Notzer Netta, Abramovitz Ruth
Sackler Faculty of Medicine, Tel Aviv University, Israel.
Clin Teach. 2010 Jun;7(2):121-5. doi: 10.1111/j.1743-498X.2010.00340.x.
Educators claim that conflicts and teacher-student miscommunications interfere in achieving optimal learning outcomes.
Conflicts arise when clinical instructors communicate in a patronising fashion, expressing values that are not those of their medical students. This paper presents our approach of coping with such conflicts. It is based on the notion that language is comprised of developmental levels. The objective is to switch the instructor's lower level of language from an uncontrolled reaction to a high level of efficient communication.
During our faculty-development workshops, we piloted sessions consisting of vignettes depicting instructor-student conflicts. The workshop participants were asked to react and discuss questions on their feelings in similar conflicts, and their immediate speech reaction to students. The workshop's facilitator pointed out that there was no one right solution. She singled out the reaction that takes into account the student's personality, avoiding imposing solutions. The feedback on these sessions was very favourable, indicating a high level of satisfaction.
The positive feedback is very encouraging. We believe that our workshops amplify the desired effective instructor-student communication, and suggest that the success of this intervention is partly achieved by selecting problematic issues of communication, and adjusting them to the current needs of our faculty members. In order to reproduce our approach, we suggest that other institutions should define their own values and communication code. We recommend them to use the same technique of intervention among a small group in an empowering atmosphere of discussion, using their own situations.
教育工作者称,冲突和师生间的沟通不畅会妨碍实现最佳学习成果。
当临床教师以屈尊俯就的方式进行沟通,表达的价值观与医学生的价值观不同时,就会产生冲突。本文介绍了我们应对此类冲突的方法。该方法基于语言由不同发展水平构成这一理念。目标是将教师较低水平的语言从无控制的反应转变为高水平的有效沟通。
在我们的教师发展研讨会上,我们试点了一些环节,这些环节包含描绘师生冲突的小插曲。要求研讨会参与者对类似冲突中的感受以及他们对学生的即时言语反应做出回应并进行讨论。研讨会主持人指出没有一个正确的解决方案。她挑出了考虑到学生个性、避免强行施加解决方案的那种反应。对这些环节的反馈非常积极,表明满意度很高。
积极的反馈非常鼓舞人心。我们认为我们的研讨会增强了期望的师生有效沟通,并表明这种干预的成功部分是通过选择有问题的沟通问题并使其适应我们教师当前的需求来实现的。为了重现我们的方法,我们建议其他机构应确定自己的价值观和沟通准则。我们建议他们在充满支持性的讨论氛围中,针对一小群人,运用相同的干预技巧,结合他们自己的情况。