Department for Endocrinology, Diabetes and Rheumatology, Duesseldorf University Hospital, Duesseldorf, Germany.
Patient Educ Couns. 2011 Aug;84(2):170-5. doi: 10.1016/j.pec.2010.07.034. Epub 2010 Oct 2.
Question arises as to what extent communication skills are considered in continuing medical education (CME).
Analysis for CME-courses in communication skills in the area of the Chamber of Physicians North Rhine (ÄkNo), Germany. Supply Arm(A): CME events (n = 19,320) certified in 2007 were evaluated. Demand Arm(B): course participation of 850 family physicians in the period 2002-2007 was analyzed (n = 37,724). Tests were calculated to the level 0.05 using Mann-Whitney U-test.
(A) 388 (2.0%) events were concerned with the topic communications. 59.3% involved active cooperation of the participants. 0.5% events devoted more than 50% of their duration to the topic communication. Proportions in the subjects of internal medicine, general medicine and pediatrics amounted to 0.2%. (B) 803 (2.1%) events with a focus on communication were identified. Women took part in significantly more events than men (p<0.002) and selected more interactive courses.
Content on communication training was small. Increasing experience does not automatically improve communication skills but an extent of deliberate praxis seems to be necessary and must be sought and developed.
Communication skills are still insufficiently provided in CME-courses and should be more directed to focus as treatment strategies and scientifically investigated for outcome improvements.
在继续医学教育(CME)中,沟通技巧的重要性程度如何,这一点值得探讨。
对德国北莱茵医师协会(ÄkNo)的沟通技巧 CME 课程进行分析。供给臂(A):评估了 2007 年经认证的 CME 活动(n = 19,320)。需求臂(B):分析了 2002-2007 年间 850 名家庭医生的课程参与情况(n = 37,724)。使用 Mann-Whitney U 检验计算检验水平为 0.05。
(A)388(2.0%)项活动涉及沟通主题。59.3%的活动涉及参与者的积极合作。0.5%的活动将超过 50%的时间用于沟通主题。内科、全科医学和儿科学的比例为 0.2%。(B)确定了 803(2.1%)项以沟通为重点的活动。女性参加的活动明显多于男性(p<0.002),并选择了更多的互动课程。
沟通培训的内容较少。经验的增加并不一定会自动提高沟通技巧,而是需要有一定程度的刻意实践,这种实践需要被寻求和发展。
沟通技巧在 CME 课程中仍然不足,应更注重作为治疗策略,并针对其效果进行科学研究。