Application and evaluation of scenario simulation combined with standardized patient in the training of doctor-patient communication skills among interns

Jin Nüwa; Chen Liang; Zhou Dong; Liu Tianjiao; Zhang Guanyou; Yang Shuhua; Zhan Hanxiang

doi:10.3760/cma.j.cn116021-20240620-01887

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Application and evaluation of scenario simulation combined with standardized patient in the training of doctor-patient communication skills among interns

Clinical Teaching | 更新时间：2025-10-29

- Application and evaluation of scenario simulation combined with standardized patient in the training of doctor-patient communication skills among interns
- Chinese Journal of Medical Education Research Vol. 24, Issue 10, Pages: 1379-1385(2025)
- 作者机构：
  
  1.山东大学齐鲁医院临床技能培训中心，济南 250012
  2.山东大学齐鲁医院急诊科，济南 250012
  3.山东大学齐鲁医院儿科，济南 250012
  4.山东大学齐鲁医院胰腺外科/临床技能培训中心，济南 250012
- 作者简介：
  
  Yang Shuhua, Email: qlyytc@163.com
- 基金信息：
  
  The Research Project on Medical Education for the Year 2023 Initiated by Medical Education Branch of Chinese Medical Association and National Center for Health Professions Education Development(2023B205);Teaching Reform Research Project of Undergraduate Colleges and Universities in Shandong Province (Education Department of Shandong Province)(M2023082);Comprehensive Education and Teaching Reform Project of Shandong University(2022Y300);Research Project on Teaching Reform of Qilu Medical Characteristics Undergraduate Education of Shandong University(qlyxjy-202304)
- DOI：10.3760/cma.j.cn116021-20240620-01887
  CLC： R-33
- Received：20 June 2024，
  
  Published：20 October 2025
- 稿件说明：
移动端阅览
金女娃, 陈良, 周冬, 等. 情景模拟联合标准化病人在实习医师医患沟通教学中的应用与评价[J]. 中华医学教育探索杂志, 2025, 24(10): 1379-1385.

Jin Nüwa, Chen Liang, Zhou Dong, et al. Application and evaluation of scenario simulation combined with standardized patient in the training of doctor-patient communication skills among interns[J]. Chinese journal of medical education research, 2025, 24(10): 1379-1385.
金女娃, 陈良, 周冬, 等. 情景模拟联合标准化病人在实习医师医患沟通教学中的应用与评价[J]. 中华医学教育探索杂志, 2025, 24(10): 1379-1385. DOI： 10.3760/cma.j.cn116021-20240620-01887.

Jin Nüwa, Chen Liang, Zhou Dong, et al. Application and evaluation of scenario simulation combined with standardized patient in the training of doctor-patient communication skills among interns[J]. Chinese journal of medical education research, 2025, 24(10): 1379-1385. DOI： 10.3760/cma.j.cn116021-20240620-01887.

摘要

目的

探究情景模拟联合标准化病人在实习医师医患沟通教学中的应用价值。

方法

使用随机数字表法选择山东大学齐鲁医院110名临床医学实习生，将其分为试验组（55人）和对照组（55人），对照组采用传统讲授模式教学，试验组采用情景

模拟联合标准化病人案例模式教学。采用《SEGUG沟通能力评价量表》《患者满意度调查表》评估两组沟通技能提升情况，《医师自我评价表》《课程满意度调查问卷》评估课程有效性及满意度。采用SPSS 26.0进行

检验、Mann-Whitney

检验和秩和检验。

结果

通过培训，两组实习医师在沟通能力、患者满意度方面均有明显提升[试验组沟通能力：（55.38±13.11） vs. （74.82±6.75），

0.001，对照组沟通能力：（56.53±12.34） vs. （65.45±10.18），

0.001；试验组患者满意度：39.00（39.00，42.00） vs. 81.00（79.00，83.00），

0.001；对照组患者满意度：39.00（39.00，42.00） vs. 73.00（68.00，77.00），

0.001

]

，且试验组两项得分均高于对照组[（74.82±6.75） vs. （65.45±10.18），

0.001；81.00（79.00，83.00） vs. 73.00（68.00，77.00），

0.001

]

。《医师自我评价表》中试验组较对照组提升明显（

0.05）。《课程满意度调查问卷》结果显示，对照组课程总体满意度仅为87.28%，而所有试验组实习医师均对课程满意（

0.001），新的教学方法表现出很大优势（

0.001）。

结论

情景模拟联合标准化病人案例教学法应用于实习医师医患沟通教学可显著提高实习医师专业知识运用、人文关怀与沟通能力，是行之有效的可推广的医患沟通教学新模式。

Abstract

Objective

To investigate the application value of scenario simulation combined with standardized patient teaching in the training of doctor-patient communication skills among interns.

Methods

A total of 110 clinical medicine interns were selected from Qilu Hospital of Shandong University and were divided into experimental group and control group using a random number table

with 55 interns in each group. The interns in the control group received traditional lecturing

and those in the experimental group received scenario simulation combined with standardized patient case-based teaching. The SEGUE Communication Skill Evaluation Scale and Patient Satisfaction Questionnaire were used to assess the improvement in communication skills in both groups

and Physician Self-Evaluation Scale and Course Satisfaction Questionnaire were used to assess the effectiveness of the course and the degree of satisfaction with the course. SPSS 26.0 was used for the

-test

the Mann-Whitney

test

and the rank sum test.

Results

After training

both groups showed significant improvements in communication skills and patient satisfaction [experimental group in terms of communication skills: (55.38±13.11) vs. (74.82±6.75)

0.001; experimental group in terms of patient satisfaction: 39.00 (39.00

42.00) vs. 81.00 (79.00

83.00)

0.01; control group in terms of communication skills: (56.53±12.34) vs. (65.45±10.18)

0.001; control group in terms of patient satisfaction: 39.00 (39.00

42.00) vs. 73.00 (68.00

77.00)

0.001

]

and the experimental group had significantly higher scores than the control group [communication skills: (74.82±6.75) vs. (65.45±10.18)

0.001; patient satisfaction: 81.00 (79.00

83.00) vs. 73.00 (68.00

77.00)

0.001

]

. The Physician Self-Evaluation Scale showed that the experimental group had a significant improvement compared with the control group (

0.05). The results of the Course Satisfaction Questionnaire showed that the degree of overall satisfaction of the course was only 87.28% in the control group

while all the interns in the experimental group were satisfied with the course (

0.001); the new teaching method showed great advantages (

0.001).

Conclusions

In the training of doctor-patient communication skills among interns

the application of scenario simulation combined with standardized patient case-based teaching can significantly improve their abilities of the application of knowledge application

humanistic concern

and communication skills

and therefore

it is an effective and promising method for the training of doctor-patient communication skills.

关键词

Keywords

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