Cals Jochen W L, Scheppers Nicole A M, Hopstaken Rogier M, Hood Kerenza, Dinant Geert-Jan, Goettsch Henk, Butler Christopher C
Department of General Practice, Care and Public Health Research Institute (CAPHRI), Maastricht University, The Netherlands.
Patient Educ Couns. 2007 Nov;68(3):270-8. doi: 10.1016/j.pec.2007.06.014. Epub 2007 Aug 21.
To determine if a communication skills training program for general practitioners involving context-rich learning experiences and 'peer review' of consultation transcripts results in communication skills acquisition and maintenance, while preserving time-efficiency in consultations.
A pre-test-post-test evaluation of training 20 general practitioners (GPs) in enhanced communication skills. Audio taped consultations with simulated patients in routine practice conducted before, within 2 weeks and again 6 months after communication skills training were analysed and consultation length measured. Transcripts were scored for specific skills to determine differences in short and longer-term competence of GPs for the communication skills.
There was good evidence that GPs acquired key communication skills after training and that these were maintained over 6 months. Consultations remained within normal consultation length in primary care.
Specific communication skills for acute bronchitis can be successfully acquired by GPs through context-rich communication training with peer review of transcripts with simulated patients, without making consultation length unfeasible.
This approach to skill acquisition is useful for enhancing communication skills competence in general medical practice.
确定一项针对全科医生的沟通技能培训项目，该项目包含丰富情境的学习体验以及对会诊记录的“同行评审”，是否能在保持会诊时间效率的同时，实现沟通技能的获得与维持。
对20名全科医生进行增强沟通技能的培训，并进行前测-后测评估。分析在沟通技能培训前、培训后2周内以及培训后6个月在日常实践中与模拟患者进行的会诊录音，并测量会诊时长。对会诊记录进行特定技能评分，以确定全科医生在沟通技能方面短期和长期能力的差异。
有充分证据表明，全科医生在培训后获得了关键沟通技能，且这些技能在6个月内得以维持。基层医疗中的会诊时长仍保持在正常范围内。
全科医生可通过对与模拟患者的会诊记录进行同行评审的丰富情境沟通培训，成功获得急性支气管炎的特定沟通技能，且不会使会诊时长变得不可行。
这种技能获取方法有助于提高普通医疗实践中的沟通技能水平。
