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在家庭医学住院医师培训项目中使用沟通评估工具。

Using the communication assessment tool in family medicine residency programs.

作者信息

Myerholtz Linda, Simons Lynn, Felix Sumi, Nguyen Tuan, Brennan Julie, Rivera-Tovar Ana, Martin Pat, Hepworth Jeri, Makoul Gregory

机构信息

Mercy Health Partners Family Medicine Residency Program, Toledo, OH 43604, USA.

出版信息

Fam Med. 2010 Sep;42(8):567-73.

PMID:20830622
Abstract

BACKGROUND AND OBJECTIVES

The Communication Assessment Tool (CAT), developed by Makoul et al assesses patient perceptions of physicians' interpersonal and communication skills. The objective of this study was to gather initial benchmarking data for the use of the CAT in family medicine residency programs.

METHODS

Data were collected from patients seeing 127 residents from six family medicine residency programs. A total of 1,931 patients completed the paper and pencil version of the CAT following an appointment with a resident; 1,880 of the CAT forms met the inclusion criteria for analysis.

RESULTS

The overall mean percentage of items from which residents were rated as excellent was 69.7%. Significant differences were found in the overall percentage of items rated as excellent based on training year, with PGY-1 (77.0%) residents being rated significantly higher than PGY-2 (69.5%) and PGY-3 (68.1%) residents. There were no significant differences found in the overall percentage of items rated as excellent based on the native language or gender of the residents.

CONCLUSIONS

This initial benchmarking data can allow family medicine residency programs to compare the performance of their residents with the performance of residents from other programs. We recommend that the results of the CAT be used as both an evaluative and learning tool.

摘要

背景与目的

由马库尔等人开发的沟通评估工具(CAT)用于评估患者对医生人际沟通技巧的看法。本研究的目的是收集在家庭医学住院医师培训项目中使用CAT的初始基准数据。

方法

收集了来自六个家庭医学住院医师培训项目的127名住院医师所诊治患者的数据。共有1931名患者在与住院医师预约就诊后完成了纸质版CAT;其中1880份CAT表格符合分析纳入标准。

结果

住院医师被评为优秀的项目总体平均百分比为69.7%。根据培训年份,在被评为优秀的项目总体百分比上发现了显著差异,一年级住院医师(PGY-1,77.0%)的评分显著高于二年级住院医师(PGY-2,69.5%)和三年级住院医师(PGY-3,68.1%)。根据住院医师的母语或性别,在被评为优秀的项目总体百分比上未发现显著差异。

结论

这些初始基准数据可使家庭医学住院医师培训项目将其住院医师的表现与其他项目住院医师的表现进行比较。我们建议将CAT的结果用作评估和学习工具。

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