Application of Mini-Clinical Evaluation Exercise in the training of patient-doctor communication ability of interns in department of neurology

Ya Wu, Meng Zhang
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Abstract

Objective To investigate the application effect of Mini-Clinical Evaluation Exercise (Mini-CEX) in the training of patient-doctor communication ability of interns in department of neurology. Methods A total of 60 clinical interns who received practice teaching in Department of Neurology in The Third Affiliated Hospital of Army Medical University from January 2016 to June 2017 were selected, and a questionnaire survey on the communication barriers between patients and doctors was performed on admission to analyze the main causes of these barriers. The Mini-CEX was used for communication ability training of interns, and its application effect was evaluated. Results At the end of training (one month later), the number of patient-doctor communication, completeness of medical history collection, physical examination kills and the median and pass rate of patient satisfaction of interns were significantly improved, as compared with before (P<0.05), and the degree of satisfaction with Mini-CEX reached above 95% among the teachers and clinical interns. Conclusion Mini-CEX for communication ability training can improve the patient-doctor communication ability of interns in department of neurology. Mini-CEX also has a certain teaching effect and thus holds promise for application in practice teaching. Key words: Mini-clinical evaluation exercise; Patient-doctor communication; Intern
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小型临床评估练习在神经内科实习生医患沟通能力培养中的应用
目的探讨迷你临床评估练习(Mini-CEX)在神经内科实习生医患沟通能力培养中的应用效果。方法选取2016年1月至2017年6月在陆军医科大学附属第三医院神经内科实习的60名临床实习生,对入院时医患沟通障碍进行问卷调查,分析造成这些障碍的主要原因。将Mini-CEX应用于实习生的沟通能力培训,并对其应用效果进行了评价。结果培训结束(1个月后),实习医生的医患沟通次数、病史采集完整性、体检死亡人数、患者满意度中位及通过率均较培训前有显著提高(P<0.05),教师和临床实习医生对Mini-CEX的满意度达到95%以上。结论Mini-CEX对神经内科实习医生进行沟通能力训练,可以提高实习医生的医患沟通能力。Mini-CEX也具有一定的教学效果,在实践教学中具有一定的应用前景。关键词:小型临床评估练习;医患沟通;实习生
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