Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW, Australia.
Front Public Health. 2023 Jun 26;11:1168332. doi: 10.3389/fpubh.2023.1168332. eCollection 2023.
Despite various efforts to develop communication skills (CS) in the classroom, the transfer of these skills into clinical practice is not guaranteed. This study aimed to identify barriers and facilitators of transferring CS from the classroom to clinical environments.
A qualitative study was conducted at one Australian medical school to explore the experiences and perceptions of facilitators and students in relation to teaching and learning clinical CS. Thematic analysis was used to analyze data.
Twelve facilitators and sixteen medical students participated in semi-structured interviews and focus-group discussions, respectively. Primary themes included the value of teaching and learning, alignment between approaches to teaching and actual clinical practices and students' perceptions of practice, and challenges in different learning environments.
This study reinforces the value of teaching and learning CS by facilitators and students. Classroom learning provides students with a structure to use in communicating with real patients, which can be modified to suit various situations. Students have limited opportunities, however, to be observed and receive feedback on their real-patient encounters. Classroom session that discussed CS experiences during clinical rotation is recommended to strengthen learning both the content and process of CS as well as transitioning to the clinical environment.
尽管在课堂上已经做出了各种努力来培养沟通技巧（CS），但这些技巧在临床实践中的应用并不能得到保证。本研究旨在确定将 CS 从课堂转移到临床环境中的障碍和促进因素。
在澳大利亚的一所医学院进行了一项定性研究，以探讨教师和学生在教授和学习临床 CS 方面的经验和看法。使用主题分析来分析数据。
12 名教师和 16 名医学生分别参加了半结构化访谈和焦点小组讨论。主要主题包括教学和学习的价值、教学方法与实际临床实践的一致性以及学生对实践的看法，以及不同学习环境中的挑战。
本研究强化了教师和学生对 CS 教学和学习的重视。课堂学习为学生提供了与真实患者交流的结构，可以根据各种情况进行修改。然而，学生很少有机会观察和获得对他们与真实患者接触的反馈。建议在临床轮转期间进行讨论 CS 经验的课堂会议，以加强对 CS 的内容和过程的学习以及向临床环境的过渡。
