医学生临床沟通技能课程设置及效果自评

目的 有效提高医学生的医患沟通技能.方法 北京协和医学院2009年3月至2011年10月期间对165名八年制高年级医学生教授临床沟通课程,使用学生自评问卷的方式对教学效果进行评估.结果 医学生在课后大部分临床沟通技能高于课前,大部分医患沟通能力评分高于课前,以患者为中心的理念得到强化.课程整体满意度为96.2％.结论 临床沟通技能课程达到了提高沟通技能的目的,沟通技能的客观考核方式需要进一步探索.

The clinical communication skills course and self-assessments for medical students

Objective The purpose of this study was to improve medical students' communication skills. Methods A total of 165 medical students who were trained in Clinical communication skills course from March, 2009 to October, 2011 were investigated by self-assessment questionnaires. 152 of them finished both pre and post-course evaluation. Results According to the self-assessment of medical students, the confidence of “establish good doctor patient relationship”, “agree on a plan with patient”, “breaking bad news”, “general ability at doctor patient communication”, “practice as a holistic medicine professional”, “using knowledge and skill in doctor patient communication” were all improved after the course. The doctor-patient relationship attitude showed a more “patient centred” style after the course. 96.2% students satisfied with the whole course. Conclusion The evaluation suggested that medical students’ communication skills can be improved by this curriculum. The present evaluation calls for further development of the doctor-patient communication curriculum.