Bragard I, Guillaume M, Ghuysen A, Servotte J C, Ortiz I, Pétré B
Département des Sciences de la Santé Publique, Service Nutrition-Environnement-Santé, Université de Liège, Belgique.
Rev Med Liege. 2018 Feb;73(2):88-93.
The transformations of the health system and the preferences of the patients themselves have led healthcare professionals to rethink the place and role of the patient in the healthcare system, putting the caregivercare relationship and communication at the heart of public health issues. The literature shows that empathic communication is associated with better adherence to treatment, better patient satisfaction and less litigation. However, the initial training programs of health professionals are little oriented towards this field. Moreover, they are mainly based on a direct transition from theory to clinical practice with all the risks that this entails for patients. Some recent studies suggest an interest in virtual reality simulation for the development of these communication skills. This article offers an overview of the potential of virtual clinical simulation as a complementary or even alternative method to traditional teaching methods. Different studies will illustrate these innovations in the training of physicians in clinical reasoning, empathic communication, and in a highly emotional situation such as breaking bad news.
卫生系统的变革以及患者自身的偏好促使医疗保健专业人员重新思考患者在医疗保健系统中的地位和作用，将医患关系和沟通置于公共卫生问题的核心。文献表明，共情沟通与更好的治疗依从性、更高的患者满意度以及更少的诉讼相关。然而，卫生专业人员的初始培训项目很少针对这一领域。此外，这些项目主要基于从理论到临床实践的直接过渡，而这对患者来说存在各种风险。最近的一些研究表明，虚拟现实模拟对培养这些沟通技能具有重要意义。本文概述了虚拟临床模拟作为传统教学方法的补充甚至替代方法的潜力。不同的研究将说明在临床推理、共情沟通以及诸如告知坏消息等高度情绪化情境中培训医生方面的这些创新。
