Peer Role-Playing as Training for Medical Error Disclosure
| Autor: | Brenda Lovegrove Lepisto, D. Kay Taylor, Ghassan Bachuwa |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
020205 medical informatics Applied psychology 02 engineering and technology Truth Disclosure Training (civil) Peer Group 03 medical and health sciences 0302 clinical medicine 0202 electrical engineering electronic engineering information engineering Learning Humans 030212 general & internal medicine Original Research Physician-Patient Relations Education Medical Medical Errors Internship and Residency Peer group General Medicine To the Editor: Comments Education Medical Graduate Female Role playing Psychology |
| Zdroj: | Journal of graduate medical education. 9(4) |
| ISSN: | 1949-8357 |
| Popis: | Residents' attitudes toward error disclosure have improved over time. It is unclear whether this has been accompanied by improvements in disclosure skills.To measure the disclosure skills of internal medicine (IM), paediatrics, and orthopaedic surgery residents, and to explore resident perceptions of formal versus informal training in preparing them for disclosure in real-world practice.We assessed residents' error disclosure skills using a structured role play with a standardized patient in 2012-2013. We compared disclosure skills across programs using analysis of variance. We conducted a multiple linear regression, including data from a historical cohort of IM residents from 2005, to investigate the influence of predictor variables on performance: training program, cohort year, and prior disclosure training and experience. We conducted a qualitative descriptive analysis of data from semistructured interviews with residents to explore resident perceptions of formal versus informal disclosure training.In a comparison of disclosure skills for 49 residents, there was no difference in overall performance across specialties (4.1 to 4.4 of 5,Residents across specialties have similar skills in disclosure of errors. Residents identified role modeling and a strong local patient safety culture as key facilitators for disclosure. |
| Databáze: | OpenAIRE |
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