Training physicians toward a dignifying approach in adolescent health care: A promising simulation-based medical education program

Daniel Hardoff*, Assaf Gefen, Doron Sagi, Amitai Ziv

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Human dignity has a pivotal role within the health care system. There is little experience using simulation-based medical education (SBME) programs that focus on human dignity issues in doctor-patient relationships. Objectives: To describe and assess a SBME program aimed at improving physicians’ competence in a dignifying approach when encountering adolescents and their parents. Methods: A total of 97 physicians participated in 8 one-day SMBE workshops that included 7 scenarios of typical adolescent health care dilemmas. These issues could be resolved if the physician used an appropriate dignifying approach toward the patient and the parents. Debriefing discussions were based on video recordings of the scenarios. The effect of the workshops on participants’ approach to adolescent health care was assessed by a feedback questionnaire and on 5-point Likert score questionnaires administered before the workshop and 3 months after. Results: All participants completed both the pre-workshop and the feedback questionnaires and 41 (42%) completed the post-workshop questionnaire 3 months later. Practice and competence topics received significantly higher scores in post-workshop questionnaires (P < 0.001). A score of high to very high was given by 90% of physicians to the workshop’s contribution to their understanding of the dignifying approach, and by 70% to its influence on their communicative skills. Conclusions: A one-day simulation-based workshop may improve physicians’ communication skills and sense of competence in addressing adolescent health care issues which require a dignifying approach toward both the adolescent patients and their parents. This dignity-focused methodology may be expanded to improve communication skills of physicians from various disciplines.

Original languageEnglish
Pages (from-to)484-487
Number of pages4
JournalIsrael Medical Association Journal
Volume18
Issue number8
StatePublished - Aug 2016

Keywords

  • Adolescent health care
  • Communication
  • Human dignity
  • Simulation-based medical education (SBME)

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