Schor J, Burket D, Luongo M, Seidel J S
Indian J Pediatr. 1989 Jan-Feb;56(1):19-28. doi: 10.1007/BF02749700.
Residents need to learn how to assess and accommodate to a variety of behaviors and affective styles presented by patients and their families. This requires those skills which enable them to facilitate interactions with people in a positive, effective, and efficient manner. The teaching of these interpersonal and communication skills should incorporate a multi-disciplinary model. The development and implementation of a successful resident training program requires careful attention to the establishment of goals and objectives, learning activities and evaluation strategies that will meet the needs of the resident. The utilization of a multi-teaching, multi-media, and collaborative team approach intensifies the effectiveness of the overall training program. This article describes a training program that focuses on communication skills while being mindful of the various settings in which residency training occurs. These include the use of video-tape of physician/patient interaction in continuing care clinic, communication with children in non-medical settings and audio-tape reviews of physicians telephone management in a pediatric emergency care setting. The evaluation instruments developed to assess interpersonal and communications skills are reviewed and discussed as an integral component of this educational and training model.
住院医师需要学习如何评估并适应患者及其家属所表现出的各种行为和情感方式。这需要具备一些技能，使他们能够以积极、有效且高效的方式促进与他人的互动。这些人际沟通技能的教学应采用多学科模式。成功的住院医师培训项目的开发与实施需要密切关注目标的设定以及能满足住院医师需求的学习活动和评估策略。采用多教学、多媒体和协作团队的方法可增强整体培训项目的效果。本文描述了一个专注于沟通技能的培训项目，同时留意住院医师培训所处的各种环境。这些环境包括在持续护理诊所使用医生与患者互动的录像带、在非医疗环境中与儿童沟通以及在儿科急诊护理环境中对医生电话处理情况进行录音带回顾。为评估人际沟通技能而开发的评估工具作为这一教育培训模式的一个组成部分得到了回顾与讨论。
