Evidence based management of acute bronchitis; sustained competence of enhanced communication skills acquisition in general practice
Evidence based management of acute bronchitis; sustained competence of enhanced communication skills acquisition in general practice
复制标题
DOI：
10.1016/j.pec.2007.06.014
复制
发表时间：
2007-11-01
影响因子：
3.5
通讯作者：
Butler, Christopher C.
中科院分区：
文献类型：
--
作者：
Cals, Jochen W. L.;Scheppers, Nicole A. M.;Butler, Christopher C.
目的：要确定是否沟通技能培训计划的全科医生，涉及上下文丰富的学习经验和“同行评议”的咨询成绩单的结果，在沟通技能的获取和维护，同时保持时间效率consultation.Methods：一个前测后测的评估培训20个全科医生（GP）在增强沟通技能。录音咨询与模拟病人在常规的做法进行之前，在2周内和6个月后的沟通技巧培训进行了分析和咨询长度测量。成绩单进行了评分的具体技能，以确定在短期和长期能力的GP的沟通skills.Results的差异：有很好的证据表明，全科医生培训后获得的关键沟通技巧，这些都保持了6个月以上。磋商保持在正常的咨询长度在初级care.Conclusion：急性支气管炎的具体沟通技巧，可以成功地获得全科医生通过上下文丰富的沟通培训与同行评议的成绩单与模拟patients.Practice的影响，而不使咨询长度unpractice.Practice：这种方法来获取技能是有用的，提高沟通技能的能力，在一般的医疗实践。(c)2007爱思唯尔爱尔兰有限公司保留所有权利。
Objective: To determine if a communication skills training program for general practitioners involving context-rich learning experiences and 'peer review' of consultation transcripts results in communication skills acquisition and maintenance, while preserving time-efficiency in consultations.Methods: A pre-test-post-test evaluation of training 20 general practitioners (GPs) in enhanced communication skills. Audio taped consultations with simulated patients in routine practice conducted before, within 2 weeks and again 6 months after communication skills training were analysed and consultation length measured. Transcripts were scored for specific skills to determine differences in short and longer-term competence of GPs for the communication skills.Results: There was good evidence that GPs acquired key communication skills after training and that these were maintained over 6 months. Consultations remained within normal consultation length in primary care.Conclusion: Specific communication skills for acute bronchitis can be successfully acquired by GPs through context-rich communication training with peer review of transcripts with simulated patients, without making consultation length unfeasible.Practice Implications: This approach to skill acquisition is useful for enhancing communication skills competence in general medical practice. (c) 2007 Elsevier Ireland Ltd. All rights reserved.