Application of the doctor-patient interactive experiential teaching model in stomatology clinical skill education

doi:10.3877/cma.j.issn.1674-1366.2022.06.008

Abstract

Abstract:

Objective

To introduce doctor-patient interaction into dental education and analyze its significance in the development of clinical communication skills.

Methods

A total of 136 medical undergraduates were selected as the subjects and participated in the clinical practice of West China Stomatology at Sichuan University from September 2020 to December 2020. All subjects were divided by gender and then assigned to one of two groups at random using a coin toss. Doctor-patient interactive teaching group students received training in clinical skills and communication skills according to the updated model of doctor-patient interactive teaching, while conventional teaching group students received training following the conventional teaching method. The content and schedule of classes for both groups remained nearly constant. A learning achievement evaluation, a self-assessment of doctor-patient communication skills, as well as a teaching satisfaction feedback questionnaire, were used to evaluate the effectiveness of the teaching. GraphPad Prism 8 and SPSS 19.0 were used to analyze the results.

Results

Students in the doctor-patient interactive experience teaching group scored (44.8±1.2) in the theory examination and (45.5±1.6) in the skills experiment, which were significantly higher than those in the conventional classroom teaching group (44.1±1.2) in the theory examination and (44.9±0.9) in the skills experiment (P<0.05) . The students′ self-evaluation of doctor-patient communication ability was also higher, and the difference between the groups was statistically significant (P<0.05) . More than 90% of the students in the experimental group were satisfied with the doctor-patient interactive experience teaching method.

Conclusion

By combining doctor-patient interaction with dental clinical operation skills class, we cultivate dental students′ empathy, enhance clinical communication skills and improve teaching effectiveness.

Key words: Clinical communication, Doctor-patient interaction experience, Dental students, Medical education, Humanistic education, Medical teaching reform

Maoxue Li, Enyan Liu, Shimeng Xiao, Yi Ding. Application of the doctor-patient interactive experiential teaching model in stomatology clinical skill education[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2022, 16(06): 382-387.

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References 30

[1]	Pilnick A，Dingwall R. On the remarkable persistence of asymmetry in doctor/patient interaction：A critical review[J]. Soc Sci Med，2011，72(8):1374-1382. DOI：10.1016/j.socscimed.2011.02.033.
[2]	夏云，李再，刘慧中，等.某三甲医院医务人员对影响医疗纠纷的医患沟通因素的认知分析[J].中国医院，2016，20(1):44-45. DOI：10.3969/j.issn.1671-0592.2016.01.017.
[3]	Langberg EM，Dyhr L，Davidsen AS. Development of the concept of patient-centredness—A systematic review[J]. Patient Educ Couns，2019，102(7):1228-1236. DOI：10.1016/j.pec.2019.02.023.
[4]	胡丽芬.多维度构建和谐医患关系[J].基层医学论坛，2020，24(2):279-281. DOI：10.19435/j.1672-1721.2020.02.093.
[5]	陆晓庆，陈宁，李谨.体验教学在医患沟通学教学中的应用[J].中国高等医学教育，2008(11):80-81+108. DOI：10.3969/j.issn.1002-1701.2008.11.035.
[6]	Behrend SW. Update on … patient education and counseling[J]. Oncol Nurs Forum，2014，41(1):103-104. DOI：10.1188/14.ONF.103-104.
[7]	李国建.关于医学生医患沟通能力的培养[J].中国医学伦理学，2005，18(4):8-9. DOI：10.3969/j.issn.1001-8565.2005.04.004.
[8]	Alhazmi A，Quadri MFA. Comparing case-based and lecture-based learning strategies for orthodontic case diagnosis：A randomized controlled trial[J]. J Dent Educ，2020，84(8):857-863. DOI：10.1002/jdd.12171.
[9]	李娟.用SEGUE量表对医学生医患沟通技能评价的研究[D].沈阳：中国医科大学，2008. DOI：10.7666/d.y1300560.
[10]	Kruse AB，Heil HKP，Struß N，et al. Working experience is not a predictor of good communication：Results from a controlled trial with simulated patients[J]. Eur J Dent Educ，2020，24(2):177-185. DOI：10.1111/eje.12482.
[11]	Kelm Z，Womer J，Walter JK，et al. Interventions to cultivate physician empathy：A systematic review[J]. BMC Med Educ，2014，14(1):219. DOI：10.1186/1472-6920-14-219.
[12]	Yoshida T，Watanabe S，Kono T，et al. What impact does postgraduate clinical training have on empathy among Japanese trainee dentists？[J]. BMC Med Educ，2021，21(1):53. DOI：10.1186/s12909-020-02481-y.
[13]	Babar MG，Hasan SS，Yong WM，et al. Patients′ perceptions of dental students′ empathic，person-centered care in a dental school clinic in malaysia[J]. J Dent Educ，2017，81(4):404-412. DOI：10.21815/JDE.016.008.
[14]	Lam TP，Wan XH，Ip MS. Current perspectives on medical education in China[J]. Med Educ，2006，40(10):940-949. DOI：10.1111/j.1365-2929.2006.02552.x.
[15]	陈超，陈国忠.中西方高等医学人文教育的现状比较与路径探索[J].中国高等医学教育，2019(6):15-16. DOI：10.3969/j.issn.1002-1701.2019.06.008.
[16]	Haq C，Steele DJ，Marchand L，et al. Integrating the art and science of medical practice：Innovations in teaching medical communication skills[J]. Fam Med，2004，36 Suppl:S43-S50.
[17]	孙凤杰，佟德民，蔺增榕，等.具身认知理论联合PBL-CBL教学法在儿科学规培教学中医患沟通能力培养的实践[J].高校医学教学研究（电子版），2020，10(1):26-30. DOI：10.3868/j.issn.2095-1582.2020.01.06.
[18]	Wang F，Song Z，Zhang W，et al. Medical humanities play an important role in improving the doctor-patient relationship[J]. Biosci Trends，2017，11(2):134-137. DOI：10.5582/bst.2017.01087.
[19]	曾正艳，伍海军，杨华，等.情景体验式教学结合PBL教学模式在神经外科的应用效果[J].中国现代医生，2021，59(6):152-154+162.
[20]	李倩，张艳芳，蒋文慧，等.感染科住院医师规范化培训中教学模式探索[J].中国继续医学教育，2019，11(35):95-97. DOI：10.3969/j.issn.1674-9308.2019.35.036.
[21]	孙敏.因为了解，所以理解——医患角色互换体验纪实[J].医师在线，2019，9(22):44-45.
[22]	Jiang Y，Shi L，Cao J，et al. Effectiveness of clinical scenario dramas to teach doctor-patient relationship and communication skills[J]. BMC Med Educ，2020，20(1):473. DOI：10.1186/s12909-020-02387-9.
[23]	陈文静，臧运森，周国仁. "互联网+"背景下医患关系新变化及发展建议[J].中国医院管理，2019，39(12):68-69.
[24]	Tates K，Antheunis ML，Kanters S，et al. The effect of screen-to-screen versus face-to-face consultation on doctor-patient communication：An experimental study with simulated patients[J]. J Med Internet Res，2017，19(12):e421. DOI：10.2196/jmir.8033.
[25]	高晓星，潘慧.医患沟通实践如何应对新媒体下的医患关系新形势[J].基础医学与临床，2019，39(10):1522-1524. DOI：10.3969/j.issn.1001-6325.2019.10.031.
[26]	Salgado H，Castro-Vale I. Clinical communication skills training in dental medical education：The COVID-19 pandemic challenge[J]. Healthcare（Basel），2020，8(4):429. DOI：10.3390/healthcare8040429
[27]	高阳，赵沁平，周学东，等.虚拟现实技术在新医科人才培养中的作用及应用现状[J].四川大学学报（医学版），2021，52(2):182-187. DOI：10.12182/20210260301.
[28]	Liebermann A，Seefelder J，Nold E，et al. Virtual dental teaching and its effect on test success—A cross-over study[J]. J Dent Educ，2022，86(5):622-629. DOI：10.1002/jdd.12836.
[29]	Stepan K，Zeiger J，Hanchuk S，et al. Immersive virtual reality as a teaching tool for neuroanatomy[J]. Int Forum Allergy Rhinol，2017，7(10):1006-1013. DOI：10.1002/alr.21986.
[30]	Movchun V，Lushkov R，Pronkin N. Prediction of individual learning style in e-learning systems：Opportunities and limitations in dental education[J]. Educ Inf Technol，2021，26(3):2523-2537. DOI：10.1007/s10639-020-10372-4.

组别	年龄（岁， ± s）	性别[例（%）]		民族[例（%）]		平均绩点（ ± s）
组别	年龄（岁， ± s）	男	女	汉族	少数民族	平均绩点（ ± s）
常规教学组	23.0 ± 0.5	27（39.7）	41（60.3）	65（95.6）	3（4.4）	3.71 ± 0.38
医患互动体验教学组	22.8 ± 0.7	26（38.2）	42（61.8）	62（91.2）	6（8.8）	3.73 ± 0.12
t值	1.44	0.03		1.06		0.63
P值	0.15	1.00		0.49		0.06

组别	年龄（岁， ± s）	性别[例（%）]		民族[例（%）]		平均绩点（ ± s）
组别	年龄（岁， ± s）	男	女	汉族	少数民族	平均绩点（ ± s）
常规教学组	23.0 ± 0.5	27（39.7）	41（60.3）	65（95.6）	3（4.4）	3.71 ± 0.38
医患互动体验教学组	22.8 ± 0.7	26（38.2）	42（61.8）	62（91.2）	6（8.8）	3.73 ± 0.12
t值	1.44	0.03		1.06		0.63
P值	0.15	1.00		0.49		0.06

组别	学生数	理论考试成绩	技能实验成绩
常规教学组	68	44.1 ± 1.2	44.9 ± 0.9
医患互动体验教学组	68	44.8 ± 1.2	45.5 ± 1.6
t值		3.15	2.58
P值		0.002	0.01

组别	学生数	理论考试成绩	技能实验成绩
常规教学组	68	44.1 ± 1.2	44.9 ± 0.9
医患互动体验教学组	68	44.8 ± 1.2	45.5 ± 1.6
t值		3.15	2.58
P值		0.002	0.01

组别	学生数	准备	信息采集	信息给予	理解病人	结束问诊
常规教学组	68	2.9 ± 0.6	6.3 ± 0.8	2.7 ± 0.5	2.7 ± 0.5	1.9 ± 0.5
医患互动体验教学组	68	3.1 ± 0.5	6.7 ± 0.8	2.9 ± 0.6	2.9 ± 0.4	1.8 ± 0.4
t值		2.18	3.22	2.17	2.47	2.04
P值		0.03	0.002	0.03	0.01	0.04

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