臨床溝通演練作為醫學通識課程的檢討

林啟禎 黃崑巖*

國立成功大學醫學院骨科

*國立成功大學醫學院創院院長,現任職於國家衛生研究院

通訊作者 林啟禎教授

國立成功大學醫學院骨科學科, 台南市70428勝利路138號國立成功大學醫院骨科部; 電話: (06)276-6613; 傳真︰(06)276-6189; E-Mail帳號︰mark@mail.ncku.edu.tw

 摘 要

對人生與人性的關懷是一個醫病之間不可或缺的要素,而在醫學教育堙A「視病猶親」不應是理念與口號,更需要從心靈的體會與誠摯的領悟去落實。成大醫學院的全人教育理念是「作一個良醫之前要先成功作人」,教導醫師應該在袪病之外,更要醫心;為達此目地,將人文通識課程排在尚未開始接受任何醫學知識教育的一、二年級,以期突顯其不可或缺的重要性,並達到所謂零歲教育的效果。「臨床溝通演練」,只是一連串人文與通識課程中的其中一個,重點是讓醫學生提早體認溝通在醫病關係的重要性,並在心態與能力上都有所提升。藉著對其中一個年級的意見調查,只是對此課程與精神的檢討依據;所希望的是有相同理念的醫學教育工作者,能夠不斷分享經驗,互通有無,以期可以在台灣每個醫學院都達到理想全人醫學教育的境界。 

關鍵字︰臨床溝通,人文,醫學通識教育

 

The Evaluation of Drill in Clinical Communication as General Education in Medicine

Chii-Jeng Lin, M.D., Ph.D.; Kun-Yen Huang, M.D., Ph.D.*

Department of Orthopedic Surgery, School of Medicine, National Cheng Kung University, Tainan 704, Taiwan

* National Health Research Institute and Medical School of National Cheng Kung University

Abstract

Insight into the value of human life and concerns about human sufferings are the basic qualities of a physician required for the development of a sound doctor-patient relationship. Treating diseases without compassion is curing without healing. Empathy and understanding by the physician of the physical and mental distress of the patient are emphasized frequently enough in the medical education. Yet efforts are lacking to develop effective methods to ensure that the need of this sort of attitudes does not remain a mere curricular rhetoric but can be translated into students' deeds. It is of critical importance, therefore, that courses be developed to train and indoctrinate students so that these qualities could become integral part of their medical career. In order to achieve this goal, we believe the course should be given in the first or second year when student's professional views and behaviors are still at its formative stage. Drill in clinical communication is a product of such an attempt. The overall goal of the course is to prepare students to face patients with distress and sufferings and to equip them with the skill to effectively handle the situation to the benefit of the welfare of the patients. This report is an evaluation of such a course based on the analysis of questionnaire survey conducted among the second year medical students upon the conclusion of the course. We believe that these results will be of value to teachers who are designing similar courses to bring humanities to the practice of medicine.

Key words: clinical communication, humanity, general education in medicine

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Corresponding Author: Chii-Jeng Lin, M.D., Ph.D.; Department of Orthopedics, National Cheng Kung University Medical Center, 138 Sheng Li Road, Tainan 70428, Taiwan; Voice: 886-6-276-6689; Fax: 886-6-276-6189; Email: mark@mail.ncku.edu.tw

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Running title: Practicing Clinical Communication