Crisp A H
J R Soc Med. 1986 Oct;79(10):568-74. doi: 10.1177/014107688607901004.
Communication is a major aspect of medical practice in such areas as the consultation, counselling, team work, management duties, health education and teaching. Many communication skills essential to the clinical consultation are different from those used in everyday life. They require an understanding of the doctor/patient relationship and of the self as well as of others. They also require a subserving repertoire of specific behavioural skills. The present paper sets out to emphasize this pervasive importance of communication skills in medical practice and to suggest some educational goals and objectives for those skills of particular relevance to the consultation. It describes one attempt to pursue these within the author's own school despite the piecemeal nature of such teaching. In Britain great emphasis is placed on the importance of clinical skills and this is reflected in the priority given to them in the final professional examination, and yet their communication aspects are rarely well defined within the curriculum or directly assessed. The author advocates the teaching and assessment of communication skills as a continuous process throughout undergraduate and postgraduate medical education for clinical practice.
沟通是医疗实践中的一个重要方面，体现在会诊、咨询、团队协作、管理职责、健康教育及教学等领域。临床会诊所必需的许多沟通技巧与日常生活中使用的技巧不同。它们需要理解医患关系、自我以及他人。它们还需要一系列特定的行为技巧。本文旨在强调沟通技巧在医疗实践中的普遍重要性，并针对那些与会诊特别相关的技巧提出一些教育目标。它描述了作者所在学校尽管教学具有零散性，但仍为追求这些目标所做的一次尝试。在英国，人们非常重视临床技能的重要性，这在最终专业考试中给予它们的优先权中得到体现，然而其沟通方面在课程中很少得到明确界定，也很少被直接评估。作者主张将沟通技巧的教学与评估作为贯穿本科及研究生医学临床教育的一个持续过程。
