出版社：Association for Medical Education in Europe (AMEE)
摘要：IntroductionTeaching consultation skills requires a structured description of consultations. The objective of this is to describe how consultation topics may be classified and ordered logically.MethodsAll our last semester medical students make video recordings of their consultations with real patients. The feedback method is systematically developed into a grading system that takes into account both structure and content.This includes the relevance of the topics handled, the extent to which they cover all aspects of the clinical problems of the patient, whether the goal of each step is reached, and the extent to which the topics are handled in the logical order.ResultsThe consultation may be described in nine steps. The order of steps is based on the logic of clinical reasoning. Each topic can only be placed on one step. The steps and logic is shown in Table 1. Figure 1 shows the relationship between the theoretical logic and the actual chronological order of events in the consultation (Table 1, Figure 1).Conclusion and Practice ImplicationsThe analysis is straightforward and may be used when teaching. The system is being developed further for pre- and post-graduate use in research and quality development.
关键词：communication skills; medical education research; primary care; undergraduate
