School of Medicine, College of Medicine and Health, Brookfield Health Sciences Complex, University College Cork, Ireland.
BMC Med Educ. 2010 Mar 17;10:24. doi: 10.1186/1472-6920-10-24.
A number of recent developments in medical and nursing education have highlighted the importance of communication and consultation skills (CCS). Although such skills are taught in all medical and nursing undergraduate curriculums, there is no comprehensive screening or assessment programme of CCS using professionally trained Standardized Patients Educators (SPE's) in Ireland. This study was designed to test the content, process and acceptability of a screening programme in CCS with Irish medical and nursing students using trained SPE's and a previously validated global rating scale for CCS.
Eight tutors from the Schools of Nursing and Medicine at University College Cork were trained in the use of a validated communication skills and attitudes holistic assessment tool. A total of forty six medical students (Year 2 of 5) and sixty four nursing students (Year 2/3 of 4) were selected to under go individual CCS assessment by the tutors via an SPE led scenario. Immediate formative feedback was provided by the SPE's for the students. Students who did not pass the assessment were referred for remediation CCS learning.
Almost three quarters of medical students (33/46; 72%) and 81% of nursing students (56/64) passed the CCS assessment in both communication and attitudes categories. All nursing students had English as their first language. Nine of thirteen medical students referred for enhanced learning in CCS did not have English as their first language.
A significant proportion of both medical and nursing students required referral for enhanced training in CCS. Medical students requiring enhanced training were more likely not to have English as a first language.
医学和护理教育领域的一些最新发展强调了沟通和咨询技巧（CCS）的重要性。尽管这些技能在所有医学和护理本科课程中都有教授，但在爱尔兰，没有使用经过专业培训的标准化患者教育者（SPE）对 CCS 进行全面筛查或评估的方案。本研究旨在使用经过培训的 SPE 和经过验证的 CCS 全球评分量表测试爱尔兰医学生和护生 CCS 筛查方案的内容、过程和可接受性。
科克大学学院护理学院和医学院的 8 名教师接受了使用经过验证的沟通技巧和态度整体评估工具的培训。共有 46 名医学生（第 5 年的第 2 年）和 64 名护理学生（第 4 年的第 2/3 年）被选中接受导师通过 SPE 主导的情景进行个别 CCS 评估。SPE 为学生提供了即时的形成性反馈。未通过评估的学生被转介进行 CCS 学习补救。
近四分之三的医学生（33/46；72%）和 81%的护理学生（56/64）在沟通和态度两个类别中都通过了 CCS 评估。所有护理学生的第一语言都是英语。在需要强化 CCS 学习的 13 名医学生中，有 9 名学生的第一语言不是英语。
相当一部分医学生和护理学生需要转介接受 CCS 强化培训。需要强化培训的医学生更有可能不是英语作为第一语言。
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