使用标准化病人评估麻醉住院医师的人际沟通技能：一项试点研究。
The Use of Standardized Patients to Evaluate Interpersonal and Communication Skills of Anesthesiology Residents: A Pilot Study.
作者信息
Casabianca Andrew B, Papadimos Thomas J, Bhatt Shashi B
机构信息
Department of Anesthesiology University of Toledo College of Medicine.
出版信息
J Educ Perioper Med. 2008 Jul 1;10(2):E049. eCollection 2008 Jul-Dec.
OBJECTIVE
The study was conducted to explore the feasibility and validity of using standardized patients (SPs) in assessing the interpersonal and communication skills (ICS) of anesthesiology residents.
METHODS
A cross-sectional study was conducted to assess the ICS of anesthesiology residents using SPs. Each resident participated in two staged encounters and was graded by the SPs using a modified SEGUE framework. Each encounter was videotaped and reviewed independently by two senior faculty members using the same checklist.
RESULTS
The ICS scores improved with advancement of training. This was confirmed by both SP and faculty (CA-1, 47.8 ± 9.8 and CA-3, 64.8 ± 1.9, P=0.022) assessments. There was strong inter-faculty agreement for individual residents (r=0.95, P<0.001). In-training exam (ITE) scores appeared to correlate with the faculty ICS score (r=0.61, p<0.05).
CONCLUSION
Standardized patient encounters using a modified SEGUE framework may be a useful tool to assess ICS among anesthesiology residents. Resident performance improves even in the absence of interventions to teach ICS. The improvement appears to correlate with increasing experience and knowledge.
目的
本研究旨在探讨使用标准化病人（SP）评估麻醉学住院医师人际沟通技能（ICS）的可行性和有效性。
方法
采用横断面研究，使用标准化病人评估麻醉学住院医师的人际沟通技能。每位住院医师参与两次分阶段的医患交流，并由标准化病人使用改良的SEGUE框架进行评分。每次交流均进行录像，由两名资深教员使用相同的检查表独立进行评估。
结果
随着培训进程的推进，人际沟通技能得分有所提高。标准化病人和教员的评估结果均证实了这一点（CA-1，47.8±9.8；CA-3，64.8±1.9，P=0.022）。教员对个体住院医师的评估结果具有高度一致性（r=0.95，P<0.001）。住院医师培训期间考试（ITE）成绩似乎与教员的人际沟通技能评分相关（r=0.61，p<0.05）。
结论
使用改良SEGUE框架的标准化病人交流可能是评估麻醉学住院医师人际沟通技能的有用工具。即使在没有人际沟通技能教学干预的情况下，住院医师的表现也有所改善。这种改善似乎与经验和知识的增加相关。
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