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简短的两小时跨学科沟通技巧培训能成功运用于本科医学教育吗?

Can a brief two-hour interdisciplinary communication skills training be successful in undergraduate medical education?

机构信息

Department of Primary Medical Care, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

出版信息

Patient Educ Couns. 2013 Nov;93(2):298-305. doi: 10.1016/j.pec.2013.05.019. Epub 2013 Jun 24.

DOI:10.1016/j.pec.2013.05.019
PMID:23806818
Abstract

OBJECTIVE

To pilot-test feasibility, acceptance and learning-outcomes of a brief interdisciplinary communication skills training program in undergraduate medical education.

METHODS

A two-hour interdisciplinary communication skills program with simulated patients was developed and pilot-tested with clinical students at Hamburg University. Five psychosocial specialties facilitated the training. Composite effects were measured qualitatively and quantitatively.

RESULTS

Eighty students volunteered to participate in the pilot-program (intervention-group). Their evaluations of the program were very positive (1.1 on a six-point scale). Benefits were seen in feedback, increase of self-confidence, cross-disciplinary clinical and communication experience. Students who did not volunteer (n=206) served as the control-group. The intervention-group performed significantly better (p=0.023) in a primary care communication examination and female students performed better than males. Clinical teachers evaluated the pilot-training very positively with regard to learning-outcomes and feasibility. The positive results from the pilot-training led to implementation into the regular curriculum.

CONCLUSIONS

A two-hour interdisciplinary communication skills training program is beneficial for medical students with regard to communication competencies, self-confidence and learning-outcomes.

PRACTICE IMPLICATION

The training is feasible within given time-frames and limited staff resources. The high teaching load for small-group-training are split between five specialties. The concept might be an interesting option for other faculties.

摘要

目的

检验本科医学教育中简短跨学科沟通技巧培训计划的可行性、可接受性和学习效果。

方法

在汉堡大学,我们为临床学生开发并试点了一个两小时的跨学科沟通技巧培训计划,其中包括模拟患者。五个社会心理专业为培训提供支持。复合效应通过定性和定量进行测量。

结果

80 名学生自愿参加试点项目(干预组)。他们对该计划的评价非常积极(六点量表得分为 1.1)。学生们在反馈、自信心提升、跨学科临床和沟通经验方面受益。未自愿参加的 206 名学生作为对照组。干预组在初级保健沟通考试中的表现明显更好(p=0.023),女性学生的表现优于男性学生。临床教师对试点培训的学习效果和可行性评价非常积极。试点培训的积极成果促使其纳入常规课程。

结论

两小时的跨学科沟通技巧培训计划对医学生的沟通能力、自信心和学习效果有益。

实践意义

该培训在给定的时间框架和有限的人员资源内具有可行性。小组培训的高教学负荷由五个专业分担。该概念可能是其他学院的一个有趣选择。

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