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Functional neurological disorders: effective teaching for health professionals
BMJ Neurology Open ( IF 2.1 ) Pub Date : 2020-06-01 , DOI: 10.1136/bmjno-2020-000065
Alexander Lehn 1, 2 , Dharsha Navaratnam 3 , Megan Broughton 4 , Vince Cheah 5 , Alison Fenton 3 , Karl Harm 3 , Diana Owen 6 , Paul Pun 7
Affiliation  

Objectives To provide an outline for the delivery of an educational course or lecture about functional neurological disorders (FND) that is directed towards health professionals with varying clinical knowledge and to highlight the educational efficacy that can be derived from a well-designed educational platform. Method Through multidisciplinary collaboration, a course designed to develop the skills for diagnosis and management of FND was created. Elements essential to the delivery of education are: (A) knowledge creation; (B) facilitating multidisciplinary cross-pollination; (C) listening to patients’ experiences; (D) communication skills practice; (E) case studies; (F) discipline specific mentoring; (G) establishing and addressing participant learning goals and (H) developing collegial and referral networks. Changes in participants’ knowledge and clinical practice were assessed via anonymous questionnaires before and after the course. Results Dramatically improved knowledge and confidence in assessment and management of people with FND has been found both immediately following the course as well as on 6-month follow-up. Conclusion It is possible to make real change in the understanding and management of medical and allied health clinicians working with people with FND with a low-cost intervention. Also, the development of educational networks and multidisciplinary collaboration can lead to the creation of therapeutic platforms for the diagnosis, management and advocacy of this patient group.

中文翻译:

功能性神经系统疾病:卫生专业人员的有效教学

目标 为针对具有不同临床知识的卫生专业人员提供有关功能性神经障碍 (FND) 的教育课程或讲座的大纲,并强调可以从精心设计的教育平台中获得的教育功效。方法 通过多学科合作,开设了一门旨在培养 FND 诊断和管理技能的课程。提供教育的基本要素是: (A) 知识创造;(B) 促进多学科交叉授粉;(C) 倾听患者的经历;(D) 沟通技巧练习;(E) 案例研究;(F) 学科具体指导;(G) 建立和解决参与者学习目标和 (H) 发展学院和推荐网络。在课程前后通过匿名问卷评估参与者的知识和临床实践的变化。结果 在课程结束后以及 6 个月的随访中发现,对 FND 患者的评估和管理的知识和信心显着提高。结论 通过低成本干预,可以真正改变与 FND 患者合作的医疗和专职医疗临床医生的理解和管理。此外,教育网络的发展和多学科合作可以为该患者群体的诊断、管理和宣传创建治疗平台。结果 在课程结束后以及 6 个月的随访中发现,对 FND 患者的评估和管理的知识和信心显着提高。结论 通过低成本干预,可以真正改变与 FND 患者合作的医疗和专职医疗临床医生的理解和管理。此外,教育网络的发展和多学科合作可以为该患者群体的诊断、管理和宣传创建治疗平台。结果 在课程结束后以及 6 个月的随访中发现,对 FND 患者的评估和管理的知识和信心显着提高。结论 通过低成本干预,可以真正改变与 FND 患者合作的医疗和专职医疗临床医生的理解和管理。此外,教育网络的发展和多学科合作可以为该患者群体的诊断、管理和宣传创建治疗平台。结论 通过低成本干预,可以真正改变与 FND 患者合作的医疗和专职医疗临床医生的理解和管理。此外,教育网络的发展和多学科合作可以为该患者群体的诊断、管理和宣传创建治疗平台。结论 通过低成本干预,可以真正改变与 FND 患者合作的医疗和专职医疗临床医生的理解和管理。此外,教育网络的发展和多学科合作可以为该患者群体的诊断、管理和宣传创建治疗平台。
更新日期:2020-06-29
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