Communication Skills Program Design and Implementation for Residency Training at Internal Medicine Department of Ege University Faculty of Medicine

Year 2007, Volume: 25 Issue: 25, 25 - 34, 01.08.2007

Ö. Sürel Karabilgin

Abstract

Introduction: The importance of communication skills in residency training is emphasized by different residency training organizations. In this research, after planning and implementing a communication skills training programme, assistant doctors’ knowledge and skill levels were evaluated, and assistant doctors’ opinions about programme were taken. Material and Method: This is an experimental type research using one group final test design. This research was conducted with second and third year assistant doctors at Internal Medicine Department of Ege University Faculty of Medicine. The curriculum was designed following an extensive needs assessment, and the training program was delivered in four sessions, each 2 hours long. A final written test and Objective Structured Clinical Examination (OSCE) were used to assess assistant doctors’ achievement. “Session evaluation form” and “programme evaluation form” were used to evaluate programme. Findings: Mean of the written test was found 43.10±10.30. Mean scores of the assistant doctors’ and cappa values on the stations of “Medical Interview Skills”, “Breaking Bad News” and “Communication with difficult patient” were 66, 0.79; 84, 0.63; 83, 0.59 respectively. In terms of session evalutaions, the highest means were found on the items of “explaining of the session’s goal and objectives”, “presentation of trainer”, “preparing of trainer”, “relevancy with the content and training methods” and “encouraging active participation”; the lowest means were found on the items of “session time”, “physical sources of training environment”. Assistant doctors stated that the programme was constructive and beneficial on the aspects of the content, instructional method, instructional material, and gaining skills; and unfavorable on the aspect of meaning of theoretical knowledge and time poverty for training. Results: According to the result of this research, after improving of the programme, it could be used in the residency training.

Keywords

Communication skills, residency training, curriculum design, assessment, OSCE

EGE ÜNİVERSİTESİ TIP FAKÜLTESİ İÇ HASTALIKLARI ANABİLİM DALI ASİSTAN EĞİTİMİ İÇİN İLETİŞİM BECERİLERİ PROGRAM TASARIMI VE UYGULAMASI

Abstract

Giriş ve Amaç: Tıpta uzmanlık eğitiminde iletişim becerilerinin önemi, çeşitli uzmanlık eğitimi kurulusları tarafından ifade edilmektedir. Bu araştırmada, iletişim becerileri programı tasarlanıp uygulandıktan sonra asistanların bilgi ve beceri düzeylerinin değerlendirilerek, program hakkındaki görüşlerinin sunulması hedeflenmiştir. Gereç ve Yöntem: Tek grup son test deseninin kullanıldığı deneysel tipteki araştırma, EÜTF İç Hastalıkları AD ikinci ve üçüncü yıl asistanları ile yürütülmüştür. Kapsamlı bir ihtiyaç analizini takiben program tasarımı yapılmış ve eğitim 2 saatlik 4 oturumda gerçekleştirilmiştir. Asistanların basarı düzeyini ölçmek için basarı testi ve Objektif Yapılandırılmış Klinik Sınav (OYKS) uygulanmıştır. Programı değerlendirmek için oturum ve program değerlendirme formları kullanılmıştır. Bulgular: Başarı testi puan ortalaması 100 üzerinden 43.10±10.30’ dur. İstasyonlardan alınan ortalama puanlar ve gözlemciler arası tutarlılık için bakılan kappa değerleri; “Tıbbi görüşme becerileri” için 66 ve 0.79, “Kötü haber verme” için 84 ve 0.63, “Zor hasta ile görüşme” için 83 ve 0.59’dur. Eğitim oturumlarının genel değerlendirmesinde en yüksek ortalamalar amaç ve hedeflerin belirtilmesi, eğiticinin sunumu, eğiticinin hazırlığı, eğitim yöntemlerinin içerikle uyumlu olması ve aktif katılıma cesaretlendirmesi; en düşük ortalamalar ise oturum zamanı, eğitim ortamının fiziksel olanaklar açısından değerlendirilmesine verilmiştir. Asistanlar, programı içerik, yöntem, araç-gereç, eğitici ve beceri kazandırma açısından olumlu; teorik bilginin anlaşılma zorluğunu ve eğitim için zaman yetersizliğini olumsuz olarak bildirmişlerdir. Sonuç: Bu program geliştirildikten sonra uzmanlık eğitiminde kullanılabilir.

Keywords

İletişim becerileri, uzmanlık eğitimi, eğitim programı tasarımı, değerlendirme

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