In the medical process, the doctor-patient relationship is the most important concern of human beings, and the harmony of the doctor-patient relationship is related to the harmony and stability of the family and society. The following is a model essay on cultivating clinical medical students' communication ability under the new doctor-patient relationship.
At present, the doctor-patient relationship in China is undergoing drastic changes, and the contradiction between doctors and patients is getting worse. It is imperative to strengthen the cultivation of medical students' communication ability in colleges and universities. On the basis of analyzing the importance of cultivating medical students' communication ability, this paper analyzes the reasons for this situation, and then explores effective ways to cultivate medical students' communication ability from three stages: school period, internship period and career period.
Medical students; Doctor-patient relationship; Communication ability
With what? Biopsycho-social? With the transformation of medical model, the relationship between doctors and patients in China has gradually changed, the contradiction between doctors and patients has become increasingly prominent, medical disputes have emerged one after another, and the relationship between doctors and patients has become increasingly tense. In recent years, medical disputes are on the rise all over the country, and vicious medical injuries occur frequently. Improving medical students' communication ability is an effective way to enhance mutual trust between doctors and patients, alleviate contradictions between doctors and patients and reduce disputes between doctors and patients.
1 the importance of cultivating clinical medical students' communication skills
1. 1 The importance of doctor-patient communication
The lack of effective communication, equality, mutual trust and understanding between doctors and patients leads to the contradiction between doctors and patients. Relevant research shows that [1], medical students have the ability to communicate effectively with patients, which is the basic premise to help them accurately obtain the relevant information needed for disease diagnosis and establish mutual trust between doctors and patients. Doctors and patients are facing the enemy of disease, and only the cooperative relationship of mutual support and cooperation between doctors and patients can find out the truth of the disease faster and more effectively and make diagnosis and treatment measures. The lack of effective communication between doctors and patients not only hinders the diagnosis of diseases, but also causes the loss of trust and mutual understanding between doctors and patients, which leads to the gradual deterioration and escalation of the contradiction between doctors and patients.
1.2 The importance of interpersonal communication skills
The Fukuoka Declaration of the World Federation of Medical Education states:? All doctors must learn communication and interpersonal skills. Lack of compassion should be the same as lack of technology, which is a sign of incompetence. ? At present, medical colleges all over the world attach great importance to cultivating medical students' communication ability between doctors and patients. Most medical colleges in the United States offer relevant skills courses and pay attention to cultivating medical students' communication skills between doctors and patients. However, medical education in China's medical colleges has not gone out of the traditional mode of attaching importance to professional education, and medical humanities education is still marginalized. The cultivation of medical students' humanistic quality and doctor-patient communication ability has not been paid enough attention, resulting in the lack of professional beliefs, communication skills and humanistic care for medical students. The diagnosis of disease is not only aimed at? What's wrong with you? Need more attention? People? The occurrence of diseases is closely related to the living environment, personality characteristics, professional background and behavior habits of patients. If the reasons behind these diseases are not deeply understood, the accuracy of disease diagnosis will be hindered. In order to deeply understand the life and background of patients, we must use good and effective communication skills to effectively explore the deep-seated reasons behind the disease. This requires doctors to have good interpersonal communication skills, which can not only effectively guide patients to take the initiative to tell the reasons, but also alleviate the suspicions and worries of patients' families. In addition, the diagnosis of difficult diseases requires teamwork. For a clinician, it is very necessary to communicate, exchange and discuss effectively with colleagues, which requires strengthening the cultivation of medical students' good interpersonal communication skills.
2. The underlying causes of doctor-patient communication.
2. 1 Training of medical students
From the perspective of clinical ethics, in the process of clinical diagnosis and decision-making, doctors need to fully grasp patients' disease information, explore patients' worries, expectations, life background, family and economic factors, which puts forward higher requirements for cultivating medical students, and needs to strengthen the cultivation of medical students' communication skills, so that they can effectively guide patients to talk actively, so that patients can fully understand information interpretation skills and win the ability to interact with patients. At present, the training of medical students in schools mainly focuses on learning cultural courses, mostly on basic professional knowledge in books, which is not practical. They can't apply what they have learned in books to practice, which leads to students' weak communication ability and lack of flexible coping ability in the face of emergencies. Besides, why? Biopsycho-social? With the continuous development of medical model, patients' awareness of their own rights, fairness and humanistic care needs are constantly improving. For medical students who have just entered the clinic, how to actively face patients and effectively resolve contradictions is a realistic challenge that must be dealt with. The lack of social practical experience, the lack of communication skills between doctors and patients, and some medical technical problems of clinical medical students are all the reasons leading to the tension between doctors and patients today. Research shows that communication between medical students and patients is very common at present? Nervousness, lack of affinity, lack of confidence? And other issues [2]. Therefore, how to make clinical medical students apply what they have learned, combine theory with clinical practice, and cultivate good communication skills between doctors and patients has become an important issue for medical students. It is imperative to strengthen the cultivation of communication skills for medical students.
2.2 Popularization of advanced instruments
The popularization of advanced instruments has increasingly simplified the communication process. With the development of economy, society and medical science and technology, all kinds of advanced inspection equipment bring great convenience to the medical process and reduce the tedious labor intensity of doctors. However, these cold instruments not only bring convenience to doctors, but also reduce the real communication time between doctors and patients and dilute the psychological treatment of patients from a professional perspective. Most medical history information is obtained through direct communication between doctors and patients. ? Patient? For doctors, cure? What's wrong with you? Must pay attention to comprehensiveness? People? There are background factors and deep-seated reasons behind the disease, such as the patient's life, occupation, family and environment. It is not obvious that some patients have reservations about the unspeakable medical history and are unwilling to disclose it to medical staff. Through good communication, doctors can seriously listen to patients' demands, relieve patients' vigilance, understand patients' pain, establish mutual trust and guide patients to form a positive psychological state, which can get twice the result with half the effort for patients' diagnosis and treatment.
2.3 unreasonable allocation of medical resources
At present, due to the serious unreasonable allocation of medical resources in China, there are few small hospitals and many large hospitals, which leads to the inability of busy medical staff and patients to communicate effectively, resulting in distrust and incomprehension between doctors and patients, and the tense doctor-patient relationship cannot be alleviated. It can be seen that the relationship between doctors and patients is intensifying day by day, and disputes between doctors and patients are emerging one after another. There are many reasons for this. According to the analysis of doctor-patient disputes in China in recent years, 49% are caused by poor communication between doctors and patients [3]. This kind of big data shows that to rebuild a harmonious doctor-patient relationship and maintain a good doctor-patient order, we should start with effective communication between doctors and patients, rationally allocate medical resources, and improve the current situation of prominent contradictions between doctors and patients from the big environment.
3 Effective ways to cultivate medical students' communication skills
During school 3. 1
First of all, communication theory study permeates into professional courses. As medical students, it is very important to constantly improve their professional knowledge and technical ability. Only when their knowledge reserves are excellent can they have confidence in clinical work and increase patients' trust in doctors. However, medical education in China often ignores the cultivation of medical students' communication ability, which makes medical students lack the awareness and skills of doctor-patient communication. According to research, the class hours of humanities courses for medical majors in China account for about 8% of the total class hours [4]. Even if some courses are offered, they are not valued by teachers and students because of the backward teaching concept, outdated methods and lack of reasonable evaluation. Therefore, colleges and universities should arrange courses reasonably, reform teaching, strengthen teachers and improve evaluation, so as to make medical students pay attention to the theoretical study of the courses related to doctor-patient communication. Medical colleges and universities should strengthen the education of medical students at all levels, and strive to strengthen the cultivation of medical students' awareness and ability in building a harmonious doctor-patient relationship. Secondly, doctor-patient role-playing permeates theoretical study. In the early learning process of doctor-patient communication theory, students lack practical opportunities and have limited contact with patients. Therefore, in the process of theoretical study, students can simulate the doctor-patient communication process through role-playing between doctors and patients, so as to further understand the doctor-patient relationship. It is very necessary for medical humanities teachers to participate in teaching organization. In addition, clinical backbone teachers, department directors and experts should be invited to participate in teaching, provide real clinical cases, and apply theoretical knowledge to the scene by reproducing the scene in teaching or inviting patients or standardized patients to participate in practical teaching activities. Through simulation exercises, students can not only apply the theoretical knowledge they have learned to practice in time, but also improve the communication ability between doctors and patients, put themselves in the patient's shoes and master the communication skills between doctors and patients.
3.2 During the internship
In the internship stage, medical students should be guided to enhance the awareness of doctor-patient communication, actively improve the communication ability between doctors and patients, and make full preparations for the smooth transition to clinicians. You can carry out more social practice activities in the hospital as a volunteer in winter and summer vacation, get in touch with patients as early as possible and feel the tense working environment in the hospital. You can also join the medical guidance team, increase the contact opportunities with patients, and truly understand the needs of patients through communication with patients. Medical students should realize that as doctors, besides treating patients' diseases, they also need to give patients psychological comfort and care. Medical students should always remember Trudeau's famous saying: Sometimes it is to cure, often to help, and always to comfort? .
3.3 Career
The cultivation of medical students not only requires medical students to have high-level diagnosis and treatment technology, but also requires medical students to have noble professional ethics and full humanistic feelings, and use superb communication skills to gain patients' full understanding and trust, thus reducing the emergence and intensification of contradictions between doctors and patients. Professor Zhong Nanshan once said: Doctors in China today are not poor in skills, but poor in medical ethics and poor in consciousness of serving patients? . Therefore, good doctor-patient relationship should start with doctor-patient communication, and good doctor-patient communication should start with humanistic care for patients. Only when doctors have rich humanistic knowledge, fully consider the social and psychological needs of patients and put themselves in the patient's shoes can they make the most appropriate diagnosis and treatment decisions [5]. Medical students will be questioned and distrusted by patients and their families because of their young appearance, inadaptability to the application of clinical professional knowledge and poor mastery of professional skills such as physical examination. Patients will reject young doctors who have just entered the profession, and even ignore their inquiries, which has seriously hit the enthusiasm and confidence of medical students in clinical practice. Medical students should adapt to the requirements of society as soon as possible, enter the role of clinicians as soon as possible, think from the perspective of patients, master the skills of doctor-patient communication, communicate with patients patiently, obtain necessary medical history information and win the trust of patients. At work, we should pay attention to the improvement of comprehensive abilities such as language expression ability, communication ability and critical thinking ability, strengthen service consciousness, be full of humanistic care, be good at listening, answer questions patiently, enjoy information, actively respond to patients' feelings, and strive to build an equal, humanized, mutual respect, mutual trust and mutual understanding communication platform with patients to enhance professional ability and professional self-confidence. At work, pay attention to business training, strengthen professional training of communication skills, and combine daily clinical practice experience to achieve mastery through a comprehensive study and gradually improve communication skills.
4 conclusion
To sum up, in the medical process, the doctor-patient relationship is the most important humanistic concern, and the harmony of the doctor-patient relationship is related to the harmony and stability of the family and society. It is very important to solve the contradiction between doctors and patients, reduce the disputes between doctors and patients and strengthen the cultivation of medical students' communication ability. Medical colleges and universities should attach importance to the integration of courses related to doctor-patient communication, enrich teaching methods, cultivate professional skills and improve medical students' doctor-patient communication ability. Medical students should improve their moral cultivation while consolidating their professional knowledge, and achieve a better doctor-patient relationship with better humanistic care.
refer to
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[3] Wang Xinping. Teaching should permeate the cultivation of medical students' communication ability between doctors and patients [J]. Medicine and health, 20 15 (1): 3.
[4] Li Kaijun, Cui Rongjun, Hu Jiangping. Problems and Countermeasures of Medical Humanities Education in the New Situation [J]. Medicine and Society, 2013,26 (3): 89-90,94.
Qiang Wei, Jian Hongjiang, Jiang, et al. Doctor-patient relationship under the characteristics of contemporary medical technology [J]. Medicine and Philosophy, 2015,36 (3a): 51-53.
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