person. These findings show promise in terms of patient acceptability but further research evaluating patient perspectives in greater numbers and in other clinical contexts is important.

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来源期刊
Medical Teacher
Medical Teacher 医学-卫生保健
CiteScore
7.80
自引率
8.50%
发文量
396
审稿时长
3-6 weeks
期刊介绍: Medical Teacher provides accounts of new teaching methods, guidance on structuring courses and assessing achievement, and serves as a forum for communication between medical teachers and those involved in general education. In particular, the journal recognizes the problems teachers have in keeping up-to-date with the developments in educational methods that lead to more effective teaching and learning at a time when the content of the curriculum—from medical procedures to policy changes in health care provision—is also changing. The journal features reports of innovation and research in medical education, case studies, survey articles, practical guidelines, reviews of current literature and book reviews. All articles are peer reviewed.
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