基于评估的培训模块对第一阶段印度医学本科生沟通技巧的影响

Prerana Aggarwal, A. Rawekar, Saikat Dey, Rajarshi Roy
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摘要

良好的沟通技巧(CSs)不仅是良好医患关系的关键,也是任何人际关系的基础。本研究的目的是评估培训对印度西孟加拉邦一所政府医学院第一阶段MBBS学生CS的影响。材料和方法:184名第一阶段的医学生接受了培训,学习如何与他们的同龄人、学长、老师、学院主管、部门工作人员、病人家属和其他卫生专业人员进行正确的沟通。每个参与者都接受了一套三次评估(治疗前、治疗后和治疗后期),以评估CS的知识和技能。在会后评估后,学院和同学提供了反馈,并从参与者那里获得了反思。知识和技能分别采用预验证问卷和Gap-Kalamazoo CS评估表(经修改)进行评估。在模块结束时,从参与者那里收集反馈。将数据制成表格,并对结果进行比较和解释。结果:T1、T2、T3的知识评分均分为5.29±1.35分,9±1.20分,8.55±0.97分;SA1、SA2、SA3的技能评分均分为17.78±4.89分,26.32±5.04分,30.77±3.66分。大多数受试者T2均有改善,T2 - t1平均改善评分(79.57±47.25),T3-T1平均保留评分(71.9±47.84)。约52%的受试者T3出现恶化,晚期恶化评分(T3 - t2)为- 4.06±11.42。33%的人在知识方面没有变化,也就是说,他们保留了自己的进步,而15%的人有进一步的进步。52%的参与者在7-12分时表现出技能的提高,43%的参与者在13-18分时表现出技能的保留,82%的参与者表现出技能的后期退化,他们的得分下降了0-6分。结论:培训模块实施成功,学员对这种以学员为中心的评估式教与学模块表示赞赏。他们以一种有趣的方式学习了有效的沟通方式,并决心应用所学到的一切。
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Impact of an assessment-based training module on communication skills in phase I indian medical undergraduates
Introduction: Good communication skills (CSs) are not only the crux of a good doctor–patient relationship but also the foundation over which any human relationship is based. The aim of this study was to assess the impact of training on CS in Phase I MBBS students in a Government Medical College in West Bengal, India. Materials and Methods: One hundred and eighty-four Phase I medical students were trained on how to communicate properly with their peers, seniors, teachers, college authorities, department staff, patient relatives, and other health professionals. Each participant underwent a set of three assessments (presession, postsession, and late postsession) for both knowledge and skills in CS. After postsession assessment, feedback by the faculties and peers was provided and reflections were obtained from the participants. A prevalidated questionnaire and Gap-Kalamazoo CS Assessment Form (with some modification) were used for knowledge and skill's assessment, respectively. At the end of the module, feedback was collected from the participants. Data were tabulated and results were compared and interpreted. Results: Mean score and standard deviation for knowledge assessment were 5.29 ± 1.35, 9 ± 1.20 and 8.55 ± 0.97 in T1, T2, and T3 and for skills' score were 17.78 ± 4.89, 26.32 ± 5.04 and 30.77 ± 3.66 in SA1, SA2, and SA3, respectively. Most participants showed improvement in T2 with mean improvement score (T2–T1) of 79.57 ± 47.25 and mean retention score (T3–T1) of 71.9 ± 47.84. About 52% of participants showed deterioration in T3 with late deterioration score (T3–T2) of − 4.06 ± 11.42. 33% showed no change in knowledge, i.e., they retained their improvements, whereas 15% showed further improvement. Fifty-two percent of participants showed skills' improvement by scores of 7–12, 43% showed retention by 13–18, and late deterioration was shown by 82%, their scores dropped by 0–6. Conclusion: The training module was successfully implemented, and participants appreciated this type of participant centric assessment-based teaching learning module. They learned about the effective ways of communication in a fun manner and were determined to apply all that they have learned.
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