Baile W F, Lenzi R, Kudelka A P, Maguire P, Novack D, Goldstein M, Myers E G, Bast R C
University of Texas, M. D. Anderson Cancer Center, Department of Neuro-Oncology, Houston 77030, USA.
J Cancer Educ. 1997 Fall;12(3):166-73. doi: 10.1080/08858199709528481.
Physicians caring for cancer patients receive little formal training in difficult communications such as breaking bad news, discussing life support, and addressing patients' emotional concerns.
The authors conducted a three-day workshop in communication skills for nine oncology attendings and three fellows. Topics for the workshop were selected by participants by a pre-workshop questionnaire. Small groups of four to five participants interviewed simulated patients who role-played scripts based on the selected topics. Sessions on self-awareness and one on planning for continuing the work of the group after the workshop were included.
Responses to pretest and posttest questionnaires showed that the workshop increased the participants' confidence in a number of communication areas and also in managing physician burnout. Process issues such as patient death and expectations for cure were also discussed.
Interactive workshops offer a promising way of teaching communication skills and aspects of the physician-patient relationship to oncologists. Conclusions regarding outcome, however, are preliminary and tentative, and long-term results are uncertain.
照料癌症患者的医生在诸如告知坏消息、讨论生命维持治疗以及处理患者情感问题等困难沟通方面接受的正规培训很少。
作者为九名肿瘤学主治医生和三名研究员举办了为期三天的沟通技巧研讨会。研讨会的主题由参与者通过会前调查问卷选出。四到五名参与者组成的小组对根据所选主题进行角色扮演的模拟患者进行访谈。研讨会包括自我意识环节以及一个关于研讨会结束后如何继续开展小组工作的规划环节。
对会前和会后调查问卷的回复表明，该研讨会增强了参与者在多个沟通领域的信心，以及应对医生职业倦怠的信心。还讨论了诸如患者死亡和治愈期望等过程问题。
互动式研讨会为向肿瘤学家传授沟通技巧以及医患关系的相关方面提供了一种很有前景的方式。然而，关于结果的结论是初步且不确定的，长期结果也不明朗。
