医学生儿科医患沟通情景训练方案的设计与实践

The design and practice of situational training program of pediatric doctor-patient communication in medical students

目的 探寻有效培养医学生医患沟通能力的方法.方法 选取首都医科大学2007级～2010级七年制临床医学专业99名学生为研究对象,运用情境教学方法将临床沟通问题转化为场景,在儿科学教学中,训练他们处理临床沟通问题的技巧.研究分为培训案例编制阶段和培训实施阶段.培训结束后对学生进行不记名问卷调查以了解教学结果,并比较2009级和2010级两个班级学生的问卷调查结果.结果 调查结果显示,培训设计合理,学生学到了需要学习的内容.2010级学生的各项满意度评价得分均高于2009级学生,且差异均具有统计学意义（均P＜0.05）.结论 经对培训方案的不断完善,学生对课程安排的满意度得到提高.实践定位于临床问题与情景模拟的结合,以人为本,突出创新性、实用性,可推广、可复制、可借鉴,实现了医学生医患沟通能力的提升.

Objective To explore effective ways to cultivate the ability of doctor-patient communication of medical students.Methods Students from grade 2009 to grade 2010 of seven-year medical program from Capital Medical University were recruited as subjects.In the teaching activities,the clinical problems were transformed into a series of scenes through clinical scenario training which focused on training pediatric students＆#39; skills to face and deal with clinical communication problems.The research included the training case preparation stage and the training implementation stage.Anonymous questionnaires were distributed to the medical students after training program to evaluate the teaching results and the results of grade 2009 and grade 2010 were compared with statistical method.Results The results showed that the training design was reasonable and the students learned what they needed.The differences between the satisfaction of students of the two classes were statistically significant （all P〈0.05）,and the satisfaction evaluation score of students of grade 2010 were higher than that of grade 2009.Conclusions Through the development of the training program,the satisfaction of students was improved.This practice was based on the combination of clinical problems and scenario simulation with innovation,practicability and generalization,and helped the medical students to improve the ability of communication between doctors and patients.