医学生医患沟通能力培养模式的探讨

目的探讨以问题为基础的教学模式（Problem-Based Learning,PBL）对医学生医患沟通能力培养的作用。方法将某校留校实习的学生分为PBL教学组与传统大课教学对照组,PBL教学组以学生为中心,其基本模式为：以问题引导（或精讲）→自学（及临床实践）→讨论→评估;传统大课教学组以教师为中心,其基本模式为：理论课→见习课。教学结束后对两组学生独自完成医患沟通进行考核,由患者和/或家属及考核教师评分。结果 PBL教学组学生评分普遍高于传统大课教学对照组。结论 PBL教学模式与传统大课教学模式相比能明显提高医学生医患沟通能力。

Study on the Mode of the Doctor - patient Communication Capability of Medical Students

Objective：to approach of the role of PBL in education of the Doctor-Patient Communication Capability of Medical Students.Method：The medical intern in our school were divided into the PBL group and the orthodox Teaching group.In the PBL group,the students are the core,and it＇s basic educational model is： to guide the questions（or subtle explain）→self-study（and clinical practice）→discussion→appraisal.In the orthodox Teaching group,the teachers are the core,and it＇s basic model is： the theory class→learning on the job class.To examine the capability of Doctor-Patient communication for two groups students by patients or their families and teachers alone.Result：The students in PBL group have generally super-score which contrast to the students in orthodox Teaching group.Conclusion：PBL Teaching mode can raise the Doctor-Patient communication capability of medical students which contrast to orthodox teaching mode obviously.