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Post-graduate education for medical specialists focused on patients with medically unexplained physical symptoms; development of a communication skills training programme

机译：针对医学专家的研究生教育的重点是具有无法解释的身体症状的患者;制定沟通技巧培训计划

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Objective: Stepwise description of the development of a post-graduate communication skills training programme for medical specialists focused on patients with medically unexplained physical symptoms (MUPS) to improve specialist interaction with MUPS patients. Methods: Using the 'intervention mapping approach' we accomplished a needs assessment (literature study and pilot) to formulate intervention objectives and identify methods and techniques for a MUPS-focused communication skills training programme for medical specialists. Results: A 14-h training programme which consists of experiential learning, role-play and feedback. Using skills from Cognitive Behavioural Therapy, medical specialists are stimulated to explore interrelating factors that reinforce symptoms, to reassure patients effectively and to provide plausible and understandable explanations for MUPS. Dealing with complex referrals and informing GPs properly are also practiced. Conclusion: By applying the 'intervention mapping approach' we were able to create a feasible and promising intervention to improve specialist interaction with MUPS patients. Intervention effects are currently being assessed in a randomized controlled trial. Practice implications: If the RCT demonstrates sufficient effectiveness and efficiency of the MUPS focused communication skills training programme for medical specialists the intervention could be embedded in post-graduate education of medical specialists and residents.
机译：目的：分阶段描述针对医学专家的研究生沟通技能培训计划的开发，该课程重点关注具有医学上无法解释的身体症状（MUPS）的患者，以改善与MUPS患者的专家互动。方法：使用“干预图谱方法”，我们完成了需求评估（文献研究和试点），以制定干预目标并确定针对MUPS的医学专家交流技能培训计划的方法和技术。结果：为时14小时的培训计划包括经验学习，角色扮演和反馈。运用认知行为疗法的技能，可以激发医学专家探索强化症状的相关因素，有效地使患者放心并为MUPS提供合理且可理解的解释。还可以处理复杂的转介并正确告知GP。结论：通过采用“干预图谱方法”，我们能够创建可行且有希望的干预措施，以改善与MUPS患者的专家互动。目前正在一项随机对照试验中评估干预效果。实践意义：如果RCT证明针对医学专家的MUPS交流技巧培训计划具有足够的有效性和效率，则干预措施可以嵌入医学专家和住院医师的研究生教育中。

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