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巴西医学院中的沟通技巧教学:有哪些经验教训可供借鉴?

Communication skills teaching in Brazilian medical schools: What lessons can be learned?

机构信息

Medical Sciences Post-graduation Program, Federal University of Santa Catarina, Florianopolis, Brazil.

Department of Medicine, Drexel University College of Medicine, Philadelphia, USA.

出版信息

Patient Educ Couns. 2018 Aug;101(8):1496-1499. doi: 10.1016/j.pec.2017.12.021. Epub 2017 Dec 28.

DOI:10.1016/j.pec.2017.12.021
PMID:29306586
Abstract

OBJECTIVE

To assess current practices in communication skills (CS) teaching in Brazilian medical schools (MS), looking for similarities and differences with other countries.

METHODS

This study was performed with 162 out of the 237 accredited Brazilian MS (68.35%). The quantitative data were analyzed using descriptive statistics and qualitative data using content analysis.

RESULTS

104 MS (64.2%) reported formal CS training. CS were more commonly taught in the pre-clinical years, by physicians and psychologists. Compared to other countries, Brazil was unique in offering training for "acolhimento" ("embracement"), which is a Brazilian Government strategy that requires that all those connected with healthcare delivery, from administrators to practitioners, and all allied health personnel "embrace" a dedication to caring for patients and the communities in which they live.

CONCLUSIONS

Formal CS teaching in Brazilian MS is less frequently seen in MS curriculum compared to reported data from other countries. The CS teaching of "embracement" is unique to Brazil.

PRACTICE IMPLICATIONS

This study adds to the literature by identifying the CS teaching of "embracement" in Brazilian MS, which could be considered outside Brazil.

摘要

目的

评估巴西医学院(MS)目前的沟通技巧(CS)教学实践,寻找与其他国家的相似点和不同点。

方法

本研究对 237 所获得认可的巴西 MS 中的 162 所(68.35%)进行了研究。定量数据采用描述性统计进行分析,定性数据采用内容分析进行分析。

结果

104 所 MS(64.2%)报告了正式的 CS 培训。CS 更常见于临床前几年,由医生和心理学家教授。与其他国家相比,巴西提供“接待”(“embracement”)培训是独一无二的,这是巴西政府的一项战略,要求从管理人员到从业者的所有与医疗保健服务相关的人员,以及所有的辅助医疗人员,都致力于关爱患者及其所在社区。

结论

与其他国家报道的数据相比,巴西 MS 课程中正式的 CS 教学更为少见。“接待”的 CS 教学是巴西所特有的。

实践意义

本研究通过在巴西 MS 中识别出 CS 教学中的“接待”,为文献增添了新的内容,这在巴西之外也可能被视为独特的。

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