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

摘要： 背景　沟通合作是住院医师规范化培训（规培）的培训目标之一，提高全科规培住院医师的沟通意识、技巧及团队合作能力具有重要意义。ISBAR沟通训练模式能够有效提高医师的临床沟通能力和团队合作能力，将其应用于规培具有可行性。目的　探讨ISBAR沟通训练对全科规培住院医师的人际沟通与团队合作能力的影响。方法　选取于2017年9月开始于新乡医学院第一附属医院参加规培的全科学员100例，采用简单随机分组法将其分为对照组和观察组，每组50例。对照组学员采用传统临床带教方法，不进行任何沟通方式的培训；观察组学员在常规带教的基础上，进行ISBAR沟通训练。分别于培训前和培训2周后，采用“规培住院医师人际沟通能力评价量表”“规培住院医师合作能力评价量表”对两组学员进行调查；分别于培训前及培训3、6个月后，采用“医护合作态度量表”“医医合作态度量表”对两组学员进行调查，采用“医医沟通能力调查表”“医护沟通能力调查表”对两组学员的合作人员进行调查。结果　培训前，两组学员人际沟通能力、合作能力得分无统计学差异（P>0.05）；培训2周后，两组学员人际沟通能力、合作能力得分均高于培训前（P<0.05），且观察组学员人际沟通能力、合作能力得分高于对照组（P<0.05）。培训前后两组学员医护合作态度、医护沟通能力得分比较，差异有统计学意义（P<0.05）；不同时间点比较，差异有统计学意义（P<0.05）；组别和时间在医护合作态度、医护沟通能力得分上存在交互作用（P<0.05）。培训前后两组学员医医合作态度、医医沟通能力得分比较，差异有统计学意义（P<0.05）；不同时间点比较，差异有统计学意义（P<0.05）；组别和时间在医医合作态度、医医沟通能力得分上存在交互作用（P<0.05）。结论　在规培阶段对学员进行ISBAR沟通训练，可以明显提高学员的人际沟通能力和团队合作能力。

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