Schleicher I, van der Mei S H, Mika J, Kreuder J G
Klinik für Orthopädie, Unfallchirurgie und Sportmedizin, Agaplesion Evangelisches Krankenhaus Mittelhessen in Gießen, Gießen, Deutschland.
Klinik für Psychosomatik und Psychotherapie, Universitätsklinikum Gießen und Marburg GmbH, Standort Gießen, Gießen, Deutschland.
Unfallchirurg. 2018 Mar;121(3):216-222. doi: 10.1007/s00113-016-0298-6.
Teaching competencies in communication are important for medical education, but implementation in the surgical curriculum is still deficient. Communication during informed consent is one main issue. The aim of the study was to implement a reproducible teaching module for informed consent, which closely represents reality.
In the existing practical surgical course we implemented a module for practising communication during surgical informed consent with the help of standardized patients and feedback rounds. The outcome was assessed during a clinical examination and the students evaluated the module.
The module was evaluated by the students positively and deemed helpful for their later work as a doctor. The outcome at clinical examination was 63% (mean) for content and structure of the informed consent and 92% for competency in communication.
For improving the quality of informed consent, teaching competencies in communication during informed consent should be implemented in the curriculum of medical studies, but legal and content-based aspects should not be ignored.
沟通教学能力对医学教育很重要，但在外科课程中的实施仍有欠缺。知情同意过程中的沟通是一个主要问题。本研究的目的是实施一个可重现的知情同意教学模块，该模块能紧密反映实际情况。
在现有的外科实践课程中，我们借助标准化病人和反馈环节实施了一个关于在外科知情同意过程中练习沟通的模块。在临床考试期间对结果进行评估，并让学生对该模块进行评价。
学生对该模块给予了积极评价，并认为对他们日后作为医生的工作有帮助。临床考试中，知情同意的内容和结构方面的结果平均为63%，沟通能力方面的结果为92%。
为提高知情同意的质量，应在医学课程中实施知情同意过程中的沟通教学能力，但法律和基于内容的方面也不应被忽视。
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