BACKGROUND Effective communication is at the heart of good medical practice but rates of error, patient complaints, and poor clinician job satisfaction are suggestive of room for improvement in this component of medical practice and education. METHODS We conducted semi-structured interviews with experienced clinicians (n = 19) and medical students (n = 20) to explore their experiences associated with teaching and learning clinical communication skills and identify targets for improvements to addressing these skills in medical curricula. RESULTS Interviews were thematically analysed and four key themes emerged; the importance of experience, the value of role-models, the structure of a consultation, and confidence. CONCLUSIONS The findings reinforce the need for improvement in teaching and learning communication skills in medicine, with particular opportunity to target approaches to teaching foundational skills which can establish a strong grounding before moving into more complex situations, thus preparing students for the flexibility required in medical interviewing. A second area of opportunity and need is in the engagement and training of clinicians as mentors and teachers, with the findings from both groups indicating that preparation for teaching and feedback is lacking. Medical programs can improve their teaching of communication skills and could learn from other fields s to identify applicable innovative approaches.

中文翻译：

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评估医学生在患者信息收集方面的培训需求。


背景技术有效的沟通是良好医疗实践的核心，但错误率、患者投诉和临床医生工作满意度差表明医疗实践和教育的这一组成部分还有改进的空间。方法 我们对经验丰富的临床医生 (n = 19) 和医学生 (n = 20) 进行了半结构化访谈，探讨他们与教学和学习临床沟通技能相关的经验，并确定在医学课程中解决这些技能的改进目标。结果 对访谈进行了主题分析，出现了四个关键主题；经验的重要性、榜样的价值、咨询的结构和信心。结论 研究结果强调了改进医学教学沟通技巧的必要性，特别是有机会针对基础技能的教学方法，这些方法可以在进入更复杂的情况之前奠定坚实的基础，从而为学生适应医学访谈所需的灵活性做好准备。第二个机会和需求领域是临床医生作为导师和教师的参与和培训，两组的调查结果都表明缺乏教学和反馈的准备。医学项目可以提高沟通技巧的教学，并可以向其他领域学习以确定适用的创新方法。