Study on listening skills during medical interviews in dentistry

近年来，作为口腔医学教育的一部分，医学问诊技能教学的重要性日益受到重视。本研究旨在验证听诊技能的评估，使沟通领域的临床教育更有效。在治疗室的两个牙科治疗单元安装了访谈中的行为观察系统。研究对象为接受床边教学的六年级学生。在获得初诊病人的同意后，指导学生去看病人，并将访谈过程录制下来。在态度上，大多数学生没有自我介绍，尽管都证实了病人的名字。许多学生在与病人在一起的整个过程中都戴着口罩。面试的总时间平均为16.6分钟，学生们花在填写患者记录上的时间比与他们全神贯注的患者交谈的时间更多。关于所使用的技术，许多用药结束的问题都被问到了，让患者几乎无话可说。访谈的内容大多与治疗有关，社交内容很少。访谈方式有两种：访谈结束后进行口试；提出开放式问题后向口腔内看，然后进行访谈。学生倾向于以常规方式向患者提问，而不是挑剔医学访谈，尽管这可能部分是因为患者是第一次来诊所就诊，有各种问题。在未来，我们希望通过使用在采访期间观察行为的系统和视觉行为系统来验证特定于牙科的医学采访技能。

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.