University of Augsburg, Faculty of Medicine, Department of Medical Psychology and Sociology, Institute of Theoretical Medicine, Augsburg, Germany.
University of Augsburg, Faculty of Medicine, Medical Education Sciences (DEMEDA), Augsburg, Germany.
GMS J Med Educ. 2024 Jun 17;41(3):Doc26. doi: 10.3205/zma001681. eCollection 2024.
Teaching communication skills plays a pivotal role in medical curricula. The aim of this article is to describe and evaluate a new communication curriculum developed at the Faculty of Medicine, University of Augsburg (KomCuA), which was conceptualized by an interdisciplinary team based on recommended quality standards (i.e., helical, integrated, longitudinal).
A total of 150 medical students enrolled in the 1, 3, and ≥5 semester participated in the study. They completed an online survey (numerical rating scales and validated questionnaires) evaluating their current communication skills, how these developed across the curriculum in terms of quality and self-confidence, and how helpful they considered practicing in small group tutorials with simulated patients. The students' attitudes towards communication and empathy in the context of medical care were additionally assessed. The students' responses were compared across semesters using one-way univariate analysis of variance (ANOVA).
Overall, students reported improved communications skills due to attending the KomCuA and further considered practicing with simulated patients as being very helpful (large effect sizes). Compared to 1 semester students, 3 and ≥5 semester students reported better communication skills (medium to large effect sizes). Additionally, ≥5 semester students showed stronger agreement towards the relevance of empathy in the context of medical care (medium effect size) compared to both 1 and 3 semester students.
The KomCuA has shown to be an effective communication curriculum to support medical students in the development of their communication skills and positive attitudes towards empathy. Additional studies assessing students' communication skills and empathic attitudes longitudinally are warranted to confirm the present results and to gain further knowledge on how these essential skills and attitudes develop across medical curricula.
医学课程中教授沟通技巧起着关键作用。本文旨在描述和评估奥格斯堡大学医学院(KomCuA)开发的一门新的沟通课程,该课程由一个跨学科团队基于推荐的质量标准(即螺旋式、综合式、纵向式)构思。
共有 150 名 1 、 3 、 ≥ 5 学期的医学生参与了这项研究。他们完成了一项在线调查(数字评分量表和经过验证的问卷),评估他们当前的沟通技巧、这些技巧在课程中的发展情况(质量和自信),以及他们认为在模拟患者小组辅导中练习的帮助程度。学生们对医疗背景下的沟通和同理心的态度也进行了评估。使用单因素方差分析(ANOVA)对学生在不同学期的反应进行比较。
总体而言,学生们报告说由于参加了 KomCuA,他们的沟通技巧有所提高,并认为与模拟患者一起练习非常有帮助(效果量较大)。与 1 学期的学生相比,3 学期和≥ 5 学期的学生报告说他们的沟通技巧更好(中到大的效果量)。此外,与 1 学期和 3 学期的学生相比,≥ 5 学期的学生对同理心在医疗背景下的相关性表现出更强的认同(中等效果量)。
KomCuA 已被证明是一门有效的沟通课程,可以支持医学生发展他们的沟通技巧和对同理心的积极态度。需要进一步研究评估学生的沟通技巧和同理心态度的纵向发展,以确认目前的结果,并进一步了解这些基本技能和态度如何在整个医学课程中发展。