Evaluation of a New Curriculum to Improve Physician-Patient Communication and Emotional Resilience for Sixth-Year Medical Students

10.6145/jme.201806.0009

Shih-Cheng Liao；Ming-Been Lee

patient education ； problem-based learning ； resilience

Journal of Medical Education

22卷2期（2018 / 06 / 01）

75 - 81

英文

Objective: This study aimed to provide a new integrative curriculum in medical education. First, we applied ＂problem-based learning＂ to the doctor-patient communication courses, to promote the student's ability to cope with difficult patients. Second, the new curriculum was developed to inspire lifelong learning of methods of communicating with difficult patients. Finally, the curriculum was designed to help increase emotional resilience for professional life. Methods: The newly developed course involves a total of 3 hours, with 1 hour per week. The program integrates the concepts of ＂difficult patient,＂ ＂doctor-patient relationship,＂ ＂medical dispute,＂ and ＂emotional resilience＂ into the original psychiatric curriculum. The student participants used the interactive voting system to answer questions about the degree of understanding of difficult patients and emotional resilience before and after class. The Objective Structured Clinical Examination (OSCE) was applied to assess the effectiveness of the course. Results: Our study results demonstrated that the program offers a promising way to integrate prevention of medical disputes, management of difficult patients, and improvement of emotional resilience into an integrative course for medical students. The students gained significant progress in knowledge, attitude, and skill in all three fields. Conclusion: This newly developed integrative curriculum was designed to improve the education of medical humanities, to enhance the communication efficiency of the disease, to promote emotional recovery, to strengthen the sensitivity and ability to deal with difficult cases, and to transform physician-patient conflicts into the whole ＂medical dispute＂ development process, which can change risk factors.

1. Liu, T-C,Chen, C-S,Chen, C-S(2004).Medical Specialty Choice under National Health Insurance.J Healthc Manag,5,473-94.
   連結：
2. An, PG,Manwell, LB,Williams, ES(2013).Does a higher frequency of diffi cult patient encounters lead to lower quality care?.J Fam Pract,62,24-9.
3. Burns, BJ,Scott, JE,Burke, JD(1983).Mental health training of primary care residents: a review of recent literature (1974-1981).Gen Hosp Psychiatry,5,157-69.
4. Engel, GL(1980).The clinical application of the biopsychosocial model.Am J Psychiatry,137,535-44.
5. Engel, GL(1997).From biomedical to biopsychosocial. Being scientific in the human domain.Psychosomatics,38,521-8.
6. Klein, LE(1988).Compliance and blood pressure control.Hypertension,11,Ii61-64.
7. Lee, M、Hu, P、Liao, S(2014)。Assessment of Job Stress Risk Factors of Physicians in Taiwan。Taipei:Institute of Labor, Occupational Safety And Health。
8. Liao, S-C,Lee, M-B,Lee, Y-J(2000).Efficacy of a Physician-patient Communication Training Program for Residents in a Medical Center.Journal of Medical Education,4,294-306.
9. Liao, S-C,Lee, M-B,Lee, Y-J(1999).Psychosocial Dimensions of Medical Disputes.Journal of Medical Education,3,267-78.
10. Newton, DA,Grayson, MS,Thompson, LF(2005).The variable influence of lifestyle and income on medical students' career specialty choices: data from two U.S. medical schools, 1998-2004.Acad Med,80,809-14.
11. Panagioti, M,Panagopoulou, E,Bower, P(2016).Controlled interventions to reduce burnout in physicians: A systematic review and meta-analysis.JAMA Intern Med
12. Sakala, EP(1993).Medical students' concerns about malpractice liability as a negative factor in specialty choice.Acad Med,68,702-3.
13. Shanafelt, TD,Boone, S,Tan, L(2012).Burnout and satisfaction with work-life balance among US physicians relative to the general us population.Arch Intern Med,172,1377-85.
14. Wu, C-Y,Lai, H-J,Chen, R-C(2009).Status of Medicolegal Problems in Taiwan.Formosan Journal of Medicine,13,1-8.

1. Shih-Cheng Liao,Ming-Been Lee(2022)。The Evaluation of an Integrative Curriculum for Physician-patient Relationship and Emotional Resilience: from Medical College to Post-graduate Year。醫學教育，26(3)，149-159。
2. (2024)。困難醫病溝通下醫療人員需具備的技巧：實習醫學生與專家的觀點比較。台灣家庭醫學雜誌，34(2)，84-93。