Schildmann Jan, Kampmann Margareta, Schwantes Ulrich
Medizinische Klinik III und Institut für Geschichte und Ethik der Medizin, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen.
Z Arztl Fortbild Qualitatssich. 2004 Jun;98(4):287-92.
Good communication between patients and doctors has positive effects on health and the patients' quality of life. Communication skills can be trained. In many countries communication skills training is an important part of medical education and continuing medical education. In this study German medical students were questioned about current communication training.
Questionnaires were sent to 28 Medical Schools in Germany and distributed in General Practice courses. Using Likert scales students were asked to rate both existing teaching courses on communication skills and their ability to communicate.
377 students of 12 Medical Schools participated in this study. Two Medical Schools offer teaching courses on communication skills as part of their regular curriculum. On a scale ranging from 1 (no such courses available) to 7 (courses fully available) students assessed the practical teaching of communication skills to be 3 (median). In addition, on a scale ranging from 1 to 7 students rated their general communication skills as 3 (median) and their ability of taking a sexual history and breaking bad news as 4 (median).
Although these results are not representative, they give a general idea of communication skills teaching in Germany. During their clinical education students should be especially trained for difficult situations in the patient-doctor encounter. The international experience of other Medical Schools should be taken into account when implementing communication skills training as part of medical education.
患者与医生之间良好的沟通对健康和患者的生活质量有积极影响。沟通技巧是可以训练的。在许多国家,沟通技巧培训是医学教育和继续医学教育的重要组成部分。在本研究中,对德国医学生进行了关于当前沟通培训的问卷调查。
向德国的28所医学院校发放问卷,并在全科医学课程中进行分发。使用李克特量表,要求学生对现有的沟通技巧教学课程以及他们的沟通能力进行评分。
12所医学院校的377名学生参与了本研究。两所医学院校将沟通技巧教学课程作为其常规课程的一部分。在从1(没有此类课程)到7(课程完全具备)的量表上,学生们将沟通技巧的实践教学评为3(中位数)。此外,在从1到7的量表上,学生们将他们的一般沟通能力评为3(中位数),将他们获取性病史和告知坏消息的能力评为4(中位数)。
尽管这些结果不具有代表性,但它们给出了德国沟通技巧教学的大致情况。在临床教育期间,学生应针对医患交流中的困难情况接受专门培训。在将沟通技巧培训作为医学教育的一部分实施时,应考虑其他医学院校的国际经验。