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CALMER Conflict: A Novel Curriculum for Graduating Medical Students to Manage and Defuse Patient-Provider Conflict.
See, Jordan; Van Deusen, Reed; Claxton, Rene; Shenai, Neeta; Rothenberger, Scott D; Donovan, Anna K.
Afiliación
  • See J; General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. Jordansee.tampa@gmail.com.
  • Van Deusen R; General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
  • Claxton R; General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
  • Shenai N; Department of Psychiatry, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI, USA.
  • Rothenberger SD; General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
  • Donovan AK; General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
J Gen Intern Med ; 2024 Aug 05.
Article en En | MEDLINE | ID: mdl-39103602
ABSTRACT

BACKGROUND:

Workplace violence disproportionately affects healthcare workers and verbal aggression from patients frequently occurs. While verbal de-escalation is the first-line approach to defusing anger, there is a lack of consistent curricula or robust evaluation in undergraduate medical education.

AIM:

To develop a medical school curriculum focused on de-escalation skills for adult patients and evaluate effectiveness with surveys and an objective structured clinical examination (OSCE).

SETTING:

We implemented this curriculum in the "Get Ready for Residency Bootcamp" of a single large academic institution in 2023.

PARTICIPANTS:

Forty-four fourth-year medical students PROGRAM DESCRIPTION The curriculum consisted of an interactive didactic focused on our novel CALMER framework that prioritized six evidence-based de-escalation skills and a separate standardized patient practice session. PROGRAM EVALUATION The post-curriculum survey (82% response rate) found a significant increase from 2.79 to 4.11 out of 5 (p ≤ 0.001) in confidence using verbal de-escalation. Preparedness improved with every skill and curriculum satisfaction averaged 4.79 out of 5. The OSCE found no differences in skill level between students who received the curriculum and those who did not.

DISCUSSION:

This evidence-based and replicable de-escalation skill curriculum improves medical student confidence and preparedness in managing agitated patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Gen Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Gen Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos