Research on special training of doctor-patient communication based on practical teaching in emergency environment / 中华医学教育探索杂志

ABSTRACT

Objective:To explore whether the special training of doctor-patient communication based on practical teaching can develop undergraduates communication skills in emergency environment.Methods:A total of 60 medical undergraduate students of grade three were enrolled randomly and were divided equally into the control group and the training group, with 30 ones in each group. The students in control group were taught with basic theory of doctor-patient communication and required to take part in peer role-playing. Besides the same content of the courses, the students in training group were additionally given case discussion on internet medical care platform and clinical clerkship. Before and after training, self-assessment scale and Maastricht comprehensive evaluation scale were used to evaluate the doctor-patient communication ability of medical students. SPSS 22.0 software was used to analyze the reliability of the scale and ANOVA were adopted to analysis the data.Results:There was no significant difference in communicative skills between the two groups before training. The students of the control group exhibited no significant increase of communicative skills after training. In a contrast, the self-assessments completed by the students in training group improved significantly after the training. The expert-rating communication skills including such overall communication ability and three individual items as exploration, emotion and empathy have improved significantly for the training group after the training. Taking the training courses of doctor-patient communication has a significant impact on overall communication competency for students [ F(time×course)=5.38, P<0.05, Partial η2=0.133)]. Conclusion:The special training of doctor-patient communication with the frame given priority to practice is beneficial to stimulate study interest and improve communication skills for medical undergraduate students. It’s a useful attempt to apply the internet medical care platform to the practice of doctor-patient communication teaching.