Janicik Regina, Kalet Adina L, Schwartz Mark D, Zabar Sondra, Lipkin Mack
a Section of Primary Care.
b Division of General Internal Medicine.
Med Educ Online. 2007 Dec;12(1):4458. doi: 10.3402/meo.v12i.4458.
Physicians' communication skills, which are linked to important patient outcomes, are rarely explicitly taught during the clinical years of medical school. This paper describes the development, implementation, and evaluation of a communication skills curriculum during the third-year Internal Medicine Clerkship.
In four two-hour structured bedside rounds with trained Internal Medicine faculty facilitators, students learned core communication skills in the context of common challenging clinical situations. In an end-of-clerkship survey students evaluated the curriculum's educational effectiveness.
Over the course of a year, 160 third-year students and 15 faculty participated. Of the 75/160 (47%) of students who completed the post-clerkship survey, almost all reported improvement in their communication skills and their ability to deal with specific communication challenges.
The curriculum appears to be a successful way to reinforce core communication skills and practice common challenging situations students encounter during the Internal Medicine Clerkship.
医生的沟通技巧与重要的患者治疗结果相关，但在医学院临床学习期间很少明确教授。本文描述了在内科实习三年级期间沟通技巧课程的开发、实施和评估。
在四次由受过培训的内科教员主持的两小时结构化床边查房中，学生们在常见的具有挑战性的临床情境中学习核心沟通技巧。在实习结束时的调查中，学生们评估了该课程的教育效果。
在一年的时间里，160名三年级学生和15名教员参与其中。在完成实习后调查的75/160（47%）名学生中，几乎所有人都报告说他们的沟通技巧以及应对特定沟通挑战的能力有所提高。
该课程似乎是强化核心沟通技巧以及让学生练习在内科实习期间遇到的常见具有挑战性情境的成功方法。
