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Journal of the Korean Academy of Family Medicine 1988;9(1):27-33.
Published online January 1, 1988.
시청각 기재를 이용한 면담기술 평가에 관한 연구
박은숙 김병성 이정권 허봉열
가톨릭의과대학부속 의정부 성모병원 가정의학과 서울대학교병원 가정의학과
Abstract
In training family physicians, skills in interviewing out-patients are very important.
An interview-skill training programme, which can help the doctor to reach a good diagnosis by properly grasping the patient's problems through interviews, maintain a good doctor-patient relationship, and provide opportunities to aquire the skills and attitide required in personalized care, is urgently necessary.
After an observation and evaluation of videorecordings by 11 residents of 22 new patients who visited the out-patient clinic, the department of family medicine, Seoul National University Hospital, during March-October 1986, authors present the following report concerning whether education through video-recordings can bring about the increase of interview skills expected. Our results are as follows:
1) Compared with before-feedback, the course in which video-recordings were used was found to have a significant feedback effect. (p<0.0005) In the case of 4 residents out of 11, the score was significantly increased.
2) In terms of evaluation items, the number of items which showed low scores before feedback was 8 : Avoidance of leading questions, support and reassurance for patients, confrontation, giving expectation before physical examination, explanation and summary after physical examination confirmation of patient's understanding and participation of patients in decision-making of treatment plan.
3) Significantly improved items after feedback were : facilitation, clarification, giving summary after physical examination, relatively improved items : avoidance of leading questions, support and reassurance for patients, giving expectation before physical examination.
4) Items which were not improved even after feedback were confrontation, confirmation of patient's understanding, participation of patients in decision-making.
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