دورية أكاديمية

Practice Makes Perfect: Training Residents in Difficult Encounters.

التفاصيل البيبلوغرافية
العنوان: Practice Makes Perfect: Training Residents in Difficult Encounters.
المؤلفون: Wells J; Department of Family and Community Medicine, School of Medicine, University of Missouri, Columbia, MO., Cronk NJ; University of Missouri School of Medicine, Department of Family and Community Medicine, Columbia, MO.
المصدر: PRiMER (Leawood, Kan.) [PRiMER] 2020 Jan 14; Vol. 4, pp. 2. Date of Electronic Publication: 2020 Jan 14 (Print Publication: 2020).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Society of Teachers of Family Medicine Country of Publication: United States NLM ID: 101726396 Publication Model: eCollection Cited Medium: Internet ISSN: 2575-7873 (Electronic) Linking ISSN: 25757873 NLM ISO Abbreviation: PRiMER Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Leawood, KS : Society of Teachers of Family Medicine, [2017]-
مستخلص: Introduction: A significant number of patient encounters are perceived to be difficult. Residents receive little training in managing difficult clinical encounters, and lectures or traditional simulated patient encounters may not provide the opportunity to practice learned skills. Deliberate practice has been shown to be effective in training clinical skills. We used simulation with deliberate practice and feedback to train residents in difficult patient encounters.
Methods: Twelve second-year residents in the University of Missouri Family and Community Medicine residency program participated in simulated patient encounters with difficult patients. The patients represented challenging personalities identified in a resident focus group. Resident performance was scored by the standardized patient, resident observers, and faculty instructor. Following debriefing with feedback, the residents repeated the clinical encounter incorporating the feedback. The sessions were scored again by the same individuals.
Results: All scores improved from the first to second clinical encounter, except those that were at 100% for both encounters. The most improvement seen was in standardized patient scores. The smallest improvement was in provider self-scores.
Conclusion: Resident performance improved according to all observers and their own self-assessments. These results are consistent with other studies that have demonstrated the effectiveness of deliberate practice in improving skills in other areas of medical education. Simulation-based learning with deliberate practice has the potential to improve resident management of difficult patient encounters.
(© 2020 by the Society of Teachers of Family Medicine.)
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تواريخ الأحداث: Date Created: 20200616 Latest Revision: 20220415
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC7279112
DOI: 10.22454/PRiMER.2020.924066
PMID: 32537602
قاعدة البيانات: MEDLINE
الوصف
تدمد:2575-7873
DOI:10.22454/PRiMER.2020.924066