Copeman R C
Department of Social and Preventive Medicine, University of Queensland Medical School, Herston.
Med J Aust. 1989 Jan 16;150(2):84-7. doi: 10.5694/j.1326-5377.1989.tb136369.x.
In spite of evidence of poor communication between Aboriginal patients and doctors, there are few reports of educational efforts to overcome this problem. This paper describes a brief teaching programme for fourth-year medical students that was aimed at improving their knowledge of, and attitudes towards, Aboriginal and migrant patients. It comprised a lecture, a clinical contact with an Aboriginal or migrant patient, and a tutorial. Evaluation of the programme by the "before-and-after" measurement of student attitudes and knowledge showed a modest improvement in some attitudes, although there was an increased tendency to see all Aborigines as the same. Students' knowledge improved in one of the areas that were tested but not in the other. Teaching in this area could be improved further by more clinical contacts, videotaped consultations, and a student log-book.
尽管有证据表明原住民患者与医生之间沟通不畅，但很少有关于为克服这一问题而开展教育工作的报道。本文描述了一个面向四年级医学生的简短教学项目，旨在提高他们对原住民和移民患者的了解以及态度。该项目包括一次讲座、与一名原住民或移民患者的临床接触以及一次辅导课。通过对学生态度和知识的“前后”测量对该项目进行评估，结果显示某些态度有适度改善，尽管将所有原住民视为相同的倾向有所增加。学生的知识在其中一个测试领域有所提高，但在另一个领域没有。通过更多的临床接触、录像会诊和学生日志，可以进一步改进该领域的教学。
