Study on listening skills during medical interviews in dentistry

近年来，作为牙科和医学教育的一部分，医学面试技巧教学的重要性越来越受到重视。本研究通过在牙科治疗室的两台牙科治疗机上安装一个观察系统，以验证听力技能的评估，从而使临床教学在沟通方面更有效。研究对象为接受床边指导的六年级学生。在获得首次门诊患者的同意后，指导学生去看患者，并对访谈进行录像。关于态度，大多数学生没有自我介绍，但都核实了患者的姓名。许多学生在与病人在一起的整个过程中都戴着口罩。访谈的总时间平均为16.6分钟，学生们花在填写病历上的时间比与病人交谈的时间要多。关于所使用的技术，许多剂量结束的问题被问到，让病人说不出什么。谈话内容多与治疗有关，社会内容较少。在提出开放式问题后，学生们会观察病人的口腔内部，然后进行访谈。学生们倾向于以传统的方式向病人提问，而不是进行医学访谈，虽然这可能部分是由于病人是第一次来诊所，有各种问题。在未来，我们希望通过使用一个在面试中观察行为的系统和一个视觉行为系统来验证牙科特有的医疗面试技巧。

In recent years, the importance of teaching medical interviewing skills as a part of dental and medical education has been increasingly emphasized. The present study was carried out in an attempt to verify the evaluation of listening skills, to enable more effective clinical education in the area of communication.A system for observing behavior during interviews was installed on two dental treatment units in the treatrnent room. The subjects were sixth-year students receiving bedside instruction. After approval was obtained from first-time outpatients, the students were instructed to see the patient, and the interview was videotaped.Regarding attitude, most students did not introduce themselves, although all verified the patient's name. Many students kept their mask on the entire time they were with the patient. The total time taken for the interview averaged 16.6 minutes, and students spent more time filling out patient records than engaging in a conversation with the patient to which they devoted their full attention. With respect to techniques used, many dosed-ended questions were asked, leaving the patient with little to say. The content of conversation was related to treatment in most cases, with very little social contentTwo types of interviewing styles were noted : performing an oral ecamination after the interview ; and looking inside the mouth after asking open-ended questions, followed by the interview.The tendency was for the students to ask patients questions in a conventional fashion rather than canying out a medical interview, although this may have been partly due to the fact that the patients were those visiting the clinic for the first time with various problems. In the future, we hope to verify medical interviewing skills specific to dentistry, by using a system for observing behaviors during an interview and a visual behavioral system.