Identifying residents? educational needs to optimising postgraduate medical education about shared decision-making

被引：15

作者：

Baghus, Anouk ^{[1
]}

Giroldi, Esther ^{[1
,2
]}

Timmerman, Angelique ^{[1
]}

Schmitz, Emmeline ^{[1
]}

Erkan, Fatma ^{[1
]}

Rohlinger, Darwin ^{[1
]}

Pieterse, Arwen ^{[3
]}

Dielissen, Patrick ^{[4
]}

Kramer, Anneke ^{[5
]}

Rietmeijer, Chris ^{[6
]}

Muris, Jean ^{[1
]}

van der Weijden, Trudy ^{[1
]}

机构：

[1] Maastricht Univ, Dept Family Med, Maastricht, Netherlands

[2] Maastricht Univ, Dept Educ Dev & Res, Maastricht, Netherlands

[3] Leiden Univ, Med Decis Making, Med Ctr, Leiden, Netherlands

[4] Radboud Univ Nijmegen, Dept Primary & Community Care, Med Ctr, Nijmegen, Netherlands

[5] Leiden Univ, Dept Publ Hlth & Primary Care, Med Ctr, Leiden, Netherlands

[6] Univ Amsterdam, Dept Gen Practice & Elderly Care Med, Locat VUmc, Med Ctr, Amsterdam, Netherlands

来源：

PATIENT EDUCATION AND COUNSELING | 2022年 / 105卷 / 10期

关键词：

Shared Decision -Making; Graduate Medical Education; Patient Involvement; Patient -Centred Care; COMMUNICATION-SKILLS; PHYSICIAN GENDER; COMPETENCE; STUDENTS;

D O I：

10.1016/j.pec.2022.06.016

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: To investigate how to optimise resident engagement during workplace learning of shared decision -making (SDM) by understanding their educational needs.Methods: A qualitative multicentre study was conducted using video-stimulated interviews with 17 residents in General Practice. Video recordings of residents' recent clinical encounters were used to facilitate reflection on their educational needs.Results: Data analysis resulted in five themes regarding residents' educational needs for learning SDM: acquiring knowledge and skills needed to perform SDM; practising SDM; reflection and feedback; longitudinal and inte-grated training; and awareness and motivation for performing SDM.Conclusion: Residents expressed a need for continuous attention to be paid to SDM during postgraduate medical education. That would help them engage in two parallel learning processes: acquiring the knowledge and skills necessary to perform SDM, and practising SDM in the clinical workplace. Alignment between the educational curriculum, workplace learning and resident learning activities is essential to operationalise SDM attitude, knowledge and skills into clinical performance. Practice Implications: The identified educational needs provide ingredients for fostering the development of SDM proficiency. The findings suggest that residents and clinical supervisors need parallel training to bridge the gap between education and clinical practice when learning SDM.

引用

页码：3086 / 3095

页数：10

共 59 条

[1]

[Anonymous], 2015, NVIVO 11

[2] Core Values of Family Medicine in Europe: Current State and Challenges [J].