Evaluation of a communication skills seminar for students in a Japanese medical school: a non-randomized controlled study.
Evaluation of a communication skills seminar for students in a Japanese medical school: a non-randomized controlled study.
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DOI：
10.1186/1472-6920-4-24
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发表时间：
2004-11-18
影响因子：
3.6
通讯作者：
Ban N
中科院分区：
文献类型：
--
作者：
Mukohara K;Kitamura K;Wakabayashi H;Abe K;Sato J;Ban N
关于非英语国家医学生沟通技巧教学效果的数据很少。我们进行了一项非随机对照研究，以检验针对日本医科学生的短期强化研讨会是否对他们与患者的沟通技巧有任何影响。在2001-2002学年期间，共有105名五年级学生（18组，每组5至7名学生）参加了为期两天的医学面试小组研讨会。学年过半时，对所有五年级学生进行了五站客观结构化临床检查（OSCE）。我们拍摄了所有学生与欧安组织一个工作站的标准化病人的互动，重点是沟通技巧。两名独立观察员对50名参加过研讨会的学生和47名没有参加的学生的录像带进行了评分。测试了16项核心沟通技巧。评级者之间的分歧由第三位观察员的评级来解决。在一项与理解病人观点相关的技能上，即询问疾病或问题如何影响病人的生活，被评为“可接受”的学生比例在统计学上存在显著差异（实验组为53%，对照组为30%，p = 0.02）。其他15项核心沟通技巧没有差异，尽管询问病人对疾病或问题的想法的技巧（60%对40%，p = 0.054）和一项建立关系的技巧有改善的趋势；非言语的专注和共情（87% vs. 72%, p = 0.064）。本研究的结果表明，针对日本医科学生的短期强化小组研讨会可能会对具体的沟通技巧产生短期影响，这些技巧与理解病人的观点有关。
Little data exist for the effectiveness of communication skills teaching for medical students in non-English speaking countries. We conducted a non-randomized controlled study to examine if a short intensive seminar for Japanese medical students had any impact on communication skills with patients. Throughout the academic year 2001–2002, a total of 105 fifth-year students (18 groups of 5 to 7 students) participated, one group at a time, in a two-day, small group seminar on medical interviewing. Half way through the year, a five-station objective structured clinical examination (OSCE) was conducted for all fifth-year students. We videotaped all the students' interaction with a standardized patient in one OSCE station that was focused on communication skills. Two independent observers rated the videotapes of 50 students who had attended the seminar and 47 who had not. Sixteen core communication skills were measured. Disagreements between raters were resolved by a third observer's rating. There was a statistically significant difference in proportions of students who were judged as 'acceptable' in one particular skill related to understanding patient's perspectives: asking how the illness or problems affected the patient's life, (53% in the experimental group and 30% in the control group, p = .02). No differences were observed in the other 15 core communication skills, although there was a trend for improvement in the skill for asking the patient's ideas about the illness or problems (60% vs. 40%, p = .054) and one of the relationship building skills; being attentive and empathic nonverbally (87% vs. 72%, p = .064). The results of this study suggest that a short, intensive small group seminar for Japanese medical students may have had a short-term impact on specific communication skills, pertaining to understanding patient's perspectives.