教授住院医生以病人为中心的沟通：呼吁标准化编程。

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2024-10-10 DOI:10.1016/j.jsurg.2024.103301

Anna Newcomb PhD, MSW, LCSW , Yasaman Vahdat MD , Rachel D. Appelbaum MD , Kimberly Kopecky MD, MSCI , Jonathan Dort MD, FACS

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引用次数: 0

摘要

目的：外科住院医师培训项目主任（PDs）使用毕业医学教育认证委员会（ACGME）的里程碑来衡量普外科能力，包括人际沟通技能和职业素养。这些项目在实施沟通培训时面临着无数障碍，包括教育优先事项的竞争和本地专业知识的不足。这项工作的目的是就外科住院医师培训项目中成功开展沟通、领导力和职业素养培训（CLPT）的障碍和促进因素提出假设：我们采用半结构化的 30 分钟访谈进行了一项定性研究；基础理论指导我们进行了系统的数据收集、编码和分析，使我们能够在现有数据集中确定模式和关系：符合条件的参与者是已知提供或有兴趣提供交流培训的外科教育工作者，或者是专注于教育和/或 CLPT 的外科受训人员。外科医生参与者（N=18）包括 4 名传播研究员/内容专家、9 名项目主任（PD）或前项目主任教师、4 名副主任、1 名研究员和 2 名住院医师：从访谈数据中总结出的主题包括：1）提供正式CLPT的重要性；2）住院医师培训项目纳入CLPT的准备情况；3）实施CLPT的挑战和障碍；4）实施建议。障碍包括 "拥挤的教育日程"、缺乏当地的专业知识、缺乏全国性的计划指导以及标准化材料的匮乏。促进实施的因素包括 CLPT 课程的性质，如内容、方法和实施的难易程度，以及获得学习者和领导支持的建议。如果有专家指导和标准化教材，就能更容易地将可持续的 CLPT 纳入住院医师培训计划，使其越来越多地参与并熟练掌握沟通技巧：这项研究呼吁 ACGME 就 CLPT 教育优先事项指明方向，并敦促外科教育工作者继续测试和开发 CLPT 内容和评估材料，以便广泛分发，同时提供实施指导。

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Teaching Residents Patient-Centered Communication: A Call for Standardized Programming

Objective

Surgical residency Program Directors (PDs) use the Accreditation Council for Graduate Medical Education (ACGME) milestones to measure general surgery competencies including interpersonal communication skills and professionalism. These programs face myriad barriers implementing communication training, including competing educational priorities and insufficient local expertise. The goal of this work is to generate hypotheses regarding barriers and facilitators to successful communication, leadership, and professionalism training (CLPT) in surgical residency programs.

Design and Setting

We implemented a qualitative study using semi structured 30-minute interviews; grounded theory guided our systematic data collection, coding, and analysis to enable us to identify patterns and relationships within the available dataset.

Participants

Eligible participants were surgical educators known to provide or interested in providing communication training or were surgical trainees focused on education and/or CLPT. Surgeon participants (N=18) included 4 communication researcher/content experts, 9 Program Director (PD) or former PD faculty, 4 Associate PDs, 1 fellow, and 2 residents.

Results

Themes abstracted from interview data include 1) the importance of providing formal CLPT, 2) readiness of residency programs to include CLPT, 3) challenges and barriers to implementing CLPT, and 4) recommendations for implementation. Barriers included the “crowded educational schedule,” lack of local expertise, absence of programmatic guidance nationally, and paucity of standardized materials. Facilitators to implementation included the nature of CLPT curricula such as content, approach, and ease of implementation, and suggestions to achieve learner and leadership support. The availability of expert guidance and standardized materials would ease the incorporation of sustainable CLPT into a residency program that could become increasingly engaged and skilled in communication.

Conclusions

This research serves as a call for direction from ACGME regarding CLPT educational priorities and urges surgical educators to continue to test and develop CLPT content and assessment materials for wide distribution along with providing guidance on implementation.

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.