医师考试中。为让研究生们更加注重医患间的沟通,卫生管理部门应制定相关政策及考核细则,加快对医患沟通体系的研发,并应用到执业医师考试中去,让医学研究生在成为正式医师之前充分重视并掌握医患沟通技能。
四、结论
通过本次问卷调查,我们得知该校临床医学研究生能够认识到医患沟通在临床诊治工作中的重要性,但在实际教学工作中教学形式单一,医患沟通教程的理论授课方式已经不能满足研究生学习需求;在临床工作中医患沟通缺失,缺乏相应的沟通技巧;同时存在工作负荷重、病人对医疗期望值较高、医疗保障体系不够完善、舆论媒体导向等一系列问题。研究生医患沟通能力存在自身、教育环境及社会环境的不足,医患沟通能力的提升需要个人、培养单位、社会的努力与支持,各个环节相互影响、相互渗透。只有各方面共同努力,全面协调,研究生的医患沟通技能才能最大程度地提升,医患关系才能更加和谐,祖国未来的医药卫生事业才能持续、稳定、健康地发展。
参考文献:
[1]张肇达,周同甫.全球医学教育最基本要求[M].北京:高等教育出版社,2002:1-8.
[2]Makoul G.Contemporary issues in medicine:communication in medicine.Medical School Objectives Project[R].Washington D C:Association of American Medical Colleges,1999.
[3]李春艳,段志军,王莺燕,等. 加强临床医学研究生医患沟通能力培养,构建和谐医患关系[J]. 中国医学伦理学,2013,26(2):240-241.
[4]刘江华,贺军.医学生医患沟通教程[M].北京:人民卫生出版社,2010.
[5]朱巍,陈雄生.加强脊柱外科住院医师医患沟通能力的培养[J].中国高等医学教育,2013,(11):83-84.
[6]Woelber JP,Deimling D,Langenbach D,et al. The importance of teaching communication in dental education.A survey amongst dentists,students and patients.Eur J Dent Educ. 2012,16(1):200-204.
[7]田冬霞,刘俊荣.测量中国医学生学习医患沟通技能态度的工具——《医学生沟通技能态度量表》中文版的初步修订[J].医学与哲学:人文社会医学版,2014,(1):58-61.
[8]宋智.论导师参与下的研究生思想教育工作[J]. 教育与职业,2010,(30):57-58.
[9]Jo Brown. Clinical Communication Education in the United Kingdom:Some Fresh Insights[J].Academic Medicine,2012,87(8):1101-1104.
[10]贺军,王艳,杨林,等.地方综合性大学医学生临床实习质量监控评价体系的研究[J].中国现代医学杂志,2012,22(10):105-107.
[11]田甲乐.医患沟通的认识论分析[J].中华全科医学,2013,(05):746-747.
Abstract:Objective:To investigate the current situation of the communication skills of clinical medical postgraduates between doctors and patients in one university, and so as to make countermeasures to improve the communication skills of the clinical medical postgraduates. Methods: Adopt the anonymous questionnaire to conduct a survey to the clinical medical postgraduates in the affiliated hospital from the first grade to the third grade. Results:The medical postgraduates of this university have already noticed of the importance of the doctor-patient communication,and they are in favor of setting some related courses to help them improve the communication skills. However,the teaching in reality is usually theoretical and lack of communication and skills training, and the form of the teaching is quiet limited.Conclusions: The individuals, training organizations and the society as a whole should work together to make efforts to improve the communication skills of clinical medical postgraduates.
Key Words:clinical postgraduates;communication skills;investigation;countermeasures