การอบรมเชิงปฏิบัติการเรื่องสุนทรียสนทนาช่วยพัฒนาความเข้าใจผู้อื่นในแพทย์ประจำบ้าน

Abstract

Introduction:Dialogue is a free flow communication technique that helps the stream of meaning to flow among people. It makes shared meaning or new understanding to hold people or society together. Four principles of dialogue are 1) deep listening, 2) respect, 3) suspending judgments, and 4) voicing. The dialogue workshop is a fundamental practice in transformative learning and contemplative education. Objective: This study aimed to analyze the content of written reflections of participants after attending the dialogue workshop. Methods: In academic year 2018, Phramongkutklao Hospital arranged a dialogue workshop for first-year medical residents in the theme of communication skills. Voluntary participants were 49 first-year medical residents of Phramongkutklao Hospital. The 2.5-hour dialogue workshop included orientation, icebreaking, learning zone, the practice of dialogue both in pairs and in groups, and written reflections. Expert facilitators enhanced mindfulness practice throughout the workshop. The four reflection topics are: 1) what I have learned from the workshop, 2) outstanding feelings and reasons, 3) perspective shift or transformation and 4) applications. Then two researchers independently analyzed reflection contents before making discussion and conclusion together. Results: Firstly, participants learned the dialogue technique and its benefits in understanding others and themselves. Secondly, the obvious feelings during the workshop were understanding of others and themselves, and lessening ego and peace. Thirdly, the changes that occurred were better awareness of listening, and improvement of perspectives on others and themselves. Lastly, participants can apply the dialogue with patients, patients’ relatives, coworkers, and people they felt close to. Conclusion: The dialogue workshop helped to improve residents’ understanding of others and themselves, and transformed perspectives in a positive direction. This study benefitted the medical residency program of Phramongkutklao Hospital. Also, it provided scientific data for medical education and suggested the possibility to apply a dialogue workshop to cultivate medical learners in well-rounded aspects.