Universität Heidelberg - Medizinische Fakultät Mannheim, Mannheim, Germany.
GMS J Med Educ. 2021 Jan 28;38(1):Doc21. doi: 10.3205/zma001417. eCollection 2021.
Medical conversation plays a central role in disease management and therapy. In teaching, standardized patients (SPs) are increasingly being used to present conversation situations with students and provide feedback afterwards. In order to maintain this teaching concept under pandemic conditions, a digital model was developed that should offer both high security and high authenticity. A total of 176 teaching units of 45 minutes each were conducted digitally from May to August 2020. During the teaching units, medical students conducted interviews with SPs portraying various patients. The online conference software "HeiConf" was used for this purpose. During the teaching units, a total of 354 students were able to practice conversation techniques such as NURSE and SPIKES. After the teaching units, feedback was provided by students and SPs. The digital lessons about medical conversation with SPs received positive feedback from SPs and students. The authenticity of the role portrayal of SPs seemed to be unaffected by the new format. Students were successful in training and observing conversation techniques. However, aspects of non-verbal communication, atmosphere and group dynamics as well as further discussions could not be carried out to the same extent as in the usual classroom teaching. The conversion of SP-based teaching to a digital format was successful in a short period of time and was able to prevent a cancellation of teaching units about medical conversation. Concrete conversation techniques could be tried out digitally by students. Due to the deficits of digital teaching in terms of non-verbal communication and atmosphere, a blended-learning format is planned for the future. In the first instance, concrete conversation techniques will be learned online in order to focus more on profound aspects of communication and discussions in a later physical teaching unit with SPs, thus enabling a learning experience that is as authentic as possible.
医学会话在疾病管理和治疗中起着核心作用。在教学中，标准化患者（SP）越来越多地被用于向学生呈现会话情况，并在之后提供反馈。为了在大流行期间维持这种教学理念，开发了一种数字模型，该模型应既具有高度的安全性又具有高度的真实性。 2020 年 5 月至 8 月期间，共进行了 176 个 45 分钟的教学单元。在教学单元中，医学生与扮演各种患者的 SP 进行访谈。为此目的使用了在线会议软件“ HeiConf”。在教学单元中，共有 354 名学生能够练习 NURSE 和 SPIKES 等会话技巧。教学单元结束后，学生和 SP 提供了反馈。 关于与 SP 进行医学对话的数字课程受到了 SP 和学生的积极反馈。SP 角色扮演的真实性似乎不受新格式的影响。学生在培训和观察会话技巧方面取得了成功。但是，无法像在常规课堂教学中那样进行非言语交流、氛围和小组动态以及进一步的讨论。 将基于 SP 的教学转换为数字格式在短时间内取得了成功，并且能够防止取消医学对话教学单元。学生可以在数字环境中尝试具体的会话技巧。由于数字教学在非言语交流和氛围方面存在缺陷，因此计划采用混合学习格式。最初，将在线学习具体的会话技巧，以便在以后与 SP 进行的实际教学单元中更专注于交流和讨论的深刻方面，从而使学习体验尽可能真实。
