PDF(Pubmed)
Abstract：
UNASSIGNED: This study assesses the effectiveness of clinical simulation-based training in boosting self-perceived confidence for using upstander communication skills to confront racism, discrimination, and microaggressions (RDM).
UNASSIGNED: We conducted an observational cohort study with emergency medicine professionals at the 2023 Scientific Assembly of the American Academy of Emergency Medicine in New Orleans, Louisiana. The study featured a clinical simulation-based training on upstander communications skills session followed by small- and large-group debriefs. Participants completed pre- and post-training questionnaires assessing demographics and confidence in health equity competencies. This survey was used in a previous study with emergency medicine residents. Data were analyzed using an independent Student\'s t-test, with a significance threshold of 0.05.
UNASSIGNED: Thirty-two individuals participated in the simulation-based training, and 24 completed surveys, with a 75% response rate. Most participants were non-Hispanic (24, 85.7%) and women (18, 64%), with racial demographics mostly White (8, 28.6%), Black or African American (8, 28.6%), and Asian (6, 21.4%). After the workshop, there was a notable increase in self-perceived ability and confidence in identifying RDM (from 7 ± 3.2 to 8.6 ± 1.6, p < 0.003), using upstander communication tools (from 6.1 ± 3.5 to 8.5 ± 1, p < 0.0001), and the likelihood of intervening in RDM situations (from 7.1 ± 3.3 to 8.8 ± 1.1, p < 0.0002).
UNASSIGNED: The clinical simulation-based training significantly improved participants\' confidence and self-perceived ability to address RDM in simulated clinical environments. This training method is a promising tool for teaching health equity topics in clinical medicine.
UNASSIGNED: We conducted an observational cohort study with emergency medicine professionals at the 2023 Scientific Assembly of the American Academy of Emergency Medicine in New Orleans, Louisiana. The study featured a clinical simulation-based training on upstander communications skills session followed by small- and large-group debriefs. Participants completed pre- and post-training questionnaires assessing demographics and confidence in health equity competencies. This survey was used in a previous study with emergency medicine residents. Data were analyzed using an independent Student\'s t-test, with a significance threshold of 0.05.
UNASSIGNED: Thirty-two individuals participated in the simulation-based training, and 24 completed surveys, with a 75% response rate. Most participants were non-Hispanic (24, 85.7%) and women (18, 64%), with racial demographics mostly White (8, 28.6%), Black or African American (8, 28.6%), and Asian (6, 21.4%). After the workshop, there was a notable increase in self-perceived ability and confidence in identifying RDM (from 7 ± 3.2 to 8.6 ± 1.6, p < 0.003), using upstander communication tools (from 6.1 ± 3.5 to 8.5 ± 1, p < 0.0001), and the likelihood of intervening in RDM situations (from 7.1 ± 3.3 to 8.8 ± 1.1, p < 0.0002).
UNASSIGNED: The clinical simulation-based training significantly improved participants\' confidence and self-perceived ability to address RDM in simulated clinical environments. This training method is a promising tool for teaching health equity topics in clinical medicine.
摘要：
■这项研究评估了基于临床模拟的培训在提高自我感知信心方面的有效性，以使用更多的沟通技巧来对抗种族主义，歧视,和微攻击（RDM）。
■我们在新奥尔良的美国急诊医学学会2023年科学大会上与急诊医学专业人员进行了一项观察性队列研究，路易斯安那州。该研究的特点是进行了基于临床模拟的培训，内容涉及高端沟通技巧课程，然后进行小型和大型小组的汇报。参与者完成了培训前和培训后的问卷调查，评估了人口统计和对健康公平能力的信心。这项调查是在先前的急诊医学居民研究中使用的。使用独立的学生t检验分析数据，显著性阈值为0.05。
■32个人参加了基于模拟的培训，和24个已完成的调查，75%的反应率。大多数参与者是非西班牙裔（24，85.7％）和女性（18，64％），种族人口主要是白人（8，28.6%），黑人或非裔美国人（8，28.6％），和亚洲（6，21.4%）。研讨会结束后,识别RDM的自我感知能力和信心显着增加（从7±3.2到8.6±1.6，p<0.003），使用更先进的通信工具（从6.1±3.5到8.5±1，p<0.0001），以及干预RDM情况的可能性（从7.1±3.3到8.8±1.1，p<0.0002）。
■基于临床模拟的培训显着提高了参与者在模拟临床环境中应对RDM的信心和自我感知能力。这种培训方法是在临床医学中教授健康公平主题的有前途的工具。
■我们在新奥尔良的美国急诊医学学会2023年科学大会上与急诊医学专业人员进行了一项观察性队列研究，路易斯安那州。该研究的特点是进行了基于临床模拟的培训，内容涉及高端沟通技巧课程，然后进行小型和大型小组的汇报。参与者完成了培训前和培训后的问卷调查，评估了人口统计和对健康公平能力的信心。这项调查是在先前的急诊医学居民研究中使用的。使用独立的学生t检验分析数据，显著性阈值为0.05。
■32个人参加了基于模拟的培训，和24个已完成的调查，75%的反应率。大多数参与者是非西班牙裔（24，85.7％）和女性（18，64％），种族人口主要是白人（8，28.6%），黑人或非裔美国人（8，28.6％），和亚洲（6，21.4%）。研讨会结束后,识别RDM的自我感知能力和信心显着增加（从7±3.2到8.6±1.6，p<0.003），使用更先进的通信工具（从6.1±3.5到8.5±1，p<0.0001），以及干预RDM情况的可能性（从7.1±3.3到8.8±1.1，p<0.0002）。
■基于临床模拟的培训显着提高了参与者在模拟临床环境中应对RDM的信心和自我感知能力。这种培训方法是在临床医学中教授健康公平主题的有前途的工具。
