Gude Tore, Anvik Tor, Baerheim Anders, Fasmer Ole Bernt, Grimstad Hilde, Hjortdahl Per, Holen Are, Risberg Terje, Vaglum Per
Institutt for medisinske atferdsfag, Universitetet i Oslo, Postboks 1111 Blindern, Oslo 0317.
Tidsskr Nor Laegeforen. 2003 Aug 28;123(16):2277-80.
Clinical communication as part of the doctor-patient relationship has gained increased attention in the undergraduate medical education in Norway. Such teaching programmes require considerable resources, as much of the instruction has to be carried out in small groups, and they should be subjected to a thorough assessment from a cost-benefit perspective.
A working group representing the four medical faculties in Norway initiated EKKO, a project designed as a quality assurance of the instruction in clinical communication. In this paper comparable data are presented relating to the extent, form and content of the instruction.
There are great variations as to what part of the curriculum the instruction is placed in, the extent of faculty-based teaching, training periods in general practice and hospital settings with feed-back on communication skills, as well as in faculty development. To what degree these variations influence doctors' communication skills when fully qualified could be assessed in a further stage of this project, which could also provide an empirical basis for improvements in the instruction given.
作为医患关系一部分的临床沟通在挪威本科医学教育中受到了越来越多的关注。此类教学项目需要大量资源,因为大部分教学必须以小组形式进行,并且应该从成本效益的角度进行全面评估。
一个代表挪威四个医学院的工作组启动了EKKO项目,该项目旨在对临床沟通教学进行质量保证。本文呈现了与教学范围、形式和内容相关的可比数据。
在课程中教学所处的部分、基于教师的教学程度、在全科医疗和医院环境中的培训期以及沟通技巧反馈,还有教师发展方面,存在很大差异。在该项目的进一步阶段,可以评估这些差异在多大程度上影响医生完全合格后的沟通技巧,这也可以为改进教学提供实证依据。