Lo Wen-Lin, Hsieh Ming-Chen
Department of Internal Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
Department of Medical Education, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
Tzu Chi Med J. 2019 Sep 19;32(1):19-25. doi: 10.4103/tcmj.tcmj_59_19. eCollection 2020 Jan-Mar.
Communication skills is an essential competence for physicians. Good communication skills correlate with higher patient satisfaction and overall patient outcome. Therefore, such training should start as early as in the undergraduate curriculum with experiential methods and more advanced skills to be integrated at different levels. Design of the training program should prepare for the transfer of communication skills into the clinical setting. Supervision from clinician educators could enhance the transfer of communication skills. Faculty development programs could help clinician educators to develop teaching skills needed in teaching communication. Continuous feedback from teachers and reflective practice of the learners are essential for effective learning of communication skills. The design of the teaching should be based on theory such as adult learning theory or experiential learning. Gagne's model provides a template for the systemic design of instructional events, and this article will illustrate an example of teaching communication skills based on the model.
沟通技巧是医生必备的一项能力。良好的沟通技巧与更高的患者满意度及总体患者治疗效果相关。因此,此类培训应早在本科课程阶段就开始,采用体验式方法,并在不同层次融入更高级的技巧。培训项目的设计应有助于将沟通技巧应用于临床环境。临床教师的监督可促进沟通技巧的应用。教师发展项目可帮助临床教师培养教授沟通技巧所需的教学能力。教师的持续反馈以及学习者的反思性实践对于有效学习沟通技巧至关重要。教学设计应基于诸如成人学习理论或体验式学习等理论。加涅模型为教学活动的系统设计提供了一个模板,本文将举例说明基于该模型教授沟通技巧的情况。