Department of Psychosomatic Medicine and Psychotherapy, University Hospital Freiburg, Freiburg, Germany.
Eur J Cancer Care (Engl). 2011 Sep;20(5):570-6. doi: 10.1111/j.1365-2354.2010.01233.x. Epub 2010 Oct 5.
When physicians disclose information about randomised controlled trials, they have to balance the requirements of conducting high standard research and the respect for patients' rights. Physicians need training in this difficult matter. An individualised communication skills training (CST) about randomised controlled trials for oncologists has been developed. The aim of this publication is to describe the concept of our CST and present data of evaluation by the participants: First, a theoretical introduction about a communication model and important ethical and legal issues was presented. Individual learning goals of participants were then derived through video assessment with actor-patients. The learning goals were the basis for practicing in role play. Individual coaching helped physicians to transfer the made experience into their daily work. Forty physicians have been trained. The acceptance of the training concept was assessed by a questionnaire consisting of 14 items and using a 6-point scale from 1 (very best) to 6 (very bad): the individualised CST was highly accepted (mean = 1.33). Practicing with actor-patients (mean = 1.4), providing constructive feedback (mean = 1.3) and assessing individual learning goals (mean = 1.85) were seen as helpful. Our CST trains physicians to realise best research standards and incorporate patients' rights.
当医生披露关于随机对照试验的信息时,他们必须在进行高标准研究的要求和尊重患者权利之间取得平衡。医生需要在这个困难的问题上接受培训。我们开发了一种针对肿瘤学家的个体化沟通技巧培训(CST)。本出版物的目的是描述我们的 CST 概念,并介绍参与者评估的数据:首先,介绍了关于沟通模型和重要伦理法律问题的理论介绍。然后通过与患者扮演者进行视频评估来确定参与者的个人学习目标。学习目标是角色扮演练习的基础。个体辅导帮助医生将所获得的经验转化为日常工作。已经培训了 40 名医生。通过一个由 14 个项目组成的问卷,并使用 6 分制(1 为最好,6 为最差)来评估培训概念的接受程度:个体化 CST 得到了高度认可(平均 = 1.33)。与患者扮演者练习(平均 = 1.4)、提供建设性反馈(平均 = 1.3)和评估个人学习目标(平均 = 1.85)被认为是有帮助的。我们的 CST 培训医生实现最佳研究标准,并将患者权利纳入其中。