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利用电视节目在内科住院医师培训中教授沟通技巧。

Using television shows to teach communication skills in internal medicine residency.

作者信息

Wong Roger Y, Saber Sadra S, Ma Irene, Roberts J Mark

机构信息

Postgraduate Medical Education, Department of Medicine, University of British Columbia, Vancouver, Canada.

出版信息

BMC Med Educ. 2009 Feb 3;9:9. doi: 10.1186/1472-6920-9-9.

Abstract

BACKGROUND

To address evidence-based effective communication skills in the formal academic half day curriculum of our core internal medicine residency program, we designed and delivered an interactive session using excerpts taken from medically-themed television shows.

METHODS

We selected two excerpts from the television show House, and one from Gray's Anatomy and featured them in conjunction with a brief didactic presentation of the Kalamazoo consensus statement on doctor-patient communication. To assess the efficacy of this approach a set of standardized questions were given to our residents once at the beginning and once at the completion of the session.

RESULTS

Our residents indicated that their understanding of an evidence-based model of effective communication such as the Kalamazoo model, and their comfort levels in applying such model in clinical practice increased significantly. Furthermore, residents' understanding levels of the seven essential competencies listed in the Kalamazoo model also improved significantly. Finally, the residents reported that their comfort levels in three challenging clinical scenarios presented to them improved significantly.

CONCLUSION

We used popular television shows to teach residents in our core internal medicine residency program about effective communication skills with a focus on the Kalamazoo's model. The results of the subjective assessment of this approach indicated that it was successful in accomplishing our objectives.

摘要

背景

为在我们核心内科住院医师培训项目的正式学术半天课程中传授循证有效的沟通技巧,我们设计并开展了一场互动课程,使用了医学主题电视节目的片段。

方法

我们从电视剧《豪斯医生》中选取了两段片段,从《实习医生格蕾》中选取了一段片段,并结合关于医患沟通的卡拉马祖共识声明的简短教学演示展示这些片段。为评估这种方法的效果,在课程开始时和结束时分别向我们的住院医师发放了一组标准化问题。

结果

我们的住院医师表示,他们对诸如卡拉马祖模型这样的循证有效沟通模型的理解,以及在临床实践中应用该模型的舒适度显著提高。此外,住院医师对卡拉马祖模型中列出的七项基本能力的理解水平也有显著提高。最后,住院医师报告说,他们在面对向他们呈现的三种具有挑战性的临床场景时的舒适度有显著提高。

结论

我们利用热门电视节目向我们核心内科住院医师培训项目中的住院医师传授以卡拉马祖模型为重点的有效沟通技巧。对这种方法的主观评估结果表明,它成功实现了我们的目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce4d/2642813/ff6235bdc37a/1472-6920-9-9-1.jpg

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