Shapiro J, Schiermer D D
Department of Family Medicine, University of California, Irvine 92717.
Fam Pract. 1991 Mar;8(1):10-3. doi: 10.1093/fampra/8.1.10.
This study investigated the psychosocial skills of 55 family practice residents conducting patient interviews in actual clinical settings. Results indicated that resident performance was at least adequate, demonstrating competence in basic interpersonal and medical interviewing skills on the majority of categories rated. However, residents performed less well in areas of greater psychosocial complexity, in particular in addressing the meaning or implications of illness with patients and families. Sex differences between male and female residents were also explored and in general found to be nonsignificant, although women residents tended to perform somewhat better in terms of empathy, open-ended questions, and reassurance.
本研究调查了55名在实际临床环境中进行患者访谈的家庭医学住院医师的心理社会技能。结果表明,住院医师的表现至少是足够的,在大多数被评估的类别中都表现出基本的人际和医学访谈技能的能力。然而,住院医师在心理社会复杂性较高的领域表现较差,特别是在与患者和家属探讨疾病的意义或影响方面。还探讨了男性和女性住院医师之间的性别差异,总体上发现差异不显著,尽管女性住院医师在同理心、开放式问题和安慰方面往往表现得稍好一些。