Do medical students respond empathetically to a virtual patient?
Do medical students respond empathetically to a virtual patient?
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DOI：
10.1016/j.amjsurg.2007.01.021
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发表时间：
2007-06-01
影响因子：
3
通讯作者：
Lind, D. Scott
中科院分区：
文献类型：
--
作者：
Deladisma, Adeline M.;Cohen, Marc;Lind, D. Scott
背景：重要的信息交换发生在医生和病人之间通过非语言交流，如手势、身体位置和眼睛凝视。此外，在医生中，移情是建立信任的一个重要因素：病人关系。以前的工作验证了使用虚拟患者(VP)来教授和评估与病史采集和基本沟通技能相关的内容项目。这项研究的目的是确定当学生与VP或标准化患者(SP)互动时，更复杂的沟通技能，如非言语行为和同理心是否相似。方法：对佛罗里达大学(UF)和佐治亚医学院(MCG)的84名医学生进行了视频访谈，采访对象是患有腹痛的SP或高度互动的VP。在这一场景中，两所大学SP教学和考试中心的考场墙上投射了一个真人大小的VP。VP和SP对学生问题的脚本回答是相同的。为了做出感同身受的回应(即，承认病人的感受)，在采访中，副总裁或SP会说“我很害怕，你能帮我吗？”临床医生(n=4)使用带有锚定描述符的Likert量表对学生录像带的非语言交流技能和移情行为进行评分。结果：临床医生在与SP互动的学生的非语言交流技能(如点头)方面得分较高(2.78+/-.79比1.94+/-.44，P
Background: Significant information exchange occurs between a doctor and patient through nonverbal communication such as gestures, body position, and eye gaze. In addition, empathy is an important trust-building element in a physician: patient relationship. Previous work validates the use of virtual patients (VP) to teach and assess content items related to history-taking and basic communication skills. The purpose of this study was to determine whether more complex communication skills, such as nonverbal behaviors and empathy, were similar when students interacted with a VP or standardized patient (SP).Methods: Medical students (n = 84) at the University of Florida (UF) and the Medical College of Georgia (MCG) underwent a videotaped interview with either a SP or a highly interactive VP with abdominal pain. In the scenario, a life-sized VP was projected on the wall of an exam room in SP teaching and testing centers at both institutions. VP and SP scripted responses to student questions were identical. To prompt an empathetic response (ie, acknowledging the patients' feelings), during the interview the VP or SP stated "I am scared; can you help me?" Clinicians (n = 4) rated student videotapes with respect to nonverbal communication skills and empathetic behaviors using a Likert-type scale with anchored descriptors.Results: Clinicians rated students interacting with SPs higher with respect to the nonverbal communication skills such as head nod (2.78 +/- .79 vs 1.94 +/- .44, P