关键词: 全科医生, 教育, 医学, 住院医师规范化培训, ISBAR模式, 人际沟通, 团队合作

Abstract: Background　One of the training objectives of the Standardized Residency Training is good communication and cooperation，so it is of great importance to improve the communication awareness and skills and teamwork ability of residents participating in the Standardized Residency Training.ISBAR communication training model has been proved that it could effectively improve the communication skills and teamwork ability of doctors in clinical settings，so it is theoretically feasible to apply this communication training model to the Standardized Residency Training.Objective　To explore the effect of ISBAR communication training model on the interpersonal communication skills and teamwork ability of general practitioners participating in the Standardized Residency Training.Methods　A total of 100 general practitioners who participated in the Standardized Residency Training in the First Affiliated Hospital of Xinxiang Medical University in September 2017 were randomly selected and divided into observation group（n=50） and control group（n=50） by simple random grouping method.General practitioners in the control group were trained by traditional clinical education model，whereas based on this model general practitioners in observation group were also trained by ISBAR communication training model.The Interpersonal Communication Ability Evaluation Scale and Teamwork Ability Evaluation Scale were used to assess general practitioners in the two groups before and after two weeks of training.The Attitudes towards Cooperation between Doctors and Nurses Scale and Attitudes towards Cooperation among Doctors Scale were used to assess general practitioners in the two groups before and after three and six months of training.The Interpersonal Communication Ability between Doctors and Nurses Questionnaire and Interpersonal Communication Ability among Doctors Questionnaire were used to survey the medical workers who cooperated with the general practitioners in two groups.Results　There were no statistical differences in the scores of interpersonal communication ability and teamwork ability between two groups before the training（P>0.05）.After two weeks of training，the scores of interpersonal communication ability and teamwork ability in both two groups were higher than those before the training（P<0.05），and the scores of interpersonal communication ability and teamwork ability in the observation group were higher than those in the control group（P<0.05）.There were significant differences in the scores of attitudes towards cooperation and communication ability between doctors and nurses（P<0.05）.The differences were statistically significant at different time points（P<0.05）.Groups and time had notable interaction effect on the scores of attitudes towards cooperation and communication ability between doctors and nurses（P<0.05）.There were significant differences in the scores of attitudes towards cooperation and communication ability among doctors（P<0.05）.The differences were statistically significant at different time points（P<0.05）.Groups and time had notable interaction effect on the scores of attitudes towards cooperation and communication ability among doctors（P<0.05）.Conclusion　Applying ISBAR communication training model during the Standardized Residency Training may significantly improve the interpersonal communication skills and teamwork ability of general practitioners.

Key words: General practitioners；Education, medical；Standardized residency training；ISBAR model；Interpersonal communication；Teamwork