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Standardized patients in psychiatry – the best way to learn clinical skills?

机译:标准化的精神病患者–学习临床技能的最佳方法?

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Standardized patients (SP) have been successfully utilized in medical education to train students’ communication skills. At the Medical University of Vienna communication training with SPs in psychiatry is a mandatory part of the curriculum. In the training, the SP plays the role of four different patients suffering from depression/suicidal tendencies, somatoform disorder, anxiety disorder, or borderline disorder while the student attempts to gather the patient’s medical history. Both the instructor and SP then give the student constructive feedback afterwards. The aim of the study was to evaluate the quality of the SP’s roleplay and feedback, using a self-created questionnaire. Additionally, we wanted to gauge the differences between the students’ and teachers’ evaluations of the SP’s role playing performance and feedback. The questionnaire was completed by 529 students and 29 teachers who attended the training. Overall, both students and teachers evaluated the SPs’ performance and feedback very well. In comparison to the responses given by the teachers, more students reported that the “SP overacted” while fewer students believed that the “SP could be a real patient”. The feedback given by the SP was evaluated similarly by students and teachers, suggesting that students are able to recognize the quality of constructive feedback. Furthermore, the SP’s quality of roleplaying was evaluated as the poorest while playing the psychiatric disorder “depression/suicidal tendencies.” Our study showed that students and teachers appreciate SPs’ competence of role play and of giving feedback. However, further studies should be performed to figure out why both students and teachers alike evaluated the played psychiatric disorder “depression/suicidal tendencies” to be the worst.
机译:标准化患者(SP)已成功地用于医学教育中,以训练学生的沟通技巧。在维也纳医科大学,在精神病学领域与SP进行的交流培训是课程的必修部分。在培训中,SP扮演着四名患有抑郁症/自杀倾向,躯体形式障碍,焦虑症或边缘性障碍的患者的角色,同时学生试图收集患者的病史。然后,教师和SP都会向学生提供建设性反馈。该研究的目的是使用自行创建的问卷调查评估SP的角色扮演和反馈的质量。此外,我们希望评估学生和教师对SP的角色扮演表现和反馈的评估之间的差异。参加培训的529名学生和29名教师填写了问卷。总体而言,学生和老师都对SP的表现和反馈进行了很好的评估。与老师的回答相比,更多的学生报告说“ SP表现得过高”,而更少的学生认为“ SP可能是真正的病人”。 SP和学生对教师的反馈进行了类似的评估,这表明学生能够认识到建设性反馈的质量。此外,在玩精神病患者“抑郁/自杀倾向”时,SP的角色扮演质量被评为最差。我们的研究表明,学生和老师欣赏SP的角色扮演和提供反馈的能力。但是,应该进行进一步的研究,以找出为什么学生和老师都认为所患的精神疾病“抑郁/自杀倾向”是最严重的。

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