환자-의사간 의사소통 기술 교육에 대한 고찰
Teaching and Learning Communication Skills in Medical Education
2
조회
0
다운로드
31
인용
0
참고문헌
키워드
초록
The purpose of this study is to review communication skills education in medical education. This analysis looks at the reasons why communication skills education is difficult and how to design an effective curriculum for communication skills education. Problems in communication skills education are discussed, especially in relation to the complexity of the communication between patients and physicians, the changing of the communication model, and curriculum composition. Findings show that it is necessary to design a spiral curriculum for communication skills education, to harmonize theory and practice of communication, to encourage student participation, and to provide feedback to students. To educate communication skills, this paper concludes, professors in charge of communication skills education must seriously consider their teaching and evaluating methods and practice what they teach.
Abstract
The purpose of this study is to review communication skills education in medical education. This analysis looks at the reasons why communication skills education is difficult and how to design an effective curriculum for communication skills education. Problems in communication skills education are discussed, especially in relation to the complexity of the communication between patients and physicians, the changing of the communication model, and curriculum composition. Findings show that it is necessary to design a spiral curriculum for communication skills education, to harmonize theory and practice of communication, to encourage student participation, and to provide feedback to students. To educate communication skills, this paper concludes, professors in charge of communication skills education must seriously consider their teaching and evaluating methods and practice what they teach.
참고문헌 (45)
- Ahn, D.S., "Communication skill in medical education" (2006), Korean Institute of Medicine
- Aspegren, K., "BEME guide no.2: Teaching and learning communication skills in medicine-a review with quality grading of articles", Med Teach, 21(6), pp.563~570 (1999)
- Boon, H., "Patient-physician communication assessment instruments: 1986 to 1996 in review", Patient Educ Couns, 35, pp.161~176 (1998)
- Bowman, F.M., "Improving the skills of established General Practitioners: the long term benefits of group teaching", Med Educ, 26, pp.63~68 (1992)
- Branch, W.T., "Feedback and reflection: teaching methods for clinical setting", Acad Med, 77(12), pp.1185~1188 (2002)
- Buyck, D., "Teaching medical communication skills: a call for greater uniformity", Fam Med, 34(5), pp.337~343 (2002)
- Cantwell, B.M., "Doctor-patient communication: a study of junior house officers", Med Educ, 31, pp.17~21 (1997)
- Cole, S.A., "The medical interview: the three function approach" (2000), Mosby
- Coulter, A., "Paternalism or partnership: patients have grown up and there's no going back", BMJ, 319, pp.719~720 (1999)
- Davis, H., "A comparison of the interviewing skills of first and final year medical students", Med Educ, 26, pp.441~447 (1992)
- De Haes, J.C.J.M., "Summative assessment of medical students' communication skills and professional attitudes through observation in clinical practice", Med Teach, 27(7), pp.583~589 (2005)
- Draper, J., "The East Angelia deanery communication skills teaching project-six years on", Med Teach, 24(3), pp.294~298 (2002)
- Epstein, R.M., "Defining and assessing professional competence", JAMA, 287, pp.226~235 (2002)
- Epstein, R.M., "Communication evidence for participatory decision making", JAMA, 291, pp.2359~2366 (2004)
- Fallowfield, L., "Teaching senior oncologists communication skills result from phase 1 of a comprehensive longitudinal program in the United Kingdom", J Clin Oncol, 16, pp.1961~1968 (1998)
- Frankel, R.M., "Getting the most out of the clinical encounter: the four habits model", Perman J, 3, pp.79~88 (1999)
- Geber, B., "Let the games begin", Training Magazine, pp.10~15 (1994)
- Grant, V.J., "What do they think of it now? Medical graduates' views of earlier training in communication skills", Med Teach, 22(3), pp.260~164 (2000)
- Hall, P., "Communication skills, cultural challenges and individual support: challenges of international medical graduates in a Canadian healthcare environment", Med Teach, 26(2), pp.120~125 (2004)
- Halpern, J., "What is clinical empathy?", J Gen Intern Med, 28, pp.670~674 (2003)
- Haq, C., "Integrating the art and science of medical practice: innovations in teaching medical communication skills", Fam Med, 36, pp.43~50 (2004)
- Hardee, J.T., "iscussion health care costs with patients: an opportunity for empathic communication", J Gen Intern Med, 20, pp.666~669 (2005)
- Hargie, O., "A survey of communication skills training in UK Schools of Medicine: present practices and prospective proposals", Med Educ, 32, pp.25~34 (1998)
- Klass, D., "The bedrock of clinical encounters", CPSO Members Dialogue (2001)
- Kurtz, S., "Teaching and learning communication sills in medicine" (1998), Radcliffe Medical Press
- Laidlaw, T.S., "Implementing a communication skills programme in medical school: needs assessment and programme change", Med Educ, 36, pp.115~124 (2002)
- Lloyd, M., "Communication skills for medicine" (1996), Churchill Livingstone
- Makoul, G.(, "Contemporary issues in medicine: Communication in medicine" (1999), Association of American Medical Colleges
- McNinch, E., "The art of rapport", CPSO Members Dialogue (2001)
- McWhinney, I., "Communicating with Medical Patients in : Patient-centered interviewing" (1989), Sage
- Mukohara, K., "Evaluation of a communication skills seminar for students in a Japanese medical school: a non-randomized controlled study", BMC Med Educ, 4(24), pp.1~6 (2004)
- Ong, L.M.L., "Doctor-patient communication: a review of the literature", Soc Sci Med, 40, pp.903~918 (1995)
- Platt, F.W., "Field guide to the difficult patient interview(2nd ed.)" (2004), Lippincott Williams & Wilkins
- Platt, F.W., "Empathic communication: a teachable and learnable skill", Gen Intern Med, 9, pp.222~226 (1994)
- Prim, R.G., "Communication: coping with the unspoken dance", Nurs Manag, 24(3), pp.33~35 (1993)
- Quill, T.E., "I wish things were different: expressing wishes in response to loss, futility, and unrealistic hopes", Ann Intern Med, 135, pp.551~555 (2001)
- Rahman, A., "Initial assessment of communication skills of intern doctors in history-taking", Med Teach, 22(2), pp.184~188 (2000)
- Rees, C., "Evaluating first-year medical students' attitudes to learning communication skills before and after a communication skills course", Med Teach, 25(3), pp.302~307 (2003)
- Riccardi, V.M., "Communication skills to first-year medical students", Med Educ, 61, pp.603~605 (1983)
- Salmon, P., "Core assumptions and research opportunities in clinical communication", Patient Educ Couns, 58, pp.225~234 (2005)
- Silverman, J., "Skills for communicating with patients" (1998), Radcliffe Medical Press
- Skelton, J.R., "I and We: a concordancing analysis of doctors and patients use first person pronouns in primary care consultations", Fam Pract, 19(5), pp.484~488 (2002)
- Stewart, M., "Towards a global definition of patient centered care", Br Med Bull, 322, pp.444~445 (2001)
- Wilkinson, S.(, "Good communication in cancer nursing", Nursing Standards, 7(9), pp.35~39 (1992)
- Zoppi, K., "Is communication a skill? Communication behaviors and being in relation", Fam Med, 34, pp.319~124 (2002)