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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Abstract Full text Figures/Tables Video References Cited by

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. 王玉华, 刘刚. 云南省医疗纠纷调查分析[J]. 医学与社会, 2007, 20(9):33-35.
2. 王晨, 曹艳林, 郑雪倩. 医患双方对暴力伤医事件的认知与态度分析[J]. 中国医院, 2014, 18(3):7-9.
3. 赵雏彦, 郭夯, 邱旭东. 加强医学生医患沟通能力的培养[J]. 中国实验诊断学, 2012, 16(3):570.
4. 蔡骏翔. 全球医学教育最基本要求的解读与思考[J]. 医学教育探索, 2007, 6(4):296-297.
5. 李玲, 卿平, 黄进. 我国医学生医患沟通能力培养的现状与对策[J]. 华西医学, 2013, 28(7):1108-1110.
6. 翟世波. 浅谈规避急诊科医患纠纷的原因及相应的防范措施[J]. 世界最新医学信息文摘:电子版, 2013, 13(8):307.
7. 袁晓玲, 赵爱平. 医患沟通技能评价方法的研究进展[J]. 护理学杂志, 2010, 25(10):91-93.
8. 邹莉萍, 董卫国. 角色扮演小组讨论法对医学生医患沟通能力培养的研究[J]. 中国高等医学教育, 2013(11):1-2.
9. 练燕, 王延江, Sara Laubscher, 等. 医患沟通培训各要素对培训效果影响的研究[J]. 重庆医学, 2009, 38(23):2963-2965, 2967.
10. 中国医师协会. 在全国部分省市调查"医闹"的分析报告[J]. 中国卫生产业, 2007(2):57-59.
11. 中华医院管理学会维权与自律工作委员会, 中华医院管理学会维权工作部. 《医疗事故处理条例》实施后医疗纠纷的调查分析[J]. 中国医院, 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. 卫茂玲, 苏维, 李幼平. 医患沟通系统评价证据的循证分析[J]. 中国循证医学杂志, 2008, 8(12):1100-1104.
16. 闫广庆, 刘国祥, 黄国琼, 等. 试论医务人员医患沟通能力的培养[J]. 医院管理论坛, 2013(6):6-8.
17. 梁嵘, 胡晓桦. 临床医学实践中培养医学生医患沟通能力的探索[J]. 华夏医学, 2013(6):1145-1147.
18. 高中玉, 钟懿隽, 任为民, 等. 浅析医学生医患沟通技能的培养方法[J]. 西北医学教育, 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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