Gask L
National Primary Care Research and Development Centre, University of Manchester.
Int J Psychiatry Med. 1998;28(1):97-113. doi: 10.2190/U8MM-JX7Y-LT0T-RKPX.
Development and evaluation of a method of training primary care providers in psychiatric skills which utilizes videofeedback of real and role-played consultations in a group setting.
The development of the basic training approach and additional material for teaching specific skills is described. Evaluation has addressed the impact of training on 1) clinician behavior and 2) measures of outcome.
Research over a number of years has demonstrated an impact on clinician behavior with some evidence of impact on clinical and economic measures and patient satisfaction.
Videofeedback training appears to be most effective when it is provided with a clear model for the professional-patient interaction. Its effectiveness can be further enhanced by delineating sets of component microskills that can be learned using a combination of videotape modeling, role-play, and feedback. Challenges for future research include investment in randomized controlled trials for outcome, developing the training approach for a range of primary care workers, training sufficient group facilitators, and achieving widespread dissemination without subsequent dilution of effectiveness.
开发并评估一种针对基层医疗服务提供者的精神科技能培训方法，该方法在小组环境中利用真实咨询和角色扮演咨询的视频反馈。
描述了基本培训方法以及用于教授特定技能的补充材料的开发过程。评估涉及培训对以下两方面的影响：1）临床医生行为；2）结果指标。
多年的研究表明，培训对临床医生行为有影响，并有一些证据表明对临床和经济指标以及患者满意度有影响。
当为医患互动提供清晰模式时，视频反馈培训似乎最为有效。通过划定一系列可通过录像示范、角色扮演和反馈相结合来学习的组成性微技能集，可进一步提高其有效性。未来研究面临的挑战包括对结果进行随机对照试验的投入、为一系列基层医疗工作者开发培训方法、培训足够的小组 facilitators 以及在不削弱有效性的情况下实现广泛传播。
