Makoul G, Schofield T
Program in Communication and Medicine, Northwestern University Medical School, Chicago, IL, USA.
Patient Educ Couns. 1999 Jun;37(2):191-5. doi: 10.1016/s0738-3991(99)00023-3.
The importance of communication between doctors and patients has been well established, and there is growing acceptance of the need to teach and assess communication skills in medical schools. Faculty meeting at a consensus workshop during the International Conference on Teaching Communication in Medicine (Oxford, July 1996) generated a series of recommendations for developing and implementing teaching and assessment programmes. The points were refined in subsequent discussions with other interested groups, and endorsed in their current form by a workshop of teachers attending the Communication in Health Care Conference organized by NIVEL, the Netherlands Institute of Primary Health Care (Amsterdam, June 1998). While focused on medical schools, the eight recommendations highlighted in this consensus statement are also relevant to both graduate and continuing medical education programmes: (1) teaching and assessment should be based on a broad view of communication in medicine; (2) communication skills teaching and clinical teaching should be consistent and complementary; (3) teaching should define, and help students achieve, patient-centred communication tasks; (4) communication teaching and assessment should foster personal and professional growth; (5) there should be a planned and coherent framework for communication skills teaching; (6) students' ability to achieve communication tasks should be assessed directly; (7) communication skills teaching and assessment programmes should be evaluated; (8) faculty development should be supported and adequately resourced.
医生与患者之间沟通的重要性已得到充分确立,并且医学院校越来越认可教授和评估沟通技巧的必要性。在医学教学沟通国际会议(1996年7月,牛津)期间的一次共识研讨会上,教师们提出了一系列关于制定和实施教学与评估计划的建议。随后与其他相关团体进行讨论,对这些要点进行了完善,并且在由荷兰初级卫生保健研究所(NIVEL,阿姆斯特丹,1998年6月)组织的医疗保健沟通会议上,与会教师研讨会认可了其当前形式。虽然本共识声明重点关注医学院校,但其中强调的八项建议对毕业后医学教育和继续医学教育计划也同样适用:(1)教学和评估应基于对医学沟通的广泛理解;(2)沟通技巧教学与临床教学应保持一致并相互补充;(3)教学应明确并帮助学生完成以患者为中心的沟通任务;(4)沟通教学和评估应促进个人和职业成长;(5)应建立一个有计划且连贯的沟通技巧教学框架;(6)应直接评估学生完成沟通任务的能力;(7)应对沟通技巧教学和评估计划进行评估;(8)应支持教师发展并提供充足资源。