Wouda Jan C, van de Wiel Harry B M
University of Groningen, University Medical Center Groningen, The Netherlands.
University of Groningen, University Medical Center Groningen, The Netherlands.
Patient Educ Couns. 2014 Oct;97(1):59-66. doi: 10.1016/j.pec.2014.05.023. Epub 2014 Jun 17.
To determine the effects of residents' communication self-assessment and supervisor feedback on residents' communication-competency awareness, on their patient-education competency, and on their patients' opinion.
The program consisted of the implementation of a communication self-assessment and feedback process using videoed outpatient consultations (video-CAF). Residents wrote down communication learning objectives during the instruction and after each video-CAF session. Residents' patient-education competency was assessed by trained raters, using the CELI instrument. Participating patients completed a questionnaire about the contact with their physician.
Forty-four residents and 21 supervisors participated in 87 video-CAF sessions. After their first video-CAF session, residents wrote down more learning objectives addressing their control and rapport skills and their listening skills. Video-CAF participation improved residents' patient-education competency, but only in their control and rapport skills. Video-CAF participation had no effect on patients' opinion.
Video-CAF appears to be a feasible procedure and might be effective in improving residents' patient-education competency in clinical practice.
Video-CAF could fill the existing deficiency of communication training in residency programs.
确定住院医师沟通自我评估及上级反馈对住院医师沟通能力意识、患者教育能力及患者看法的影响。
该项目包括使用门诊视频会诊(视频CAF)实施沟通自我评估及反馈过程。住院医师在培训期间及每次视频CAF课程后写下沟通学习目标。由经过培训的评估人员使用CELI工具评估住院医师的患者教育能力。参与的患者完成一份关于与医生接触情况的问卷。
44名住院医师和21名上级参与了87次视频CAF课程。在第一次视频CAF课程后,住院医师写下了更多关于控制与融洽关系技巧以及倾听技巧的学习目标。参与视频CAF提高了住院医师的患者教育能力,但仅在控制与融洽关系技巧方面。参与视频CAF对患者看法没有影响。
视频CAF似乎是一种可行的方法,可能有助于提高住院医师在临床实践中的患者教育能力。
视频CAF可以填补住院医师培训项目中现有沟通培训的不足。