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首页> 外文期刊>Journal of European CME >Identification of clinician challenges in order to drive the development of competency-based education: results from an international needs assessment in multiple sclerosis
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Identification of clinician challenges in order to drive the development of competency-based education: results from an international needs assessment in multiple sclerosis

机译：确定临床医生面临的挑战，以推动基于能力的教育的发展：多发性硬化症国际需求评估的结果

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Objective. To highlight clinical gaps of neurologists and nurses regarding their skills and confidence in engaging and communicating with multiple sclerosis (MS) patients to inform the design of continuing medical education (CME) initiatives. Methods. This international IRB-approved study deployed in six countries (France, Germany, Italy, Spain, UK and USA), utilised a mixed-methods approach (qualitative interviews and an online survey) to explore the self-reported challenges of neurologists and nurses across the spectrum of MS care. Results. The sample included actively practising neurologists (n=148) and nurses (n=146), 42% of whom had an annual caseload of 150+ MS patients. The participants reported challenges in assessing patients’ adherence to treatment, engaging patients in shared decision-making and communicating confidently with patients and caregivers. Participants reported their own skill and confidence deficits as potential causalities for these challenges. Conclusion. Results suggest that neurologists and nurses would be receptive to education to develop their skills with regard to communication with patients and caregivers. CME and performance improvement initiatives should address the clinical challenges identified in this study to optimise clinicians’ effectiveness and patient outcomes. Patient–provider communication skills represent a priority area for the development of CME and performance improvement initiatives.Keywords: Patient–provider clinical relationship, multiple sclerosis, continuing medical education, mixed methods, needs assessment(Published: 4 June 2015)Citation: Journal of European CME 2015, 4: 27432 - http://dx.doi.org/10.3402/jecme.v4.27432.
机译：目的。强调神经科医生和护士在与多发性硬化症（MS）患者互动和交流方面的技能和信心方面的临床差距，以指导继续医学教育（CME）计划的设计。方法。这项经过IRB批准的国际研究部署在六个国家（法国，德国，意大利，西班牙，英国和美国），采用混合方法（定性访谈和在线调查）探讨了神经科医生和护士自我报告的挑战MS护理范围。结果。样本包括积极练习的神经科医生（n = 148）和护士（n = 146），其中42％的患者每年有150多名MS患者。参与者报告了在评估患者对治疗的依从性，使患者参与共同决策以及与患者和护理人员自信地沟通方面面临的挑战。参与者报告说自己的技能和信心不足是这些挑战的潜在原因。结论。结果表明，神经科医师和护士将接受接受教育以发展其与患者和护理人员沟通方面的技能。 CME和绩效改善计划应应对本研究中确定的临床挑战，以优化临床医生的有效性和患者预后。医患沟通技巧是CME发展和绩效改善计划的重点领域。关键词：医患关系，多发性硬化症，继续医学教育，混合方法，需求评估（出版时间：2015年6月4日）欧洲CME 2015，4：27432-http://dx.doi.org/10.3402/jecme.v4.27432。

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