Gask L, Goldberg D, Lesser A L, Millar T
Department of Psychiatry, University of Manchester, UK.
Med Educ. 1988 Mar;22(2):132-8. doi: 10.1111/j.1365-2923.1988.tb00423.x.
Fourteen general practice trainees took part in a course specifically designed to improve their psychiatric interviewing skills. The trainees were instructed in the problem-based model and were taught in a group setting with the use of videotape feedback. A significant improvement was demonstrated in the trainees' ability to identify psychiatric illness accurately, and there were significant changes in their interview behaviours after training. Those who were below average before training showed the greatest improvement. The implications of these findings are discussed. Group video feedback training is as effective as one-to-one video feedback training in improving the psychiatric interviewing skills of GP trainees, and could be more widely employed in general practice vocational training.
14名全科医学实习医生参加了一门专门设计用于提高他们精神科问诊技巧的课程。这些实习医生接受了基于问题的模式指导,并在小组环境中通过录像反馈进行教学。实习医生准确识别精神疾病的能力有了显著提高,并且培训后他们的问诊行为有了显著变化。培训前低于平均水平的人进步最大。讨论了这些发现的意义。小组视频反馈培训在提高全科医学实习医生的精神科问诊技巧方面与一对一视频反馈培训同样有效,并且可以在全科医学职业培训中更广泛地应用。