Sherina H Nik, Chia Y C
Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur.
Med J Malaysia. 2002 Dec;57 Suppl E:74-7.
The teaching of clinical communication skills to undergraduate medical students in the Faculty of Medicine, University of Malaya is described. It is a continuous process throughout the five-year medical curriculum which is divided into Phases I, II and III. Students are introduced to communication skills early in Phase I through an interactive session as well as a workshop on general communication skills. In Phase II, small-group two-day workshops cover the basic principles of clinical communication skills using videotapes, group discussion and role-plays. Direct contact between students and patients in actual clinical setting begin in Phase IIIA. Communication skills teaching with feedback training is carried out by videotaping the consultations. In Phase IIIB the two-way mirror is utilized as well as having workshops on certain difficult areas such as 'breaking bad news' and 'taking a sexual history'. Formal assessment is done by evaluating the behavior, language and actual interview content.
本文描述了马来亚大学医学院针对本科医学生的临床沟通技能教学情况。这是一个贯穿五年医学课程的持续过程，该课程分为第一阶段、第二阶段和第三阶段。在第一阶段初期，通过互动环节以及通用沟通技能工作坊，向学生介绍沟通技能。在第二阶段，为期两天的小组工作坊利用录像带、小组讨论和角色扮演，讲解临床沟通技能的基本原则。在第三阶段A，学生开始在实际临床环境中与患者直接接触。通过对会诊过程进行录像，开展带有反馈训练的沟通技能教学。在第三阶段B，使用双向镜，并就“告知坏消息”和“获取性病史”等特定难点领域举办工作坊。通过评估行为、语言和实际访谈内容进行正式评估。
