Department of Emergency Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.
Department of Neuroanaesthesia and Critical Care, J.P.N. Apex Trauma Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.
Natl Med J India. 2021 Mar-Apr;34(2):92-94. doi: 10.4103/0970-258X.326757.
. Effective patient-doctor communication is a key component of patient-centred care, which is one of the six pillars of quality healthcare delivery. Structured and effective communication skills training for healthcare providers is the need of hour in medical education. We assessed the efficacy of role play and simulation in developing communication skills.
. As a key component of an acute critical care course (ACCC), communication skills are taught using role play models and simulation. Live feedback is critical in learning during this course as per the principles of adult learning (andragogy). Quantitative and qualitative data were collected to assess the efficacy of ACCC.
. The 19th ACCC was introduced to interns at the All India Institute of Medical Sciences, New Delhi in December 2018. The teaching methodology and objective-oriented structured training in ACCC were much appreciated for training in human factors with emphasis on communication. A positive response was obtained from the candidates 3 weeks after they completed the course to assess whether interns are able to make use of this training in their day-to-day clinical practice amounting to a reliable evidence level of Kirkpatrick's 'return of investment'.
. The use of 'role play' to teach communication skills is effective and superior to lecture-based teaching. Further structured and interactive programmes in communication skills training will improve patient care, relatives' satisfaction and the image of medical profession.
有效的医患沟通是以患者为中心的医疗护理的关键组成部分之一，而以患者为中心的医疗护理是提供高质量医疗服务的六大支柱之一。对医疗保健提供者进行结构化和有效的沟通技巧培训是医学教育的当务之急。我们评估了角色扮演和模拟在培养沟通技巧方面的效果。
作为急性危重病课程（ACCC）的一个关键组成部分，使用角色扮演模型和模拟来教授沟通技巧。根据成人学习（成人教育学）的原则，在该课程期间，现场反馈对于学习至关重要。收集了定量和定性数据来评估 ACCC 的效果。
2018 年 12 月，在新德里全印度医学科学研究所向实习医生介绍了第 19 届 ACCC。ACCC 的教学方法和以目标为导向的结构化培训在人类因素方面的培训得到了高度评价，重点是沟通。课程结束后 3 周，候选人对该课程做出了积极的回应，以评估实习医生是否能够在日常临床实践中利用这种培训，这相当于柯克帕特里克“投资回报”的可靠证据水平。
使用“角色扮演”来教授沟通技巧是有效的，并且优于基于讲座的教学。进一步开展结构化和互动式的沟通技巧培训计划将改善患者护理、家属满意度和医疗行业形象。
