基础医学与临床 ›› 2018, Vol. 38 ›› Issue (8): 1207-1210.

• 医学教育 • 上一篇    下一篇

情景设计视频模式在放射科住院医师规范化培训沟通技能考试中应用的评价

张大明1,金征宇1,薛华丹1,王萱1,袁灵1,孙昊1,宋兰1,潘慧2   

  1. 1. 北京协和医院
    2. 中国医学科学院 北京协和医学院 北京协和医院
  • 收稿日期:2018-04-25 修回日期:2018-06-19 出版日期:2018-08-05 发布日期:2018-07-24
  • 通讯作者: 金征宇 E-mail:jin_zhengyu@163.com
  • 基金资助:
    中国医学科学院北京协和医学院小规模特色办学青年教师项目

Evaluation the application of situational design video model in examination of resident standardized training communication skills of radiology department

  • Received:2018-04-25 Revised:2018-06-19 Online:2018-08-05 Published:2018-07-24

摘要: 目的 回顾性分析北京市2014年至2016年的放射科住院医师一阶段技能OSCE考试沟通能力的考核的情况,对标准化病人模式与情景设计视频模式进行沟通技的考核进行比较。方法 对情景设计视频模式和标准化病人模式沟通能力考核的题目难度、区分度以及平均分进行了分析,对考生平均分进行了比较,并对调查问卷进行了分析。结果 题目的难度2015年、2016年高于2014年;区分度2015年最好,2014年最差。3年的考试平均分为2015年(8.37±0.73)最低,2016年(8.99±1.11)最高。整体上博士研究生的沟通能力得分最高(2014年8.97,2015年8.66,2016年 9.05)。调查问卷显示沟通能力培训的知晓率逐年上升。但是针对沟通能力的培训普及率不到50%,约1/3的考生不了解沟通能力的具体要求,有超过半数的住院医师不了解接受沟通能力培训的渠道,87.3%~95.7%的考生认为情景设计视频模式优于标准病人的考核模式。结论 放射科住院医师培训需注重沟通能力培训,并推广情景设计模式的沟通培训方式。

关键词: OSCE, 沟通能力, 放射学, 住院医师规范化培训

Abstract: Objective To retrospectively analyze the assessment of the communication skills of the first-stage skills of the radiologists in Beijing from 2014 to 2016, and to compare the assessment of communication skills between standardized patient models and scenario design video models. Methods The difficulty, differentiation and average score of the scenario design video mode and standardized patient model communication ability assessment were analyzed. The average scores of the candidates were compared and the questionnaire was analyzed. Results The difficulty of the topic was higher in 2015 and 2016 than in 2014; the distinction was best in 2015 and worst in 2014. The average score of the three-year examination was the lowest in 2015 (8.37±0.73) and the highest in 2016 (8.99±1.11). Overall, doctoral graduates have the highest communication skills (8.97 in 2014, 8.66 in 2015, and 9.05 in 2016). The questionnaire shows that the awareness rate of communication skills training has increased year by year. However, the training penetration rate for communication skills is less than 50%. About 1/3 of the candidates do not understand the specific requirements for communication skills. More than half of the residents do not understand the channels for receiving communication skills training. 87.3% to 95.7% of the candidates think that Scenario design video mode is better than standard patient assessment mode. Conclusion The training of radiologists in radiologists needs to focus on the training of communication skills and promote the communication and training methods of scenario design.

Key words: OSCE, communication skill, radiology, standardized training of resident

中图分类号: