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本科生精神病学中的沟通技巧:一项范围综述。

Communication skills in psychiatry for undergraduate students: A scoping review.

作者信息

Novais Filipa, Ganança Licínia, Barbosa Miguel, Telles-Correia Diogo

机构信息

Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal.

Centro Hospitalar Universitário Lisboa Norte, Santa Maria Hospital, Lisbon, Portugal.

出版信息

Front Psychiatry. 2022 Aug 11;13:972703. doi: 10.3389/fpsyt.2022.972703. eCollection 2022.

Abstract

Communication skills are paramount in all areas of medicine but particularly in psychiatry due to the challenges posed by mental health patients and the essential role of communication from diagnosis to treatment. Despite the prevalence of psychiatric disorders in different medical specialties, particularly in primary care settings, communication skills in psychiatry and their training are not well studied and are often not included in the undergraduate medical curriculum. Our paper explores the relevance of teaching communication competencies in psychiatry for undergraduate medical students. Our work focused on reviewing the methods for teaching communication skills to undergraduate students in Psychiatry. Eleven studies were selected to be included in this review. We found considerable heterogeneity among methods for teaching communication skills but also some common elements such as the use of simulated patients and providing feedback. This review has identified two models: the Calgary-Cambridge interview model and the Kolb cycle-based model. However, most studies still lack a theoretical background model. We believe that the inclusion of communication skills training in medical curricula is fundamental to teaching medical students general communication skills but also specific training on establishing adequate communication with psychiatric patients. However, more research is needed to determine the best method for training but also regarding its translation to patient care and cost-effectiveness.

摘要

沟通技巧在医学的各个领域都至关重要,而在精神病学领域尤为如此,因为心理健康患者带来了诸多挑战,且沟通在从诊断到治疗的过程中起着关键作用。尽管精神疾病在不同医学专科中普遍存在,尤其是在基层医疗环境中,但精神病学中的沟通技巧及其培训并未得到充分研究,并且在本科医学课程中常常未被纳入。我们的论文探讨了在本科医学生中教授精神病学沟通能力的相关性。我们的工作重点是回顾向本科精神病学学生教授沟通技巧的方法。本综述选取了11项研究。我们发现,在沟通技巧教学方法中存在相当大的异质性,但也有一些共同要素,比如使用模拟患者和提供反馈。本综述确定了两种模式:卡尔加里 - 剑桥访谈模式和基于科尔布循环的模式。然而,大多数研究仍然缺乏理论背景模型。我们认为,将沟通技巧培训纳入医学课程对于教授医学生一般沟通技巧以及与精神病患者建立充分沟通的特定培训至关重要。然而,还需要更多研究来确定最佳培训方法,以及其在患者护理中的转化情况和成本效益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49a6/9402997/e78573583361/fpsyt-13-972703-g0001.jpg

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