Pavlát J
Psychiatrická klinika 1. LF UK, Praha.
Cas Lek Cesk. 1994 Nov 21;133(22):699-701.
Consistent with new trends in medical training the First Medical Faculty, Charles University Prague included in its curriculum of general medicine a mandatory programme devoted to communication skills. The main objective is to teach students to establish valuable contact with the patient and elucidate the problem presented by the patient. Another objective is to show the therapeutic potential of a well conducted interview. All hitherto trained students who attended the classes on communication skills acquired within the repertoire of skills used in discussions with patients the skill of a non-directive interview focused on elucidation of the problem on which the patient saw his doctor. It proved possible to demonstrate that integration of theoretical knowledge into practical procedures used in diagnosis, treatment and supportive psychotherapy of somatic and psychosomatic diseases and reactive conditions is a relatively demanding and long-term process which can be mastered during training which uses acting (simulated doctor, simulated patient) and feedback by videorecording.
与医学培训的新趋势相一致,布拉格查理大学第一医学院在其普通医学课程中纳入了一个专门针对沟通技巧的必修项目。主要目标是教导学生与患者建立有价值的联系,并阐明患者提出的问题。另一个目标是展示一次开展良好的问诊所具有的治疗潜力。所有此前接受培训的学生,在参加了沟通技巧课程后,都在与患者讨论时所使用的技能范围内掌握了一种非指导性问诊技巧,这种技巧侧重于阐明患者找医生看病的问题。事实证明,将理论知识融入到用于躯体疾病、身心疾病及反应性病症的诊断、治疗和支持性心理治疗的实际操作中是一个相对要求较高且长期的过程,这个过程可以在使用表演(模拟医生、模拟患者)和录像反馈的培训中掌握。