Exploration of various teaching methods in the cultivation of doctor-patient communication ability of medical students

Ming Zhang, Minhua Chen, Liangrong Zheng, Nianhong Guan
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Abstract

Objective To explore the application of various teaching methods in improving the doctor-patient communication skills of medical students. Methods It was a prospective self-control study. From January 2017 to December 2017, Before entered into psychiatry department of the Third Affiliated Hospital of Sun Yat-sen University, medical students were evaluated for "the Communication Skills Attitude Scale" and "the Medical Students' Doctor-Patient Communication Behavior Scale" , within the following six months a variety of ways of communication skills training, including internship lectures, interactive teaching and new media teaching, scale assessment again after 6 months. The most effective teaching methods were chosen by students. Results After training, the communication skill of medical students in all aspects was improved, the negative attitude was reduced (35.22±4.35 vs 28.40±3.54), the positive attitude was increased (53.20±5.35 vs 60.84±2.72), the difference was statistically significant (P<0.05); the medical students' communication behavior scale before and after training (151.78±5.33 vs 166.27±4.36), the difference was statistically significant (P<0.05). Before training, male students' positive attitude score towards doctor-patient communication were worse than female students (51.41±4.88 vs 54.91±5.33), while malestudents' negative attitude score was higher than female students(36.68±4.80 vs 33.83±3.42). After training, the support score of male students were worse than female students(16.86±1.52 vs 17.83±1.27), and the differences were statistically significant (P<0.05). The most effective training method favored student was simulation teaching 46.7% (63/135), followed by WeChat 28.9% (39/135). Conclusions Various teaching methods can improve doctor-patient relationship, students of different genders have different communication abilities and preferences for teaching methods. Among them, simulation teaching in interactive teaching and WeChat platform as the new media teaching facilites are relatively effective, which are worthy of further improvement. Key words: Doctor-patient communication; Interactive teaching; New media teaching
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医学生医患沟通能力培养中多种教学方法的探索
目的探讨多种教学方法在提高医学生医患沟通能力中的应用。方法采用前瞻性自我控制研究。2017年1月至2017年12月,在进入中山大学附属第三医院精神科前,对医学生进行《沟通技巧态度量表》和《医学生医患沟通行为量表》评估,在随后的6个月内进行包括实习讲座、互动教学、新媒体教学等多种方式的沟通技巧培训,6个月后再次进行量表评估。学生们选择了最有效的教学方法。结果培训后医学生各方面沟通能力均有提高,消极态度减少(35.22±4.35 vs 28.40±3.54),积极态度增加(53.20±5.35 vs 60.84±2.72),差异有统计学意义(P<0.05);医学生训练前后交流行为量表(151.78±5.33 vs 166.27±4.36),差异有统计学意义(P<0.05)。培训前,男学生对医患沟通的积极态度得分低于女学生(51.41±4.88比54.91±5.33),而男学生的消极态度得分高于女学生(36.68±4.80比33.83±3.42)。训练后,男学生的支持得分低于女学生(16.86±1.52 vs 17.83±1.27),差异有统计学意义(P<0.05)。最受学生青睐的训练方式是模拟教学(46.7%,63/135),其次是微信(28.9%,39/135)。结论不同的教学方法能改善医患关系,不同性别学生的沟通能力和对教学方法的偏好不同。其中,互动教学中的模拟教学和微信平台作为新媒体教学设施效果比较好,值得进一步完善。关键词:医患沟通;互动教学;新媒体教学
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