Fessell David, McKean Erin, Wagenschutz Heather, Cole Michael, Santen Sally A, Cermak Robert, Zurales Katie, Kukora Stephanie, Lantz-Gefroh Valeri, Kaplan-Liss Evonne, Alda Alan
University of Michigan Medical School, Ann Arbor, MI USA.
Virginia Commonwealth University School of Medicine, Richmond, VA USA.
Med Sci Educ. 2019 Dec 9;30(1):87-90. doi: 10.1007/s40670-019-00885-0. eCollection 2020 Mar.
Effective communication has been shown to improve patients' health outcomes. This study utilizes medical improvisation techniques to teach communication skills to an entire medical school class.
Required workshops were held for entering third-year students from 2005 to 2017. Workshop evaluations were obtained immediately following each session and at 3 months post-workshop for one cohort.
Four hundred ninety-four medical students participated in the improvisation workshops. Over 90% of students rated the workshops as above average or excellent. Students reported a gain in insights regarding their role as a physician (≥ 90%), an improvement in their ability to demonstrate effective communication (80-87%), and a positive impact on teamwork (91-93%). At 3 months post-workshop, 84% of students reported they had used at least 1 improvisation skill on their clinical wards (50% response rate).
This study demonstrates that medical improvisation exercises can be scaled to an entire class of medical students versus a self-selected group of students. Further, we found that students felt that it improved their communication. This study also provides new insights regarding specific improvisation exercises that are most useful for the clinical environment.
有效的沟通已被证明能改善患者的健康状况。本研究运用医学即兴表演技巧向整个医学院班级传授沟通技巧。
2005年至2017年为入学的三年级学生举办了必修工作坊。在每次课程结束后立即以及一个队列在工作坊结束3个月后获取工作坊评估结果。
494名医学生参加了即兴表演工作坊。超过90%的学生将工作坊评为高于平均水平或优秀。学生们报告称，他们对自己作为医生的角色有了更多见解（≥90%），展示有效沟通的能力有所提高（80 - 87%），并且对团队合作产生了积极影响（91 - 93%）。在工作坊结束3个月后，84%的学生报告称他们在临床病房至少使用了1种即兴表演技巧（回复率为50%）。
本研究表明，医学即兴表演练习可以面向整个医学院班级开展，而非针对自行选择的学生群体。此外，我们发现学生们认为这提高了他们的沟通能力。本研究还就对临床环境最有用的特定即兴表演练习提供了新的见解。
