a Department of Medical Education, Sackler Faculty of Medicine , Tel Aviv University.
b Department of Human Services , The Max Stern Yezreel Valley College.
Health Commun. 2018 Dec;33(12):1560-1572. doi: 10.1080/10410236.2017.1384347. Epub 2017 Oct 23.
Teaching and applying interpersonal communication skills (ICS) and humor in medicine is challenging. The present study assessed an innovative course focused on enhancing ICS and humor based on the Four Habits Model and theater concepts. Medical students enrolled in the course (the study group) were assessed pre- and post-intervention, as well as compared with their peers (the control group) using quantitative methods to measure attitudes, self-efficacy, and behaviors. Qualitative methods were used to learn about students' change in perceptions related to ICS and humor following the course, as well as their experiences of developing these skills during the course. Post-intervention study group participants scored significantly higher on all ICS measurements and on humor behavior compared with pre-intervention, and significantly higher on all humor measurements compared with control group participants. Interviews indicated students' increased understanding and difficulties in learning these skills. Analyses showed how framing humor as one possible ICS and focusing on specific parts of the medical encounter can promote patient-centered care.
在医学中教授和应用人际沟通技巧(ICS)和幽默具有挑战性。本研究评估了一门基于四习惯模型和戏剧概念的创新课程,旨在增强 ICS 和幽默。该课程的医学生(研究组)在干预前后进行了评估,并与他们的同龄人(对照组)进行了比较,使用定量方法来衡量态度、自我效能和行为。定性方法用于了解学生在课程结束后与 ICS 和幽默相关的认知变化,以及他们在课程中发展这些技能的经验。与干预前相比,干预后研究组的所有 ICS 测量和幽默行为得分显著更高,与对照组相比,所有幽默测量得分也显著更高。访谈表明,学生对这些技能的理解有所提高,但学习起来仍有困难。分析表明,将幽默框定为一种可能的 ICS,并关注医疗接触的特定部分,可以促进以患者为中心的护理。