The medical pause: Importance, processes and training.
Journal
Medical education
ISSN: 1365-2923
Titre abrégé: Med Educ
Pays: England
ID NLM: 7605655
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
revised:
28
02
2021
received:
26
09
2020
accepted:
19
03
2021
pubmed:
28
3
2021
medline:
25
2
2023
entrez:
27
3
2021
Statut:
ppublish
Résumé
Research has shown that taking 'timeouts' in medical practice improves performance and patient safety. However, the benefits of taking timeouts, or pausing, are not sufficiently acknowledged in workplaces and training programmes. To promote this acknowledgement, we suggest a systematic conceptualisation of the medical pause, focusing on its importance, processes and implementation in training programmes. By employing insights from educational and cognitive psychology, we first identified pausing as an important skill to interrupt negative momentum and bolster learning. Subsequently, we categorised constituent cognitive processes for pausing skills into two phases: the decision-making phase (determining when and how to take pauses) and the executive phase (applying relaxation or reflection during pauses). We present a model that describes how relaxation and reflection during pauses can optimise cognitive load in performance. Several strategies to implement pause training in medical curricula are proposed: intertwining pause training with training of primary skills, providing second-order scaffolding through shared control and employing auxiliary tools such as computer-based simulations with a pause function.
Identifiants
pubmed: 33772840
doi: 10.1111/medu.14529
pmc: PMC8518691
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1152-1160Subventions
Organisme : Nederlandse Organisatie voor Wetenschappelijk Onderzoek
ID : 055.16.117
Informations de copyright
© 2021 The Authors. Medical Education published by Association for the Study of Medical Education and John Wiley & Sons Ltd.
Références
Med Educ. 2011 Nov;45(11):1072-80
pubmed: 21988623
J Am Coll Surg. 2007 Apr;204(4):527-32
pubmed: 17382210
Acad Med. 2017 Nov;92(11):1555-1563
pubmed: 28445215
Jt Comm J Qual Patient Saf. 2011 Jun;37(6):285-8
pubmed: 21706988
Med Educ. 2010 Jan;44(1):85-93
pubmed: 20078759
Annu Rev Psychol. 2008;59:255-78
pubmed: 18154502
Adv Health Sci Educ Theory Pract. 2018 Dec;23(5):891-898
pubmed: 29948414
Acad Med. 2009 Oct;84(10 Suppl):S25-33
pubmed: 19907380
Teach Learn Med. 2007 Summer;19(3):287-92
pubmed: 17594225
J Exp Psychol Appl. 2008 Dec;14(4):340-52
pubmed: 19102617
Health Aff (Millwood). 2018 Nov;37(11):1736-1743
pubmed: 30395508
Med Educ. 2016 Sep;50(9):969-78
pubmed: 27562896
N Engl J Med. 2009 Jan 29;360(5):491-9
pubmed: 19144931
Hum Factors. 2008 Jun;50(3):433-41
pubmed: 18689050
Pediatr Qual Saf. 2018 Jul 20;3(4):e088
pubmed: 30229199
Acad Med. 2001 Dec;76(12):1171-2; author reply 1172-3
pubmed: 11739035
BMC Med Educ. 2017 Nov 15;17(1):211
pubmed: 29141616
Acad Med. 2004 Oct;79(10 Suppl):S70-81
pubmed: 15383395
Sci Rep. 2016 Nov 14;6:37069
pubmed: 27841345
MedGenMed. 2001 Mar 05;3(2):2
pubmed: 11549951
Adv Health Sci Educ Theory Pract. 2017 Oct;22(4):951-968
pubmed: 27787677
Front Neurosci. 2014 Jun 11;8:150
pubmed: 24966810
Acad Med. 2007 Oct;82(10 Suppl):S109-16
pubmed: 17895673
Int J Qual Health Care. 2013 Apr;25(2):182-7
pubmed: 23335056
J Crit Care. 2006 Sep;21(3):231-5
pubmed: 16990087
Acad Med. 2021 Jan 1;96(1):24-30
pubmed: 32496287
JAMA. 2012 Aug 22;308(8):769-70
pubmed: 22910751
Lancet. 2009 Nov 14;374(9702):1714-21
pubmed: 19914516
Acad Med. 2015 Jul;90(7):981-7
pubmed: 25738386
Neurol Sci. 2017 Mar;38(3):451-458
pubmed: 27995346
Surg Clin North Am. 2012 Feb;92(1):125-35
pubmed: 22269266
BMJ. 2002 Mar 23;324(7339):729-32
pubmed: 11909793
Acad Med. 1999 May;74(5):507-10
pubmed: 10353281
J Gastrointest Surg. 2010 Jun;14(6):1019-26
pubmed: 20309647
BMJ Qual Saf. 2016 Feb;25(2):66-70
pubmed: 26786521
Best Pract Res Clin Anaesthesiol. 2011 Jun;25(2):161-8
pubmed: 21550541
Worldviews Evid Based Nurs. 2016 Apr;13(2):99-101
pubmed: 27062247
J Patient Saf. 2018 Sep;14(3):148-152
pubmed: 25894382
Acad Med. 2010 Oct;85(10):1571-7
pubmed: 20881677
Cogn Emot. 2017 Nov;31(7):1502-1510
pubmed: 27666392
Cognition. 2011 Mar;118(3):439-43
pubmed: 21211793
Med Teach. 2009 Aug;31(8):685-95
pubmed: 19811204
Brain Sci. 2019 Jul 26;9(8):
pubmed: 31357524
Med Educ. 2021 Oct;55(10):1152-1160
pubmed: 33772840
J Am Coll Surg. 2013 Nov;217(5):867-73.e1-3
pubmed: 23973104
Med Teach. 2014 May;36(5):371-84
pubmed: 24593808
Eur J Sport Sci. 2016;16(3):350-7
pubmed: 26263831