教学和评估沟通技巧作为一年级医学生早期临床暴露(ECE)的一个要素

M. Nagpal, S. Kukreja, S. Chawla
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引用次数: 0

摘要

有效的沟通技巧对于改善医患关系至关重要,并与良好的健康结果相关。因此,在MBBS成立的最初几年,将沟通技巧的培训项目作为早期临床接触的一个要素,将帮助他们最大限度地履行未来医生的专业职责。所有一年级mba学生(n=122)在访问RHTC(农村卫生和培训中心)之后,对语言和非语言沟通技巧方面进行了敏感化,在那里他们使用他们的沟通技巧在社区中建立了个人卫生意识。教师们观察学生的沟通技巧,并使用《卡拉马祖沟通基本要素清单》对学生进行评估。针对教师的意见进行了焦点小组讨论(FGD),以获取教师的反馈和使用五点李克特量表得出的有效结论。参与者平均年龄为20±1.1岁。根据卡拉马祖基本要素沟通清单,81.1%的学生在社区内获得良好到一般的沟通技巧。至于学生在社区的体验,93.4%回答体验良好,54.1%没有遇到困难,24.6%表示获得信心,55.7%表示学会有效沟通。大多数教师认为学习沟通技巧对于改善医患关系是必要的。在MBBS的第一年,将有效沟通技巧的培训作为ECE的一个组成部分,将提高学生作为未来医生的角色。但这需要学生和教师提前意识到这一点,需要更多的资源,包括人力和时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Teaching and assessing communication skills as an element of early clinical exposure (ECE) in first year medical students
: Effective communication skills are essential to improve the doctor-patient relationship and are associated with favourable health outcomes. So, to introduce a training program of communications skills as an element of early clinical exposure in the first founding years of MBBS will help them as to deliver their professional duties as future physicians to the fullest extent. All the 1 year M.B.B.S. students (n=122) were sensitized about the verbal and non-verbal aspects of communication skills followed by their visit to RHTC (Rural health and training centre) where they used their communication skills to create awareness about personal hygiene among the community. Faculty members observed the communication skills and assessed the students by using Kalamazoo Essential Elements Communication Checklist. A Focus Group discussion (FGD) of the faculty regarding their opinion was conducted to take faculty’s feedback and valid conclusions drawn using a five-point Likert scale. The mean age of the participants was 20 ± 1.1 years. 81.1% of the students acquired good to average communication skills based on Kalamazoo essential elements communication checklist within the community. Regarding students’ experience in the community, 93.4% replied that the experience was good, 54.1% faced no difficulty, 24.6% said that they gained confidence and 55.7% replied that they learnt to communicate effectively. Most of the faculty thought that learning communication skills is necessary for improving the doctor-patient relationship. To introduce training for effective communication skills as an element of ECE in the very first year of MBBS will improve the role of students as future physicians. But this needs pre-sensitization of students as well as faculty and more resources including manpower and time.
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