Eyler A E, Dicken L L, Fitzgerald J T, Oh M S, Wolf F M, Zweifler A J
Department of Family Practice, University of Michigan Medical School, Ann Arbor 48109-0356, USA.
Am J Prev Med. 1997 May-Jun;13(3):153-8.
Our objective was to evaluate the effectiveness of using simulated patient instructors and the Ockene method to instruct third-year medical students in smoking-cessation counseling techniques.
We used a clinical exercise with self-study preparation and simulated patient instructors.
One hundred fifty-nine students participated in a smoking-cessation counseling session in which cognitive and behavioral endpoints were assessed by simulated patient instructors and the students themselves.
Student performance in the cognitive and behavioral components of model smoking-cessation counseling was acceptable. Specific areas of weakness, such as the tendency of students to underemphasize the personal and social benefits of smoking cessation, and to overestimate their competence on a number of skill items, were identified. Student evaluation of the exercise was positive.
Smoking-cessation counseling can be taught effectively to third-year medical students by simulated patient instructors during a clinical clerkship.
我们的目的是评估使用模拟患者教员和奥克内方法指导三年级医学生戒烟咨询技巧的有效性。
我们采用了一种包含自学准备和模拟患者教员的临床练习。
159名学生参加了一次戒烟咨询课程，其中认知和行为终点由模拟患者教员和学生自身进行评估。
学生在模拟戒烟咨询的认知和行为部分的表现尚可。发现了一些具体的薄弱环节，比如学生倾向于淡化戒烟的个人和社会效益，并且高估自己在一些技能项目上的能力。学生对该练习的评价是积极的。
在临床实习期间，模拟患者教员可以有效地向三年级医学生传授戒烟咨询技巧。
