文章基本信息

标题：Teaching patient-centered communication skills: a telephone follow-up curriculum for medical students
本地全文：下载
作者：George W. Saba ; Calvin L. Chou ; Jason Satterfield 等
期刊名称：Medical Education Online
电子版ISSN：1087-2981
出版年度：2014
卷号：19
期号：1
页码：1-10
DOI：10.3402/meo.v19.22522
摘要：Background To encourage medical students’ use of patient-centered skills in core clerkships, we implemented and evaluated a Telephone Follow-up Curriculum focusing on three communication behaviors: tailoring education to patients’ level of understanding, promoting adherence by anticipating obstacles, and ensuring comprehension by having patients repeat the plans. Methods The intervention group consisted of two different cohorts of third-year medical students in longitudinal clerkships (n=41); traditional clerkship students comprised the comparison group (n = 185). Intervention students telephoned one to four patients 1 week after seeing them in outpatient clinics or inpatient care to follow up on recommendations. We used surveys, focus groups, and clinical performance examinations to assess student perception, knowledge and skills, and behavior change. Results Students found that the curriculum had a positive impact on patient care, although some found the number of calls excessive. Students and faculty reported improvement in students’ understanding of patients’ health behaviors, knowledge of patient education, and attitudes toward telephone follow-up. Few students changed patient education behaviors or called additional patients. Intervention students scored higher in some communication skills on objective assessments. Conclusion A patient-centered communication curriculum can improve student knowledge and skills. While some intervention students perceived that they made too many calls, our data suggest that more calls, an increased sense of patient ownership, and role modeling by clerkship faculty may ensure incorporation and application of skills.
关键词：education ; medical ; undergraduate ; clinical clerkship ; patient-centered care ; physician–patient relationship ; continuity of patient care