Wright Kevin B, Bylund Carma, Ware Jennifer, Parker Patricia, Query Jim L, Baile Walter
a Department of Communication , University of Oklahoma.
b Department of Psychiatry & Behavioral Sciences , Memorial Sloan Kettering Cancer Center.
Med Educ Online. 2006 Dec;11(1):4594. doi: 10.3402/meo.v11i.4594.
Drawing upon Bloom's taxonomy of educational objectives as a theoretical framework, this study examines attitudes toward communication skills training, knowledge of appropriate provider-patient communication, and confidence communicating with patients between first-year and fourth-year medical students at a large medical school in the southern United States. The study findings indicate that fourth-year medical students do not differ from first-year medical students in terms of attitudes towards communication skills training or knowledge of appropriate provider-patient communication, but they have significantly higher confidence scores about communicating with patients. In addition, positive attitudes towards communication skills training are significantly related to perceived importance of communication skills and confidence when communicating with patients. Finally, female medical students have more positive attitudes towards communication skills training than male medical students. The implications of the study findings and directions for future research are also discussed.
本研究以布鲁姆教育目标分类法为理论框架，调查了美国南部一所大型医学院的一年级和四年级医学生对沟通技能培训的态度、医患沟通的相关知识，以及与患者沟通的信心。研究结果表明，四年级医学生在对沟通技能培训的态度或医患沟通的相关知识方面与一年级医学生没有差异，但他们在与患者沟通方面的信心得分显著更高。此外，对沟通技能培训的积极态度与沟通技能的感知重要性以及与患者沟通时的信心显著相关。最后，女医学生对沟通技能培训的态度比男医学生更积极。本文还讨论了研究结果的意义以及未来研究的方向。
