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基于网络的视频反馈:一种反思经验丰富医师沟通技巧的方法。

Web-enabled video-feedback: a method to reflect on the communication skills of experienced physicians.

机构信息

Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.

出版信息

Patient Educ Couns. 2011 Mar;82(3):335-40. doi: 10.1016/j.pec.2010.11.003. Epub 2010 Dec 10.

DOI:10.1016/j.pec.2010.11.003
PMID:21146342
Abstract

OBJECTIVE

To describe our web-enabled video-feedback method designed to reflect on the communication skills of experienced physicians.

METHODS

Participating physicians (n=28) received a 'personal web link' to two of their video-recorded consultations. After watching the consultations physicians received feedback by telephone or in a face-to-face meeting, structured around an individualized feedback report. This report contained scores on the communication behavior of the physician in comparison with colleagues and their own communication behavior observed in a previous study, as well as patients' opinions about their physician's communication behavior. The physicians were asked to reflect on their communication skills and to comment on the usefulness and efficiency of the feedback method.

RESULTS

Almost all physicians were satisfied with the feedback method and in particular valued the web-enabled link to the video-recorded consultations and the structured written report. Feedback by telephone or face-to-face feedback was considered equally appropriate.

CONCLUSION

This web-enabled video-feedback method is a useful and structured design to reflect on the communication skills of physicians.

PRACTICE IMPLICATIONS

As part of continuing medical education, feedback on communication skills should become a recurrent activity for experienced physicians. This method can also be used to reflect on the communication skills of medical students.

摘要

目的

描述我们开发的基于网络的视频反馈方法,旨在反思经验丰富的医生的沟通技巧。

方法

参与的医生(n=28)收到了他们两次视频记录的咨询的“个人网络链接”。观看咨询后,医生通过电话或面对面的会议收到反馈,围绕个性化的反馈报告进行。该报告包含了医生的沟通行为与同事相比以及他们在之前的研究中观察到的自身沟通行为的得分,以及患者对医生沟通行为的看法。医生被要求反思自己的沟通技巧,并对反馈方法的有用性和效率发表意见。

结果

几乎所有的医生都对反馈方法感到满意,特别是对视频记录咨询的网络链接和结构化的书面报告表示赞赏。电话反馈或面对面反馈被认为同样合适。

结论

这种基于网络的视频反馈方法是反思医生沟通技巧的有用和结构化的设计。

实践意义

作为继续医学教育的一部分,对沟通技巧的反馈应该成为经验丰富医生的一项经常性活动。这种方法也可以用于反思医学生的沟通技巧。

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