Study on listening skills during medical interviews in dentistry

牙科医学访谈中听力技巧的研究

基本信息

批准号：
11672062
负责人：
ITO Takanori
金额：
$ 2.3万
依托单位：
Nihon University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1999
资助国家：
日本
起止时间：
1999 至 2000
项目状态：
已结题

项目摘要

In recent years, the importance of teaching medical interviewing skills as a part of dental and medical education has been increasingly emphasized. The present study was carried out in an attempt to verify the evaluation of listening skills, to enable more effective clinical education in the area of communication.A system for observing behavior during interviews was installed on two dental treatment units in the treatrnent room. The subjects were sixth-year students receiving bedside instruction. After approval was obtained from first-time outpatients, the students were instructed to see the patient, and the interview was videotaped.Regarding attitude, most students did not introduce themselves, although all verified the patient's name. Many students kept their mask on the entire time they were with the patient. The total time taken for the interview averaged 16.6 minutes, and students spent more time filling out patient records than engaging in a conversation with the patient to which they devoted their full attention. With respect to techniques used, many dosed-ended questions were asked, leaving the patient with little to say. The content of conversation was related to treatment in most cases, with very little social contentTwo types of interviewing styles were noted : performing an oral ecamination after the interview ; and looking inside the mouth after asking open-ended questions, followed by the interview.The tendency was for the students to ask patients questions in a conventional fashion rather than canying out a medical interview, although this may have been partly due to the fact that the patients were those visiting the clinic for the first time with various problems. In the future, we hope to verify medical interviewing skills specific to dentistry, by using a system for observing behaviors during an interview and a visual behavioral system.

近年来，作为牙科和医学教育的一部分，教授医学访谈技能的重要性已越来越强调。本研究是为了验证听力技能的评估，以实现在交流领域中更有效的临床教育。在Treatrnent Room的两个牙科治疗单元上安装了一种在访谈中观察行为的系统。受试者是接受床边教学的六年级学生。从初次门诊患者获得批准后，指示学生去看患者，并进行了录像。许多学生在与患者在一起的整个过程中都保留了面具。面试的总时间平均为16.6分钟，而学生花费更多的时间来填写患者记录，而不是与他们全力以赴的患者进行对话。关于使用的技术，提出了许多剂量的问题，这使患者几乎没有话要说。在大多数情况下，对话的内容与治疗有关，而社交内容很少有类型的访谈样式：在访谈后进行口腔授予；在提出开放式问题之后，在嘴里看嘴里，然后进行访谈。学生倾向于让学生以传统方式提出病人问题，而不是划定医疗面试，尽管这可能部分是由于患者是第一次访问诊所的患者，这是各种问题。将来，我们希望通过在访谈和视觉行为系统期间使用系统来验证特定牙科的医学访谈技能。