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首页> 外文期刊>BMC Medical Education >Teaching plain language to medical students: improving communication with disadvantaged patients
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Teaching plain language to medical students: improving communication with disadvantaged patients

机译：向医学生教学语言：改善与弱势患者的沟通

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Low health literacy underpins health inequality and leads to poor adherence to medical care and higher risk of adverse events and rehospitalization. Communication in plain language, therefore, is an essential skill for health professionals to acquire. Most medical education communication skill programs focus on verbal communication, while written communication training is scarce. ETGAR is a student delivered service for vulnerable patients after hospital discharge in which, amongst other duties, students ‘translate’ the medical discharge letters into plain language and share them with patients at a home visit. This study ascertains how this plain language training impacted on students’ written communication skills using a tool designed for purpose. Students, in pairs, wrote three plain language discharge letters over the course of a year for patients whom they encountered in hospital. The students handed over and shared the letters with the patients during a post-discharge home visit. Structured feedback from course instructors was given for each letter. An assessment tool was developed to evaluate students’ ability to tell the hospitalization narrative using plain and clear language. First and last letters were blindly evaluated for the entire cohort (74 letters; 87 students). Students scored higher in all assessment categories in the third letters, with significant improvement in overall score 3.5?±?0.8 vs 4.1?±?0.6 Z?=?-3.43, p?=?0.001. The assessment tool’s reliability was high α?=?0.797, it successfully differentiated between plain language categories, and its score was not affected by letter length or patient’s medical condition. Plain language discharge letters written for real patients in the context of experience-based learning improved in quality, providing students with skills to work effectively in an environment where poor health literacy is prevalent. ETGAR may serve as a model for learning written communication skills during clinical years, using the assessment tool for formative or summative evaluation.
机译：低健康素养支持健康不平等，并导致对医疗保健的依赖性和更高的不良事件风险和再次生长风险。因此，以简单的语言通信是卫生专业人员获得的重要技能。大多数医学教育沟通技能计划专注于口头沟通，而书面沟通培训则稀缺。 Etgar是一名学生在医院出院后为脆弱患者提供服务，其中包括其他职责，学生将医疗放电写成简单的语言，并与家庭访问的患者分享。本研究确定了使用专为目的设计的工具对学生书面沟通技能产生影响的普通语言培训。成对的学生在遇到医院遇到的患者的一年内写了三个简单的语言放电信件。在出院后的房屋访问期间，学生们交出并与患者分享了信件。每个字母给出了课程教练的结构化反馈。开发了评估工具，以评估学生使用简单和清晰的语言告诉住院治疗叙事的能力。盲目地评估整个队列（74个字母; 87名学生）盲目地评估了第一封信。学生在第三个字母中的所有评估类别中得分更高，总分评分的显着改善3.5？±0.8 Vs 4.1？±0.6 z？=？ - 3.43，P？= 0.001。评估工具的可靠性高α？=？0.797，它成功地区分了普通语言类别，其得分不受信件长度或患者的医疗状况的影响。在基于经验的学习的背景下为真正的患者写的简单语言放电信件质量提高，为学生提供技能，在良好的健康素养普遍存在的环境中有效地工作。 etgar可以作为在临床年期间学习书面沟通技巧的模型，使用评估工具进行形成性或总结评估。

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