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教学沟通技巧的师资发展计划对参与者实践的影响。

Impact of a faculty development programme for teaching communication skills on participants' practice.

机构信息

Division of Primary Care, Department of Community Care, Primary Care and Emergency, Geneva University Hospitals, , Geneva, Switzerland.

出版信息

Postgrad Med J. 2014 May;90(1063):245-50. doi: 10.1136/postgradmedj-2012-131700. Epub 2014 Mar 17.

Abstract

PURPOSE OF THE STUDY

A 6-month faculty development programme was designed to improve supervisors' feedback to junior doctors on their clinical communication skills (CS) and included both CS and teaching skills training. The aim of this study was to assess supervisors' views on the impact of the programme on their subsequent teaching and communication practice.

STUDY DESIGN

28 clinical supervisors at the Geneva University Hospitals, from either inpatient or outpatient settings (general internists or primary care specialists), undertook a six-session faculty development programme, between 2009 and 2011, and each completed a short questionnaire before and 1 month after the course. Between 3 and 6 months after the course, the participants were interviewed about their views on the impact of the course on their practice using a semistructured interview. Interviews were audiotaped and transcribed verbatim and analysed thematically.

RESULTS

The percentage of participants who reported teaching CS at least once a week had increased from 5/26 (19%) to 8/26 (30%), p=0.07. Participants reported using teaching skills, especially giving structured feedback. Use of newly acquired teaching skills was more likely when participants had protected time for teaching or were involved in formal teaching activities. Even participants who reported minimal teaching activity found the newly acquired CS to be useful, both with their own patients and in other professional situations. The few participants who explicitly reported teaching regularly CS in practice had generally become formal teachers in CS training.

CONCLUSIONS

A faculty development programme on how to teach CS is perceived to be useful by clinical supervisors to acquire new skills, but using them in the workplace appears to depend on creation of a supportive environment with protected time for teaching. Involving supervisors in formal communication teaching may be one way to ensure continued use of newly learned teaching skills.

摘要

研究目的

本研究设计了一项为期 6 个月的教员发展计划,旨在提高上级医生对初级医生临床沟通技能(CS)的反馈效果,该计划同时包括 CS 和教学技能培训。本研究旨在评估上级医生对该计划对其后续教学和沟通实践的影响的看法。

研究设计

2009 年至 2011 年间,日内瓦大学医院的 28 名临床主管(来自住院或门诊环境的普通内科医生或初级保健专家)参加了一个六节的教员发展计划,在课程开始前和结束后 1 个月,每位主管都完成了一份简短的问卷。在课程结束后 3 至 6 个月,通过半结构化访谈了解参与者对课程对其实践的影响的看法。访谈进行了录音,并逐字转录,然后进行主题分析。

结果

报告每周至少教授一次 CS 的参与者比例从 5/26(19%)增加到 8/26(30%),p=0.07。参与者报告使用了教学技能,尤其是提供结构化反馈。当参与者有专门用于教学的时间或参与正式教学活动时,更有可能使用新获得的教学技能。即使报告很少有教学活动的参与者也发现新获得的 CS 对他们自己的患者和其他专业情况都很有用。少数明确报告在实践中定期教授 CS 的参与者通常已经成为 CS 培训的正式教师。

结论

上级医生认为,教授 CS 的教员发展计划有助于他们获得新技能,但在工作场所使用这些技能似乎取决于创造一个有专门用于教学的时间的支持性环境。让主管参与正式的沟通教学可能是确保持续使用新学到的教学技能的一种方式。

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