病史采集能力——实习医生的观点。
Competency in medical history taking-the training physicians' view.
作者信息
Seitz Tamara, Raschauer Barbara, Längle Angelika S, Löffler-Stastka Henriette
机构信息
Social-Medical Center South, Vienna, Austria.
Dept. of Psychoanalysis and Psychotherapy, Medical University Vienna, Währingerstraße 18-20, 1090, Vienna, Austria.
出版信息
Wien Klin Wochenschr. 2019 Jan;131(1-2):17-22. doi: 10.1007/s00508-018-1431-z. Epub 2018 Dec 19.
BACKGROUND
Because effective communication skills are crucial for every physician, this study evaluated students' competence to take a sufficient medical history. This ability was measured via reports from the students' supervising and training physicians.
METHODS
A total of 24 physicians from several different departments were interviewed' and a stratification of medical specialties was performed due to the current supply-relevant number of medical doctors in the country. A qualitative content analysis was then performed.
RESULTS
The analysis revealed the students' lack of expertise and ability to take a structured and complete medical history. Additionally, the lack of students' engagement was criticized by the training physicians. An insufficiency of student supervision was also shown as only half of the departments have a fixed supervisor for the students during the internship.
CONCLUSION
The data showed the need for a refinement of the training of communicative skills at university and the practical training at hospitals.
背景
由于有效的沟通技巧对每位医生都至关重要，本研究评估了学生获取充分病史的能力。该能力通过学生的指导医生和培训医生的报告来衡量。
方法
对来自几个不同科室的24名医生进行了访谈，并根据该国目前与供应相关的医生数量对医学专业进行了分层。然后进行了定性内容分析。
结果
分析显示学生缺乏获取结构化完整病史的专业知识和能力。此外，培训医生批评学生缺乏参与度。还表明学生监督不足，因为只有一半的科室在实习期间为学生配备了固定的导师。
结论
数据表明需要改进大学的沟通技巧培训以及医院的实践培训。
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