Investigation on the Present Situation of Emergency Physicians' Communicational Skills and Assessment of the Training Effect_West China Medical Journal

Authors：

 WANGJian ¹ , ZHUShu-heng ² , CAOYu ² , QINGPing ² ,  TANGShi-yuan ²

1. Department of Emergency, the First People's Hospital of Ziyang, Ziyang, Sichuan 641300, P. R. China;
2. Department of Emergency, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

TANGShi-yuan, Email: tangshiyuan266@163.com

Keywords：

Emergency physicians; Communication skills; Training

DOI：

10.7507/1002-0179.20150159

Video：

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Objective To discuss the present situation of emergency physicians' communicational ability and the intervention measures. Methods We investigated 66 students who participated in continuing medical education of "emergency physicians' communication skills training course" from 2010 to 2013. All students accepted systematic training. After the training, we did the investigation again, and then made a comparison before and after the training. Results A major 78.8% of the students in this training had never taken part in the training of communication skills before; 51.5% of the students thought that the improvement of communication ability could be achieved mainly through long-term accumulation of clinical experiences. Students' self-evaluation showed that communication problem occurred 2 times a year in 10.6% of them, 3 times in 22.7%, 4 times in 24.2%, and five or more times in 34.8%. Students' role playing score in the scenario training rose from 5.374±0.686 to 6.717±0.517 after the training, and the difference was statistically significant (P=0.024). Conclusion Emergency physicians lack knowledge of communication skills which needs to be improved. Through training, the skills can be improved significantly.

Citation： WANGJian, ZHUShu-heng, CAOYu, QINGPing, TANGShi-yuan. Investigation on the Present Situation of Emergency Physicians' Communicational Skills and Assessment of the Training Effect. West China Medical Journal, 2015, 30(3): 551-554. doi: 10.7507/1002-0179.20150159 Copy

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1. 王玉華, 劉剛. 云南省醫療糾紛調查分析[J]. 醫學與社會, 2007, 20(9):33-35.
2. 王晨, 曹艷林, 鄭雪倩. 醫患雙方對暴力傷醫事件的認知與態度分析[J]. 中國醫院, 2014, 18(3):7-9.
3. 趙雛彥, 郭夯, 邱旭東. 加強醫學生醫患溝通能力的培養[J]. 中國實驗診斷學, 2012, 16(3):570.
4. 蔡駿翔. 全球醫學教育最基本要求的解讀與思考[J]. 醫學教育探索, 2007, 6(4):296-297.
5. 李玲, 卿平, 黃進. 我國醫學生醫患溝通能力培養的現狀與對策[J]. 華西醫學, 2013, 28(7):1108-1110.
6. 翟世波. 淺談規避急診科醫患糾紛的原因及相應的防范措施[J]. 世界最新醫學信息文摘:電子版, 2013, 13(8):307.
7. 袁曉玲, 趙愛平. 醫患溝通技能評價方法的研究進展[J]. 護理學雜志, 2010, 25(10):91-93.
8. 鄒莉萍, 董衛國. 角色扮演小組討論法對醫學生醫患溝通能力培養的研究[J]. 中國高等醫學教育, 2013(11):1-2.
9. 練燕, 王延江, Sara Laubscher, 等. 醫患溝通培訓各要素對培訓效果影響的研究[J]. 重慶醫學, 2009, 38(23):2963-2965, 2967.
10. 中國醫師協會. 在全國部分省市調查"醫鬧"的分析報告[J]. 中國衛生產業, 2007(2):57-59.
11. 中華醫院管理學會維權與自律工作委員會, 中華醫院管理學會維權工作部. 《醫療事故處理條例》實施后醫療糾紛的調查分析[J]. 中國醫院, 2004, 8(3):8.
12. Rao M, Fogarty P. What did the doctor say?[J]. J Obstet Gynaecol (Lahore), 2007, 27(5):479-480.
13. Murden RA, Way DP, Hudson A, et al. Professionalism deficiencies in a first-quarter doctor-patient relationship course predict poor clinical performance in medical school[J]. Acad Med, 2004, 79(10 Suppl):S46-S48.
14. Fallowfield L, Jenkins V, Farewell V, et al. Efficacy of a Cancer Research UK communication skills training model for oncologists:a randomised controlled trial[J]. Lancet, 2002, 359(9307):650-656.
15. 衛茂玲, 蘇維, 李幼平. 醫患溝通系統評價證據的循證分析[J]. 中國循證醫學雜志, 2008, 8(12):1100-1104.
16. 閆廣慶, 劉國祥, 黃國瓊, 等. 試論醫務人員醫患溝通能力的培養[J]. 醫院管理論壇, 2013(6):6-8.
17. 梁嶸, 胡曉樺. 臨床醫學實踐中培養醫學生醫患溝通能力的探索[J]. 華夏醫學, 2013(6):1145-1147.
18. 高中玉, 鐘懿雋, 任為民, 等. 淺析醫學生醫患溝通技能的培養方法[J]. 西北醫學教育, 2010(2):427-428.
19. May W, Park JH, Justin PL. A ten-year review of the literature on the use of standardized patients in teaching and learning:1996-2005[J]. Med Teach, 2009, 31(6):487-492.
20. Chan CS, Wun YJ, Cheung A, et al. Communication skill of general practitioners:any room for improvement? How much can it be improved?[J]. Med Edue, 2003, 37(6):514-526.
21. Calhoun A, Rider E, Meyer E, et al. Assessment of communication skills and self-appraisal in the simulated environment:feasibility of multirateral feedback with gap analysis[J]. Simul Healthc, 2009, 4(1):22-29.

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