Stilwell N A, Reisine S
Department of Behavioral Sciences and Community Health, School of Dental Medicine, University of Connecticut Health Center, Farmington 06030.
J Dent Educ. 1992 Feb;56(2):118-22.
The teaching and evaluation of clinical interviewing skills is a continuing challenge for medicine and dentistry. The use of patient-instructors who provide consistency in presenting scenarios has recently been pioneered in dental education. This program focused primarily on teaching and used patient-instructors to give individual feedback from the patient's perspective to students after each of five scenarios. Feedback was constructive and behaviorally oriented so that it could be applied immediately to succeeding scenarios. Rating instruments assessed both process and content skills. Results indicated that students improved significantly in interpersonal interviewing skills as they progressed through the exercise. Content skills improved only slightly. Student and faculty reaction was positive. The program is an effective and time efficient means of teaching history taking and interviewing skills as well as an effective evaluation tool.
临床问诊技能的教学与评估对医学和牙医学来说一直是一项挑战。在牙科教育中，最近率先采用了由患者教员提供一致情景呈现的方法。该项目主要侧重于教学，并利用患者教员从患者角度在五个情景中的每一个情景后为学生提供个人反馈。反馈具有建设性且以行为为导向，以便能立即应用于后续情景。评分工具评估了过程技能和内容技能。结果表明，学生在完成练习过程中人际问诊技能有显著提高。内容技能仅略有提高。学生和教师的反应是积极的。该项目是一种有效且高效的病史采集和问诊技能教学手段，也是一种有效的评估工具。
