依據台灣現況發展醫學生跨文化溝通技巧課程與評量

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Title:	依據台灣現況發展醫學生跨文化溝通技巧課程與評量 Developing Medical Students' Cross-Cultural Interpersonal Communication Skills---Curriculum Design and Evaluation
Authors:	廖世傑
Contributors:	中國醫藥大學醫學系
Keywords:	跨文化溝通;醫病關係;質性研究;臨床技能測驗;人際溝通
Date:	2010-07
Issue Date:	2010-06-29 14:27:05 (UTC+8)
Abstract:	背景無法明白對方文化，得悉對方價值與觀感，是無法進行同理心溝通，更曠言良好溝通。台灣在與外婚姻逐漸增加之際，多元社會已逐成形。為確保良好醫病溝通，培養醫學生了解與尊重多元文化差異，提昇多元文化溝通技巧，是醫學教育刻不容緩之目標。目的本研究之目的在於依據台灣既有環境，探討在醫病關係中跨文化人際與溝通技巧之影響因素，用以訂定醫學生應具有之跨文化溝通能力技巧和標準。並依此結合教學理論，發展符合台灣文化之多元文化溝通技巧課程與進行評量。方法依據研究目的，研究方法主要為：第一年主要以讀書會、質性研究、公聽會與德懷術彙整民眾與專家對多元文化中醫病關係之認知，作為撰寫醫學生應具有之跨文化溝通能力技巧和標準與舉辦說明會依據；第二年，將依據第一年成果，結合「跨文化了解與溝通的ABCs 模式」教學法和OSCE 教學與評量執行課程發展，並以OSCE 作為學生學習成效評量。成效引導醫學生覺察與重視病患之多元文化差異，並具足夠能力進行適切跨文化溝通，是本研究之主要研究價值。對於醫學教育提昇，本研究預期成效有三：(1) 建立醫學生應具有之跨文化溝通能力技巧和標準、(2)發展適合台灣環境之跨文化溝通課程與(3)增進醫學教育工作者熟悉OSCE 在教學與評量應用。 Background If a physician does not understand the cultures, values, or perspectives that a patient brings, s/he is not able to communicate with or treat the patient empathetically. Due to population mobility and rapid social changes, Taiwanese society is becoming more multi-cultural than ever. It is of utmost importance for medical students to learn to respect cultural differences and develop their cross-cultural interpersonal communication skills in order to ensure good physician-patient relations. Purpose The research aims to first explore factors that influence the physician’s cross-cultural interpersonal communication skills based on a socio-cultural study on the Taiwanese society and then develop criteria for evaluating medical students’ cross-cultural interpersonal communication skills. The research also aims to develop and evaluate cross-cultural interpersonal communication skill medical education curriculum that meets the needs of our society. Method In the first year, study groups, interviews, forums, and Delphi studies are the research methods chosen to identify cross-cultural interpersonal communication skills that medical students need to possess. In the second year, cross-cultural interpersonal communications ABCs teaching method and OSCE are used to develop medical students’ cross-cultural interpersonal communication skills and OSCE is used to evaluate the teaching effect. Expected Outcome This research is significant because it helps medical students to be aware and appreciate the multicultural diversity among their patients and develop a competence to achieve cross-cultural interpersonal communications. The research expects to (1) establish criteria for evaluating medical students’ cross-cultural interpersonal communication skills, (2) develop a cross-cultural medical education curriculum that meets the needs of the Taiwanese society, and (3) help healthcare practitioners to become familiar with the application of OSCE in medical education and evaluation.
Appears in Collections:	[School of Medicine] Research reports

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