“理论-模拟-实践”教学模式对医学本科生医患沟通能力的影响

Objective To explore the influence of the “theory-simulation-practice” three-dimensional integrated teaching mode on the doctor-patient communication ability of medical undergraduates, and to examine the mediating role of communication self-efficacy. Methods Sixty undergraduate clinical medicine students who were rotated in the Department of Obstetrics and Gynecology of the Fifth Clinical College Affiliated to Guangzhou Medical University from March 2024 to January 2025 were selected and divided into the conventional teaching group and the threedimensional teaching group by random number table method, with 30 students in each group. The conventional teaching group adopted conventional teaching, while the three-dimensional teaching group implemented a threedimensional integrated teaching model of “theory-simulation-practice”. After 6 weeks of training, the SEGUE scale, the Doctor-Patient Communication Self-Efficacy Scale and the patient satisfaction questionnaire were used for evaluation. Results The scores of SEGUE, communication self-efficacy and patient satisfaction in the threedimensional teaching group were significantly higher than those in the conventional teaching group(P<0.001). The mediating effect analysis shows that in addition to directly improving communication skills, the new teaching model also has a significant indirect effect through communication self-efficacy(a×b=1.968, P<0.001), and the indirect effect accounts for 28.11% of the total effect. Conclusion The “theory-simulation-practice” teaching mode can effectively enhance the doctor-patient communication ability and patient satisfaction of medical undergraduates by improving the psychological mechanism of communication self-efficacy.