通信培训对医学学生成绩的影响
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
概括
医学学生的沟通培训显著提高了基本技能,如患者评估和建立关系. 这种增强的沟通能力对于更好的患者结果和满意度至关重要.
科学领域:
- 医疗教育 医学教育
- 健康 职业 教育 教育 专业
- 沟通技巧培训 培训 沟通技巧培训
背景情况:
- 医生的沟通技巧会影响患者的结果和满意度.
- 沟通技能的培训没有在医疗课程中得到一致的整合或严格的评估.
- 需要进行大规模的受控试验来评估此类培训的有效性.
研究的目的:
- 评估医学学生的沟通培训是否提高了对患者护理至关重要的特定能力.
- 确定结构化沟通课程对学生绩效的客观指标的影响.
主要方法:
- 在美国三所医学院实施了沟通课程.
- 客观结构化临床检查 (OSCE) 在干预前后对学生进行评估.
- 标准化患者在五个关键的患者护理任务中评估了21种技能.
主要成果:
- 接受沟通培训的学生在总体欧安组织成绩上明显优于对照组 (65.4%对60.4%).
- 在人际关系发展,组织,患者评估和谈判技巧方面,有所改善.
- 在所有三所参与的医学院中,积极的影响是一致的.
结论:
- 基于既定的教育模式的沟通课程有效地提高了医学学生的沟通能力.
- 在建立关系,评估和决策方面提高技能与改善患者结果有关.
- 这项干预措施尽管适应了当地课程和文化,但仍表现出有效性.
相关概念视频
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