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首页> 外文期刊>JMIR medical education. >A shared decision-making virtual patient in medical education: A mixedmethods evaluation
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A shared decision-making virtual patient in medical education: A mixedmethods evaluation

机译：医学教育的共同决策虚拟患者：一个混合方法评估

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Background Shared decision-making (SDM) is a process in which clinicians and patients work together to select tests, treatments, management, or support packages based on clinical evidence and the patient’s informed preferences. Similar to any skill, SDM requires practice to improve. Virtual patients (VPs) are simulations that allow one to practice a variety of clinical skills, including communication. VPs can be used to help professionals and students practice communication skills required to engage in SDM; however, this specific focus has not received much attention within the literature. A multiple-choice VP was developed to allow students the opportunity to practice SDM. To interact with the VP, users chose what they wanted to say to the VP by choosing from multiple predefined options, rather than typing in what they wanted to say. Objective This study aims to evaluate a VP workshop for medical students aimed at developing the communication skills required for SDM. Methods Preintervention and postintervention questionnaires were administered, followed by semistructured interviews. The questionnaires provided cohort-level data on the participants’ views of the VP and helped to inform the interview guide; the interviews were used to explore some of the data from the questionnaire in more depth, including the participants’ experience of using the VP. Results The interviews and questionnaires suggested that the VP was enjoyable and easy to use. When the participants were asked to rank their priorities in both pre- and post-VP consultations, there was a change in the rank position of respecting patient choices, with the median rank changing from second to first. Owing to the small sample size, this was not analyzed for statistical significance. The VP allowed the participants to explore a consultation in a way that they could not with simulated or real patients, which may be part of the reason that the VP was suggested as a useful intervention for bridging from the early, theory-focused years of the curriculum to the more patient-focused ones later. Conclusions The VP was well accepted by the participants. The multiple-choice system of interaction was reported to be both useful and restrictive. Future work should look at further developing the mode of interaction and explore whether the VP results in any changes in observed behavior or practice.
机译：背景，共享决策（SDM）是一种过程，其中临床医生和患者共同努力，选择基于临床证据和患者知情偏好的测试，治疗，管理或支持包。类似于任何技能，SDM都需要做法改进。虚拟患者（VPS）是仿真，使人们能够练习各种临床技能，包括沟通。 vps可用于帮助专业人士和学生练习从事SDM所需的沟通技能;然而，这种特定的重点在文献中没有受到很大的关注。开发了一个多项选择的VP，让学生有机会练习SDM。要与VP进行互动，用户通过从多个预定义选项中选择他们想要对VP的内容进行说法，而不是在他们想说的内容中打字。目的本研究旨在评估旨在开发SDM所需的沟通技能的医学生副车硕研讨会。方法进行介绍，然后进行介绍，然后进行晶体化访谈。问卷提供了关于参与者对VP的看法的群组数据，并有助于通知面试指南;访谈用于探索调查问卷的一些数据更深入，包括参与者使用VP的经验。结果面试和问卷建议，VP令人愉快且易于使用。当被要求参与者在职业反市和后期磋商中排列其优先事项时，尊重患者选择的等级职位发生了变化，中位数从第二次转变为首先。由于样品大小小，这未分析统计学意义。 VP允许参与者以模拟或真正的患者无法以模拟或真正的患者探讨咨询，这可能是VP被建议作为弥合早期，理论为重点的几年的有用干预的原因课程以稍后的更患者聚焦。结论VP由参与者受到很好的接受。据报道，多项选择互动系统既有用又限制。未来的工作应该看看进一步发展互动模式，并探索VP是否导致观察到的行为或实践的任何变化。

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