关键词: 医患沟通, 住院医师, 规范化培训, 医患沟通技能评价量表

Abstract: Objective  To evaluate the doctor-patient communication ability of standardized training residents,  to analyze the problems existing in the cultivation of doctor-patient communication ability,  and to provide the basis for further improvement in the process of standardized residents training.  Methods  The SEGUE scale was used to evaluate the doctor-patient communication ability of 79 residents in 2019 from five dimensions of “set the stage”,  “elicit information”,  “give information”,  “understand patients perspective”,  and “end the encounter”. SPSS23.0 statistical software was used to compare the score rate of each index between groups by chi-square test and multiple comparison. Results   The full score of residents doctor-patient communication ability is 25,  and the average score of residents in this project is 16.58 ± 1.80.The score rates of “set the stage”,  “elicit information”,  “give information”,  “understand patients perspective”,  and “end the encounter” are 67.80%,  72.90%,  49.00%,  91.75%,  and 13.50% respectively. There are significant differences among the secondary indicators in the four primary indicators of “set the stage”,  “elicit information”,  “give information”,  and “understand patients perspective”(P<0.001,  P<0.001,  P<0.001,  P=0.017),  and there are gender differences in the scores of some secondary indicators. Conclusion  It is necessary to further strengthen the systematic training of residents’ doctor-patient communication ability. The traditional examination consists of completion assessment,  annual examination and graduation examination,  overemphasizing theory test and skill examination,  so examination of doctor-patient communication ability should be increased,  aiming to ensure and improve the quality of residents’ post competency training.

Key words: doctor-patient communication ability, residents, standardized training,  , SEGUE scale