The Effect of Videotaping Students’ Interviews with Patients for Interview Skill Education
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Background: The importance of communication between patients and physicians has been proven in many previous studies. The authors analyzed the effect of interview skill education through videotapes which recorded students’interviews with real patients in the outpatient department of family medicine. Methods: This study was conducted with all students who chose the elective course of family medicine and one randomly selected student every week from an ‘infectious internal medicine’ class at Dongguk University Ilsan Hospital during the period from December 2008 to March 2011. All students performed a preliminary examination of a new patient at the outpatient department of family medicine. All consultations were videotaped. Feedback to the student was given on the same day by viewing the videotape together. After feedback, all students performed another preliminary examination of one new patient at the department of family medicine the same week. Three family medicine residents scored all videotapes using 10-item interview skill checklists. Many parts of the checklists were modified using the Arizona Clinical Interview Rating Scales. Results: Thirty-three students participated. Of 10 items, nine showed increased scores after feedback. There was a significant change in four items after feedback: ‘type of question’ (before 2.36 ± 0.60, after 2.73 ± 0.72), ‘timeline’ (before 2.82 ± 0.68, after 3.18 ± 0.73), ‘positive verbal reinforcement’ (before 2.24 ± 0.56, after 2.61 ± 0.90), and the total score (before 21.70 ± 2.62, after 23.39 ± 3.13) (P < 0.05). Conclusion: Giving feedback to medical school students on medical interview skills using videotapes of students’preliminary consultations with real patients in outpatient settings, was effective in improving the interview areas of ‘type of question,’ ‘timeline,’ ‘positive verbal reinforcement,’ and the total interview scores.
Abstract
Background: The importance of communication between patients and physicians has been proven in many previous studies. The authors analyzed the effect of interview skill education through videotapes which recorded students’interviews with real patients in the outpatient department of family medicine. Methods: This study was conducted with all students who chose the elective course of family medicine and one randomly selected student every week from an ‘infectious internal medicine’ class at Dongguk University Ilsan Hospital during the period from December 2008 to March 2011. All students performed a preliminary examination of a new patient at the outpatient department of family medicine. All consultations were videotaped. Feedback to the student was given on the same day by viewing the videotape together. After feedback, all students performed another preliminary examination of one new patient at the department of family medicine the same week. Three family medicine residents scored all videotapes using 10-item interview skill checklists. Many parts of the checklists were modified using the Arizona Clinical Interview Rating Scales. Results: Thirty-three students participated. Of 10 items, nine showed increased scores after feedback. There was a significant change in four items after feedback: ‘type of question’ (before 2.36 ± 0.60, after 2.73 ± 0.72), ‘timeline’ (before 2.82 ± 0.68, after 3.18 ± 0.73), ‘positive verbal reinforcement’ (before 2.24 ± 0.56, after 2.61 ± 0.90), and the total score (before 21.70 ± 2.62, after 23.39 ± 3.13) (P < 0.05). Conclusion: Giving feedback to medical school students on medical interview skills using videotapes of students’preliminary consultations with real patients in outpatient settings, was effective in improving the interview areas of ‘type of question,’ ‘timeline,’ ‘positive verbal reinforcement,’ and the total interview scores.
참고문헌 (26)
- Stewart MA, "Effective physician-patient communication and health outcomes: a review", CMAJ, 152, pp.1423~1433 (1995)
- Beckman HB, "The effect of physician behavior on the collection of data", Ann Intern Med, 101, pp.692~696 (1984)
- Marvel MK, "Soliciting the patient's agenda: have we improved?", JAMA, 281, pp.283~287 (1999)
- Roter DL, "Physician’s interviewing styles and medical information obtained from patients", J Gen Intern Med, 2, pp.325~329 (1987)
- Hampton JR, "Relative contributions of history-taking, physical examination, and laboratory investigation to diagnosis and management of medical outpatients", Br Med J, 2, pp.486~489 (1975)
- DiMatteo MR, "Physicians’ characteristics influence patients’ adherence to medical treatment: results from the Medical Outcomes Study", Health Psychol, 12, pp.93~102 (1993)
- Wasserman RC, "Pediatric clinicians’ support for parents makes a difference: an outcome-based analysis of clinician-parent interaction", Pediatrics, 74, pp.1047~1053 (1984)
- Eisenthal S, "“Adherence” and the negotiated approach to patienthood", Arch Gen Psychiatry, 36, pp.393~398 (1979)
- Epstein RM, "Perspectives on patient-doctor communication", J Fam Pract, 37, pp.377~388 (1993)
- Shapiro RS, "A survey of sued and nonsued physicians and suing patients", Arch Intern Med 1989, 149, pp.2190~2196 (1989)
- Rouf E, "Patient-centered interviewing and student performance in a comprehensive clinical skills examination: is there an association?", Patient Educ Couns, 75, pp.11~15 (2009)
- 박훈기, "의사국가고시에서 실기시험", Korean Journal of Medical Education, 20(4), pp.309~312 (2008), 한국의학교육학회
- Lee JK, "Medical student’s experience of the first clinical interview: implication in medical interview training", J Korean Acad Fam Med, 20, pp.1721~1731 (1999)
- 최창진, "임상실습을 마친 의대생의 환자 중심적 의사소통 기술과 태도", Korean Journal of Medical Education, 16(2), pp.169~178 (2004), 한국의학교육학회
- Kwon HS, "The validity and reliability of self-interviewing skills evaluation protocol for residents in family medcine", J Korean Acad Fam Med, 20, pp.241~251 (1999)
- Makoul G, "The SEGUE Framework for teaching and assessing communication skills", Patient Educ Couns, 45, pp.23~34 (2001)
- 이영미, "의대생을 위한 환자-의사 커뮤니케이션 모델 개발", Korean Journal of Medical Education, 22(3), pp.185~195 (2010), 한국의학교육학회
- Boon H, "Patient-physician communication assessment instruments: 1986 to 1996 in review", Patient Educ Couns, 35, pp.161~176 (1998)
- Makoul G, "Essential elements of communication in medical encounters: the Kalamazoo consensus statement", Acad Med, 76, pp.390~393 (2001)
- Schirmer JM, "Assessing communication competence: a review of current tools", Fam Med, 37, pp.184~192 (2005)
- Stillman PL, "Construct validation of the Arizona Clinical Interview Rating Scale", Educ Psychol Meas, 37, pp.1031~1038 (1977)
- Gude T, "Do physicians improve their communication skills between finishing medical school and completing internship?: a nationwide prospective observational cohort study", Patient Educ Couns, 76, pp.207~212 (2009)
- Stillman PL, "Use of trained mothers to teach interviewing skills to first-year medical students: a follow-up study", Pediatrics, 60, pp.165~169 (1977)
- Carroll JG, "An evaluation of simulated patients as instructors: implications for teaching medical interview skills", J Med Educ, 56, pp.522~524 (1981)
- Pfeiffer CA, "The impact of a curriculum renewal project on students' performances on a fourth-year clinical skills assessment", Acad Med, 76, pp.173~175 (2001)
- Hook KM, "Impact of a new curriculum on medical students’ interpersonal and interviewing skills", Med Educ, 41, pp.154~159 (2007)