Gilligan Conor, Bujnowska-Fedak Maria Magdalena, Essers Geurt, Frerichs Wiebke, Brinke Desirée Joosten-Ten, Junod Perron Noelle, Kiessling Claudia, Pype Peter, Tsimtsiou Zoi, Van Nuland Marc, Wilkinson Tim J, Rosenbaum Marcy
Bond University, Robina, QLD, Australia.
EACH: International Association for Communication in Healthcare, Salisbury, UK.
Med Teach. 2024 Dec;46(12):1593-1606. doi: 10.1080/0142159X.2024.2413021. Epub 2024 Oct 17.
Despite the increasing inclusion of communication skills in accreditation standards and an increase in time dedicated to teaching these skills, communication is often regarded as a separate skill and is therefore, not consistently represented in overall systems of assessment in Health Professions Education (HPE). The ascendence of competency-based medical education, programmatic assessment, artificial intelligence, and widespread use of telehealth, alongside changing patient expectations warrant an update in thinking about the assessment of communication skills in health professions education. This consensus statement draws on existing literature, expert pinion, and emerging challenges to situate the assessment of communication skills in the contemporary health professions education context. The statement builds on previous work to offer an update on the topic and include new developments related to assessment, particularly: the challenges and opportunities associated with systems of assessment; patient and peer perspectives in assessment; assessment of interprofessional communication, cross-cultural communication, digital communication; and assessment using digital technologies. Consensus was reached through extensive discussion among the authors and other experts in HPE, exploration of the literature, and discussion during an Ottawa 2024 conference workshop. The statement puts forward a summary of available evidence with suggestions for what educators and curriculum developers should consider in their planning and design of the assessment of communication.
尽管认证标准中越来越多地纳入了沟通技能,且用于教授这些技能的时间也有所增加,但沟通往往被视为一项单独的技能,因此在卫生职业教育(HPE)的整体评估体系中并未得到始终如一的体现。基于能力的医学教育、系统性评估、人工智能的兴起以及远程医疗的广泛应用,再加上患者期望的不断变化,都促使我们更新对卫生职业教育中沟通技能评估的思考。本共识声明借鉴了现有文献、专家意见和新出现的挑战,以将沟通技能评估置于当代卫生职业教育背景下进行考量。该声明以先前的工作为基础,对这一主题进行更新,并纳入与评估相关的新进展,特别是:与评估体系相关的挑战和机遇;评估中的患者和同行视角;跨专业沟通、跨文化沟通、数字沟通的评估;以及使用数字技术进行的评估。通过作者与HPE领域的其他专家进行广泛讨论、对文献的探究以及在2024年渥太华会议研讨会上的讨论,达成了共识。该声明提出了现有证据的总结,并就教育工作者和课程开发者在规划和设计沟通评估时应考虑的事项给出了建议。