医学部の学生の成績に対するコミュニケーショントレーニングの効果
Michael J Yedidia1, Colleen C Gillespie, Elizabeth Kachur
1Center for Health and Public Service Research, Robert F. Wagner Graduate School of Public Service, and School of Medicine, New York University, and Medical Education Development, New York City, NY 10003, USA. michael.yedidia@nyu.edu
JAMA
|September 4, 2003
まとめ
医学生のコミュニケーショントレーニングは,患者の評価や関係構築などの必須スキルを大幅に改善しました. この強化されたコミュニケーション能力は,より良い患者の結果と満足度にとって不可欠です.
科学分野:
- 医療教育 医療教育について
- 医療 専門職 教育 教育
- コミュニケーションスキルのトレーニング
背景:
- 医師のコミュニケーションスキルは,患者の成果と満足度に影響を与えます.
- コミュニケーションスキルの訓練は,医学のカリキュラムに一貫して統合されず,厳格に評価されていません.
- そのようなトレーニングの有効性を評価する大規模な制御試験が必要である.
研究 の 目的:
- 医学生のためのコミュニケーショントレーニングが,患者のケアに不可欠な特定の能力を強化するかどうかを評価する.
- 学生の成績の客観的な指標に構造化されたコミュニケーションカリキュラムの影響を決定する.
主な方法:
- コミュニケーションカリキュラムは,米国の3つの医学部で実施されました.
- 客観的な構造化された臨床試験 (OSCE) は,介入前と後の生徒を評価した.
- 標準化された患者は,5つの主要な患者ケアタスクに21のスキルを評価しました.
主要な成果:
- コミュニケーショントレーニングを受けた学生は,OSCEの総合スコア (65.4%対60.4%) でコントロールグループを大幅に上回った.
- 改善は,関係開発,組織,患者評価,交渉のスキルで認められた.
- ポジティブな効果は,参加した3つの医学部で一貫していました.
結論:
- 確立された教育モデルに基づくコミュニケーションカリキュラムは,医療学生のコミュニケーション能力を効果的に改善します.
- 人間関係構築,評価,意思決定のスキルの向上は,患者の成果の改善と結びついています.
- この介入は,地方のカリキュラムや文化に適応したにもかかわらず,有効性を示しました.
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