Objectives: To determine the impact of scenario-based lecture and personalized video feedback on anesthesia residents' communication skills during preoperative visits.
Methods: A total of 24 anesthesia residents were randomly divided into a video group and a control group. Residents in both groups took part in a simulated interview and received a scenario-based lecture on how to communicate with patients during preoperative visits. Afterwards, residents in the video group received personalized video feedback recorded during the simulated interview. One week later all the residents undertook another simulated interview. The communication skills of all the residents were assessed using the Consultation and Relational Empathy measure (CARE) scale by two examiners and one standardized patient (SP), both of whom were blinded to the group allocation.
Results: CARE scores were comparable between the two groups before training, and significantly improved after training in both groups (all P < 0.05). The video group showed significantly greater increase in CARE score after the training than the control group, especially assessed by the SP (t = 6.980, P <0.001). There were significant correlations between the examiner-assessed scores and SP-assessed scores (both P = 0.001).
Conclusions: Scenario-based lectures with simulated interviews provide a good method for training communication skills of anesthesia residents, and personalized video feedback can enhance their performance on showing empathy during preoperative interview.
目的: 探讨情境式讲座和个性化视频反馈对麻醉科住院医师术前访视中沟通技巧的影响。方法: 我们共招募24名麻醉科住院医师，并将其随机分为视频组和对照组。两组医师均参加了情景模拟访谈，并通过讲座形式接受了关于在术前访视中如何与患者沟通的培训。之后，视频组医师收到了在模拟访谈过程中录制的视频，视频中加入了对医师访谈表现的个性化反馈。一周后，所有医师再次进行模拟访谈。每次访谈后，两名考官和一名标准化患者采用CARE量表对有医师的沟通技巧进行评估，评估者对组别分配不知情。结果: 培训前，两组医师的CARE评分相近；培训后，两组的评分均显著提高（P < 0.05）。训练后，视频组的 CARE 评分明显高于对照组，其中，标准化患者对住院医师的评分提高尤为明显（t = 6.980，P ＜ 0.001）。考官评分与标准化患者评分之间存在显著相关性（P = 0.001）。结论: 基于情境的讲座结合模拟访谈是一种有效的沟通技巧培训方法，个性化视频反馈能进一步提高医师的访谈沟通技能。.
Keywords: anesthesiology; communication skill; preoperative interview; resident training; simulated interview; video feedback.