Deuster Dirk, am Zehnhoff-Dinnesen Antoinette, Schmidt Claus-Michael, Matulat Peter, Huebner Jan R, Reichmuth Karen, Fiori Anja, Knief Arne
Department of Phoniatrics and Pediatric Audiology, University Hospital of Muenster, Germany.
Med Teach. 2008;30(8):e225-31. doi: 10.1080/01421590802216225.
Communication disorders are not taught as a self-contained topic in medical education, despite their high incidence and the similarities in the way in which they present clinically.
This article describes the development of an elective subject 'Phoniatrics and Pediatric Audiology' covering five topics: hearing, language, and voice as well as psychometric tests and swallowing, with the objective of teaching a basic knowledge of the anatomy, physiology, and pathophysiology of the hearing and language system as well as symptoms, diagnostics, examination, and therapy of communication disorders. It contains theoretical background, practical exercises, and demonstrations of patient examinations.
After initial modifications to the course, a statistical evaluation of the last two half-years in 2006 was performed.
The majority of students believe that the subject will be useful in their subsequent studies (94.2%) and medical practice (51.9%). All students affirmed that their expectations had been met by the course and they would choose it again.
Uniting several communication disorders within a self-contained topic provides the opportunity to understand pathophysiological principles, similarities, and differences between normal and impaired function of the hearing and language system and voice production. In the authors' opinion, it is a reasonable inclusion in medical training recognizing the importance of communication in today's service society.
尽管沟通障碍发病率很高，且在临床呈现方式上存在相似性，但在医学教育中，它并未作为一个独立的主题进行讲授。
本文描述了一门选修课程“言语治疗学与小儿听力学”的开发，该课程涵盖五个主题：听力、语言、嗓音以及心理测量测试和吞咽，目的是教授听力和语言系统的解剖学、生理学和病理生理学基础知识，以及沟通障碍的症状、诊断、检查和治疗方法。课程包含理论背景、实践练习和患者检查演示。
在对课程进行初步修改后，对2006年最后两个半年进行了统计评估。
大多数学生认为该课程对他们后续的学习（94.2%）和医学实践（51.9%）有用。所有学生都肯定该课程达到了他们的期望，并且会再次选择该课程。
将多种沟通障碍整合在一个独立的主题中，为理解听力和语言系统以及嗓音产生的正常与受损功能之间的病理生理原理、异同提供了机会。在作者看来，鉴于沟通在当今服务型社会中的重要性，将其纳入医学培训是合理的。
