Research on Status of Resident Physician-Patient Communicating Training in Standardized General Practice Training in Chengdu
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摘要: 目的 调查成都市全科规范化培训住院医师医患沟通培训需求、参加意愿等,根据相应的培训需求,制定以需求为导向的全科规培医生医患沟通培训课程体系提供参考及建议。 方法 采用问卷调查方法,对成都市于2019年3月期间正在接受全科规范化培训的住院医师共计386名学员进行横断面调查。 结果 所调查386人中,有359人(93.0%)认为需要在规范化培训期间开展医患沟通培训的相关课程;342人(88.6%)愿意参加医患沟通培训课程。学员对医患沟通主题培训的需求排名前三的是:如何与愤怒的患者沟通,占86.3%(333/386)、如何解释和告知病情,占81.6%(315/386)、告知坏消息,占78.2%(302/386);学员对医患沟通培训形式需求排名前三分别为:临床实践教学,占73.8%(285/386)、模拟教学,占67.6%(261/386)、专题讲座,占60.9%(235/386)。各项医患沟通培训形式的既往参加人数与期望参加人数之间差异均有统计学意义(均P<0.05)。 结论 全科规范化培训住院医生对医患沟通重视,需求明显。建议在沟通培训课程中添加“与愤怒患者的沟通”“解释和告知病情”“告知坏消息”等内容,同时减少理论教学,采用实践与模拟教学以增加医患沟通培训效果。Abstract: Objective To investigate the demands and willingness of Resident Physician-Patient Communicating Training in Chengdu, to design a demand-oriented training system in order to provide references and suggestions based on its demands. Methods Questionnaires were utilized to conduct a cross sectional survey of 386 resident physicians in Chengdu during March 2019 who are undergoing Standardized General Practice Training. Results The 359 individuals(93.0%) believed starting Resident Physician-Patient Communicating Training course during Standardized General Practice Training is needed among all 386 respondents. The 342 individuals(88.6%) were willing to attend such course. The Top three of the demands of students in Resident Physician-Patient Communicating Training were: how to communicate with angry patients 86.3%(333/386), how to explain and inform conditions of patients 81.6%(315/386), and how to inform bad news 78.2%(302/386). The top three of training forms were: clinical practice teaching 73.8%(302/386), simulation teaching 67.6%(261/386), and lecture 60.9%(235/386). The difference between the number of previous respondents and the expected number in each form was statistically significant(all P<0.05). Conclusion The demanding of Resident Physician-Patient Communicating Training in Standardized General Practice Training is dramatically increasing. It is suggested to add the content, such as 'communicate with angry patients', 'explain and inform conditions of patients' and 'inform bad news' into the Training. Meanwhile, improving the clinical practice and simulated teaching as well as decreasing pure theory teaching is needed in order to enhance the results of the Training.
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