Development of a self-assessment tool for resident doctors’ communication skills in India
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PurposeEffective communication skills are essential for resident doctors to provide optimum patient care. This study was conducted to develop and validate a questionnaire for the self-assessment of resident doctors’ communication skills in India. MethodsThis was a mixed-methods study conducted in 2 phases. The first phase consisted of questionnaire development, including the identification of relevant literature, focus group discussions with residents and experts from clinical specialties, and pre-testing of the questionnaire. The second phase involved administering the questionnaire survey to 95 residents from the Departments of Medicine, Emergency Medicine, Pediatrics, and Surgery at the All India Institute of Medical Sciences, New Delhi, India in April 2019. Internal consistency was tested and the factor structure was analyzed to test construct validity. ResultsThe questionnaire consisted of 3 sections: (A) 4 items on doctor-patient conflicts and the role of communication skills in avoiding these conflicts, (B) 29 items on self-assessment of communication skills in different settings, and (C) 8 items on barriers to practicing good communication skills. Sections B and C had good internal consistency (Cronbach α: 0.885 and 0.771, respectively). Section C had a 2-factor solution, and the barriers were classified as ‘training’ and ‘infrastructure’ factors. ConclusionThis appears to be a valid assessment tool of resident doctors’ communication skills, with potential utility for identifying gaps in communication skills and developing communication skills modules.
Abstract
PurposeEffective communication skills are essential for resident doctors to provide optimum patient care. This study was conducted to develop and validate a questionnaire for the self-assessment of resident doctors’ communication skills in India. MethodsThis was a mixed-methods study conducted in 2 phases. The first phase consisted of questionnaire development, including the identification of relevant literature, focus group discussions with residents and experts from clinical specialties, and pre-testing of the questionnaire. The second phase involved administering the questionnaire survey to 95 residents from the Departments of Medicine, Emergency Medicine, Pediatrics, and Surgery at the All India Institute of Medical Sciences, New Delhi, India in April 2019. Internal consistency was tested and the factor structure was analyzed to test construct validity. ResultsThe questionnaire consisted of 3 sections: (A) 4 items on doctor-patient conflicts and the role of communication skills in avoiding these conflicts, (B) 29 items on self-assessment of communication skills in different settings, and (C) 8 items on barriers to practicing good communication skills. Sections B and C had good internal consistency (Cronbach α: 0.885 and 0.771, respectively). Section C had a 2-factor solution, and the barriers were classified as ‘training’ and ‘infrastructure’ factors. ConclusionThis appears to be a valid assessment tool of resident doctors’ communication skills, with potential utility for identifying gaps in communication skills and developing communication skills modules.
참고문헌 (12)
- Ranjan P, "How can doctors improve their communication skills?", J Clin Diagn Res, 9, pp.JE01~JE04 (2015)[DOI]
- Kanjaksha Ghosh, "Violence against doctors: A wake-up call", Indian Journal of Medical Research, 148(2), pp.130~133 (2018), Medknow[DOI]
- Paurush Ambesh, "Violence against doctors in the Indian subcontinent: A rising bane", Indian Heart Journal, 68(5), pp.749~750 (2016), Elsevier BV[DOI]
- Nagpal N, "Incidents of violence against doctors in India: can these be prevented?", Natl Med J India, 30, pp.97~100 (2017)
- Guillermo Ferreira-Padilla, "Communication skills in medicine: where do we come from and where are we going?", Croatian Medical Journal, 56(3), pp.311~314 (2015), Croatian Medical Journals[DOI]
- Jayasri Mitra, "Attitude and communication module in medical curriculum: Rationality and challenges", Indian Journal of Public Health, 60(2), pp.95~98 (2016), Medknow[DOI]
- Arora C, "Development and validation of health education tools and evaluation questionnaires for improving patient care in lifestyle related diseases", J Clin Diagn Res, 11, pp.JE06~JE09 (2017)[DOI]
- SravanKumar Dubasi, "Questionnaire to assess adherence to diet and exercise advices for weight management in lifestyle-related diseases", Journal of Family Medicine and Primary Care, 8(2), pp.689~694 (2019), Medknow[DOI]
- SR Reethesh, "Development and validation of a questionnaire assessing knowledge, attitude, and practices about obesity among obese individuals", Indian Journal of Endocrinology and Metabolism, 23(1), pp.102~110 (2019), Medknow[DOI]
- Judy M. van Es, "Two-dimensional structure of the MAAS-Global rating list for consultation skills of doctors", Medical Teacher, 34(12), pp.e794~e799 (2012), Informa UK Limited[DOI]
- John H. Porcerelli, "Resident Ratings of Communication Skills Using the Kalamazoo Adapted Checklist", Journal of Graduate Medical Education, 7(3), pp.458~461 (2015), Journal of Graduate Medical Education[DOI]
- Stephen D. Brown, "Development of a Standardized Kalamazoo Communication Skills Assessment Tool for Radiologists: Validation, Multisource Reliability, and Lessons Learned", American Journal of Roentgenology, 209(2), pp.351~357 (2017), American Roentgen Ray Society[DOI]
