A new communication skills training program for palliative care fellow-physicians
Notice bibliographique
Résumé
This presentation describes a novel educational program associated with a Palliative Care Post-Graduate Medical Fellowship embedded within a university teaching hospital. The educational objectives of this program will be presented, as will the pedagogical methods and initial trainee responses to this program. Grounded in both an action-reflection model, as well as the discrimination model of clinical supervision (Bernard & Goodyear, 2009), the objective of this new program is to help physicians develop their clinical skills in understanding and negotiating the complex psychosocial issues associated with advanced cancer care. Secondary objectives include developing increased self-awareness in the domains of death, dying, bereavement and supportive counselling. This program was constructed in parallel with the learning objectives of two Canadian accreditation bodies in Palliative Medicine and was drawn on an established Spiritual Care pedagogical method for tertiary health care settings (Lambert, 2013). Training includes two 90 minute bi-monthly meetings, comprising either a verbatim case report or a reflective practice group. In the former, medical fellows presented a case to a peer-group that centered largely on psychological and not medical issues. Fellows receive feedback on their communication skills, as well as on case conceptualization and treatment planning. Trainees also participate in a reflective practice group to provide an additional opportunity to deepen self-awareness, as well as reflect on how their attitudes, values and assumptions affect the role of a palliative care physician. The presentation will also report initial trainee responses to the program based on exit interviews. This training model can also easily be transferred to the training of various health care disciplines associated with palliative care. Considerations for adjustment of the program to other practice settings will be encouraged from attendees. The syllabus for the program will be provided upon request. Pedagogical methodsA didactic approach will be used to outline the basic structure of the program. To illustrate the intersections of theory and practice, the workshop will include presentations of several group case vignettes. Participants will be invited to provide feedback on the potential strengths and limitations of this program. Expected outcomesPeople attending this workshop will obtain practical information concerning a new communication skills training program, as well as techniques and strategies they may wish to bring to their particular practice setting. This training model can also easily be transferred to the training of various health care disciplines associated with palliative care.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,002 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,004 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,010 | 0,002 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».