Design and application of micro video in gastroscopic doctor-patient communication teaching based on narrative medicine / 中华医学教育探索杂志

ABSTRACT

Objective:To design a set of gastroscope doctor-patient communication micro video teaching materials based on narrative medicine to be applied for junior doctors and medical students before and after gastroscopic diagnosis and treatment of communication skills training, and explore the application effect of teaching materials in the training.Methods:Based on the concept of narrative medicine, combined with the modern doctor-patient communication guide (Calgary-Cambridge Guide), a micro video textbook for doctor-patient communication in the whole process of gastroscope diagnosis and treatment was designed and used to demonstrate the main doctor-patient communication involved in each segment before and after gastroscope operation. A total of 32 junior doctors and medical students of a tertiary hospital in Guangdong from August 2019 to October 2020 were divided into two groups, with 15 trainees in control group and 17 trainees in experimental group. The experimental group was instructed by teachers with video teaching materials, while the control group was instructed by teachers with traditional oral teaching method. The two groups completed the study and took the written test and interview of doctor-patient communication. The scores between the two groups were compared, and the scores of the first and second examination in each group were compared. SPSS 19.0 was performed for t test and chi-square test. Results:The scores of the two written tests in the experimental group [(86.32±3.87), (84.84±4.84)] were better than those in the control group [(82.33±4.94), (72.00±5.62)], and the difference was statistically significant ( P<0.05). There was significant difference in scores between the two written tests in the control group, and the first test was better than the second test ( P<0.05). There was no significant difference in the scores between the two written tests in the experimental group ( P>0.05). The two interview scores of the experimental group were better than those of the control group, with statistical significance ( P<0.05). The scores difference between the two interviews in the control group and the experimental group were statistically significant, and the first was better than the second ( P<0.05). Conclusion:Micro video textbook of doctor-patient communication based on narrative medicine helps students improve their skills of doctor-patient communication in gastroscopy, and has obvious advantages over traditional teaching in maintaining the training effect.