Jung Jong Won, Lee Young Mee, Kim Byung Soo, Ahn Ducksun
Department of Medical Education, Korea University College of Medicine, Seoul, Korea.
Korean J Med Educ. 2010 Mar;22(1):33-45. doi: 10.3946/kjme.2010.22.1.33. Epub 2010 Mar 31.
This study aims to explore the perceived effectiveness, benefits, and learning experiences of interns with regard to their participation in a communication skills workshop program, which can have implications for the development and implementation of future communication skills training.
One hundred twenty one interns and 12 senior residents and fellows participated in the workshop program as learners and tutors. The participating interns encountered three difficult communication situations, represented by trained standardized patients. During each encounter, each participant had an individual encounter, group discussion, and feedback on his performance. A self-assessment survey, composed of five itemized questions and seven open-ended questions, was administered after the workshop. A mixed methods approach was used to analyze the quantitative and qualitative data.
The participants had positive perceptions of the implementation and effects of the workshop, and they responded higher than 4.0 to all itemized questions on their perception of the effectiveness and benefits of the workshop. The analysis of open-ended questions demonstrated specific learning experiences of the participants, such as the hardship of solving ill-structured communication problems and reflection on their current knowledge, skills, attitudes, and practice as physicians. The participants reported that the workshop provided opportunities of improving diverse communication skills and problem-solving skills and identifying further learning needs.
The results suggest that communication skills training for interns facilitates their reflection and development of communication skills, as well as their competency of situated problem solving. Consequently, communication skills development should be regarded as an important subject of continuing medical education. Several implications of this study can contribute to the design and development of communication skills-related programs.
本研究旨在探讨实习生参与沟通技能工作坊项目的感知效果、益处及学习体验，这对未来沟通技能培训的发展与实施具有启示意义。
121名实习生以及12名高级住院医师和研究员作为学习者和导师参与了该工作坊项目。参与的实习生遇到了由经过培训的标准化病人呈现的三种困难沟通情境。在每次情境中，每位参与者都有单独的交流、小组讨论以及对其表现的反馈。工作坊结束后进行了一项自我评估调查，该调查由5个分项问题和7个开放式问题组成。采用混合方法对定量和定性数据进行分析。
参与者对工作坊的实施和效果有积极的看法，并且他们对关于工作坊有效性和益处感知的所有分项问题的回答都高于4.0。对开放式问题的分析展示了参与者的具体学习体验，比如解决结构不良沟通问题的困难以及对他们作为医生当前的知识、技能、态度和实践的反思。参与者报告称，该工作坊提供了提升多种沟通技能和解决问题技能以及确定进一步学习需求的机会。
结果表明，对实习生进行沟通技能培训有助于他们反思和发展沟通技能，以及提升情境问题解决能力。因此，沟通技能发展应被视为继续医学教育的重要主题。本研究的若干启示可有助于沟通技能相关项目的设计与开发。
