Retention and use of patient-centered interviewing skills after intensive training
Retention and use of patient-centered interviewing skills after intensive training
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DOI：
10.1097/00001888-200106000-00019
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发表时间：
2001-06-01
影响因子：
7.4
通讯作者：
Jotkowitz, A
中科院分区：
文献类型：
--
作者：
Oh, J;Segal, R;Jotkowitz, A
目的.研究表明，接受过以病人为中心的访谈（PCI）培训的住院医师在处理病人情绪方面更有效，在收集病人数据方面更熟练。本研究评价了PCI技术的长期应用。14名住院医师在实习期间接受了PCI培训，他们的技能在培训前、培训后立即和培训后两年通过直接观察患者访谈进行评估。一项保密调查评估了住院医师在强化培训两年后对PCI的实际使用情况。对照组14名实习医生Frier到PCI培训和14名居民从另一个程序没有培训的PCI也进行了调查。住院医师使用PCI技能（优化设置，建立叙事线索，开放式到封闭式的提问锥，避免一次问一个以上的问题，和促进）显着改善，即使在他们接受PCI培训两年后。接受强化块训练的居民报告使用PCI技术的频率高于对照组。然而，干预组和对照组之间在PCI技能使用方面的唯一显著差异是对患者情绪的反映。住院医师保留PCI技能两年。需要进一步的研究，以确定是否成功的研究生培训的医生在PCI转化为行为的变化，在他们的职业生涯。
Purpose. Studies show that residents trained in patient-centered interviewing (PCI) are more effective in handling patients' emotions and are more skillful in gathering patients' data. This study evaluated the long-term use of PCI skills.Method. Fourteen residents received PCI training during internship, and their skills were evaluated before, immediately after, and two years after their training through directly observed patient interviews. A confidential survey evaluated the residents' actual use of PCI two years after the intensive training. Control groups of 14 interns Frier to PCI training and 14 residents from another program not trained in PCI were also surveyed.Results. Residents' use of PCI skills (optimization of setting, establishment of narrative thread, open-to-closed-ended questioning cone, avoid asking more than one question at a time, and facilitation) were significantly improved, even two years after their training in PCI. The residents who received intensive block training reported using PCI techniques more frequently than did those in the control groups. However, the only significant difference in use of PCI skills between the intervention and control groups was found in reflection of patient's emotions.Conclusion. Medical residents retained PCI skills for two years. Further studies are needed to determine whether successful postgraduate training of physicians in PCI translates into a change in behaviors during their professional lives.