北京市全科专业硕士研究生导师门诊医患沟通技能水平现状调查

Background Graduate tutors of general practitioner major shoulder the important task of training future general medicine professionals. Their own doctor-patient communication ability is very important to the development of general medicine. Objective To explore the current situation of physician-patient communication ability of tutors of master's degree students majoring in general medicine. Methods Seventy five postgraduate tutors of general practitioner major in Capital Medical University were selected as the subjects. The survey was conducted from April to June 2012. The evaluators entered the consulting room with the patients and their families, and assessed their doctor-patient communication skills by means of on-site observation and scoring with the evaluation form of doctor-patient communication skills (segue scale). Results The total score of the segue scale of 75 postgraduate tutors of general practitioner were 12-24, with an average score of (17.8 2.6); Score of preparation stage (3.9 0.9); Score of information collection stage (6.5 1.7); Information giving stage score (3.1 1.1); Score of understanding patients (2.6 0.9); The score at the end of the consultation stage was (1.7 0.5). Comparing the scores of the segue scale of the general tutors with those of the expert outpatient doctors of the first-class and third-class hospitals in the early stage, the general tutors scored higher than the expert outpatient doctors of the third-class hospitals in the preparation stage and the end of the consultation stage, and the difference was statistically significant (p<0.05); The scores and segue total scores of the general tutors in the first level hospitals were higher than those of the general tutors in the second level hospitals (p<0.05), and the scores and segue total scores in the preparation and information collection stages were higher than those of the general tutors in the third level hospitals (p<0.05); The total score of segue scale of general tutors was significantly lower than that of American general practitioners (p<0.01). Conclusion The clinical communication skills of the tutors of master's degree students majoring in general medicine need to be further improved, and there is also a certain gap between their doctor-patient communication skills and the international level. The competent department of general practitioner education should pay more attention to the improvement of the doctor-patient communication skills of the general tutors, and greatly improve the humanistic medicine practice skills of the general tutors.