Lamboo M, van 't Wout J W, Vos M S
Afd. Interne Geneeskunde, Ziekenhuis Bronovo, Bronovolaan 5, 2597 AX Den Haag.
Ned Tijdschr Geneeskd. 2005 May 21;149(21):1179-83.
Development of communication skills is an important aspect of the training of young physicians. In our hospital, we have developed a programme consisting of monthly 1-hour meetings in which the residents in internal medicine discuss incidents and communication problems with patients or their relatives. During these meetings, residents give feedback to each other under the supervision of the consultation-liaison psychiatrist. Important issues that have been discussed include refusal of treatment by patients, how to handle aggression, how to respond to complaints, relating bad news to patients, euthanasia, and dealing with personal problems or work-related stress. The meeting is well attended and appreciated by the residents. We believe that this approach of improving communication skills based on actual problems encountered in daily practice makes a valuable contribution to the training of young doctors.
沟通技巧的培养是年轻医生培训的一个重要方面。在我们医院，我们制定了一个项目，包括每月举行一次为时1小时的会议，内科住院医师在会上讨论与患者或其亲属发生的事件及沟通问题。在这些会议期间，住院医师在会诊联络精神科医生的监督下相互反馈。所讨论的重要问题包括患者拒绝治疗、如何应对攻击行为、如何回应投诉、向患者传达坏消息、安乐死以及处理个人问题或工作相关压力。该会议出席率很高，受到住院医师的好评。我们认为，这种基于日常实践中遇到的实际问题来提高沟通技巧的方法，对年轻医生的培训做出了宝贵贡献。
