Irwin W G, Bamber J H
Med Educ. 1984 Mar;18(2):90-5. doi: 10.1111/j.1365-2923.1984.tb00979.x.
An evaluation of fourth-year medical student behaviours in communication with real patients in general practice is reported using two different formats of rating scale. The study was performed in the clinical base of the Department of General Practice, the Queen's University, Dunluce Health Centre, Belfast. In all, 475 interviews were rated, 238 being first interviews and 237 second interviews. 238 being first interviews and 237 second interviews. The format of the rating scale was not found to be a significant variable. Factor analysis of the rating scale item scores produced five factors, which fell into two clear groupings. Factors 2 and 4 represent communication skills, which could have been acquired through normal social learning. Factors 1, 3 and 5 constitute more technical and professional skills not unusually employed in normal social intercourse. Analysis of data from and subsequent interviews indicates the students in the study has acquired professional skills, which require special teaching. These are identified in factors 1, 3 and 5 and require a proper emphasis in training.
本文报告了一项使用两种不同评分量表形式，对四年级医学生在全科医疗中与真实患者沟通行为的评估。该研究在贝尔法斯特邓卢斯健康中心女王大学全科医疗系的临床基地进行。总共对475次访谈进行了评分，其中238次为首次访谈，237次为第二次访谈。评分量表的形式未被发现是一个显著变量。对评分量表项目得分进行因子分析产生了五个因子，这些因子可分为两个明确的组。因子2和4代表沟通技巧，这些技巧可以通过正常的社会学习获得。因子1、3和5构成了在正常社交中不常使用的更多技术和专业技能。对首次访谈和后续访谈数据的分析表明，该研究中的学生已经获得了需要特殊教学的专业技能。这些技能在因子1、3和5中得到体现，需要在培训中给予适当强调。
