Maguire P, Fairbairn S, Fletcher C
Br Med J (Clin Res Ed). 1986 Jun 14;292(6535):1573-6. doi: 10.1136/bmj.292.6535.1573.
Thirty six young doctors who as medical students had been randomly allocated to either video feedback training or conventional teaching in interviewing skills during a psychiatry clerkship were reassessed five years later. Each doctor interviewed one patient with a psychiatric illness and two with a physical illness. Each interview was rated independently. Both groups had improved since the fourth year clerkship, but those given feedback training had maintained their superiority in the skills associated with accurate diagnosis. This superiority was as evident in their interviews with physically ill patients as it was with psychiatric patients. Both groups, however, still used "closed" questions and were more reluctant to cover psychosocial problems in physically ill patients. Those trained conventionally were clinically inadequate in both these aspects and in clarifying their patients' statements. Given these lasting benefits, all medical students should have feedback training in interviewing skills.
36名年轻医生在精神病学实习期间作为医学生被随机分配到视频反馈培训组或传统面试技巧教学组，五年后对他们进行了重新评估。每位医生对一名患有精神疾病的患者和两名患有躯体疾病的患者进行了访谈。每次访谈都进行了独立评分。自四年级实习以来，两组都有进步，但接受反馈培训的医生在与准确诊断相关的技能方面仍保持优势。这种优势在他们对躯体疾病患者的访谈中与对精神疾病患者的访谈中一样明显。然而，两组仍然使用“封闭式”问题，并且更不愿意涉及躯体疾病患者的心理社会问题。接受传统培训的医生在这两个方面以及澄清患者陈述方面在临床上都存在不足。鉴于这些持久的益处，所有医学生都应该接受面试技巧的反馈培训。
