Correlations of Communication and Interpersonal Skills between Medical Students and Residents
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: Medical students’ communication and interpersonal skills can be evaluated by standardized patients in a clinical performance examination (CPX). The purpose of this study is to investigate which communication and interpersonal skills are more closely correlated between medical students and residents. Methods: This study included 2nd-year residents in 2009 who took the eight-station CPX as 4th-year medical students in 2006. In-patients who were cared for by the residents were asked the seven items related to interpersonal and communication skills. The correlation between the scores of these seven items in the 2006 CPX and the scores in the 2009 patient survey was evaluated. Results: Twenty-six residents, 11 in medical wards and 15 in surgical wards, participated in the study. The medical students’ total scores tended to be correlated with the residents’ scores (r=0.381, p=0.055). There was significant correlation between the scores for students and residents for ‘Explaining more explicably’ (r=0.470, p=0.015), and marginally significant correlation (r=0.385, p=0.052) for ‘Listening attentively.’ There was no significant correlation for the other five items. Conclusion: ‘Explaining more explicably’ and ‘Listening attentively’, these skills were more closely correlated between medical students and residents. These basic communication skills should be included in graduate or licensing evaluations.
Abstract
Purpose: Medical students’ communication and interpersonal skills can be evaluated by standardized patients in a clinical performance examination (CPX). The purpose of this study is to investigate which communication and interpersonal skills are more closely correlated between medical students and residents. Methods: This study included 2nd-year residents in 2009 who took the eight-station CPX as 4th-year medical students in 2006. In-patients who were cared for by the residents were asked the seven items related to interpersonal and communication skills. The correlation between the scores of these seven items in the 2006 CPX and the scores in the 2009 patient survey was evaluated. Results: Twenty-six residents, 11 in medical wards and 15 in surgical wards, participated in the study. The medical students’ total scores tended to be correlated with the residents’ scores (r=0.381, p=0.055). There was significant correlation between the scores for students and residents for ‘Explaining more explicably’ (r=0.470, p=0.015), and marginally significant correlation (r=0.385, p=0.052) for ‘Listening attentively.’ There was no significant correlation for the other five items. Conclusion: ‘Explaining more explicably’ and ‘Listening attentively’, these skills were more closely correlated between medical students and residents. These basic communication skills should be included in graduate or licensing evaluations.
참고문헌 (19)
- Lipkin M, "Performing the interview in The medical interview: clinical care, education, and research", pp.65~ (1995), Springer-Verlag
- Learning objectives for medical student education, "guidelines for medical schools: report I of the Medical School Objectives Project", Acad Med, 74, pp.13~18 (1999)
- Cohen DS, "A large-scale study of the reliabilities of checklist scores and ratings of interpersonal and communication skills evaluated on a standardized-patient examination", Adv Health Sci Educ, 1, pp.209~213 (1997)
- 박완범, "CPX 성적과 기존의 실습성적 및 필기시험 성적과의 상관관계", 한국의학교육, 17(3), pp.297~304 (2005), 한국의학교육학회
- 장선숙, "정서적 공감을 위한 의사소통 기술과 임상수행평가 - 학업성취도와의 관계: 일개 의학전문대학원 자료를 중심으로", 한국의학교육, 22(2), pp.121~130 (2010), 한국의학교육학회
- Whelan GP, "Educational commission for foreign medical graduates: clinical skills assessment prototype", Med Teach, 21, pp.156~160 (1999)
- Reznick RK, "Large-scale high-stakes testing with an OSCE: report from the Medical Council of Canada", Acad Med, 71(1), pp.19~21 (1996)
- 한재진, "시험 시기에 따른 임상수행능력평가 점수 비교", 한국의학교육, 19(1), pp.31~38 (2007), 한국의학교육학회
- Tamblyn R, "Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities", JAMA, 298, pp.993~1001 (2007)
- Wenghofer E, "Doctor scores on national qualifying examinations predict quality of care in future practice", Med Educ, 43, pp.1166~1173 (2009)
- Park WB, "Evaluation using simulated students for reliability of multiple standardized-patients scoring in clinical performance examinations", Med Teach, 29, pp.978~980 (2007)
- Blue AV, "Responding to patients' emotions: important for standardized patient satisfaction", Fam Med, 32, pp.326~330 (2000)
- Colliver JA, "Assessing clinical performance with standardized patients", JAMA, 278, pp.790~791 (1997)
- 이영미, "의료대화 수업의 실기시험과 임상진료시험에서 환자-의사관계 점수의 연관성", 한국의학교육, 20(4), pp.313~320 (2008), 한국의학교육학회
- Delbanco TL, "Enriching the doctor-patient relationship by inviting the patient's perspective", Ann Intern Med, 116, pp.414~418 (1992)
- Brown JB, "Effect of clinician communication skills training on patient satisfaction: a randomized, controlled trial", Ann Intern Med, 131, pp.822~829 (1999)
- Zoppi K, "Is communication a skill? Communication behaviors and being in relation", Fam Med, 34, pp.319~324 (2002)
- Duffy FD, "Assessing competence in communication and interpersonal skills: the Kalamazoo II report", Acad Med, 79, pp.495~507 (2004)
- Street RL Jr, "Analyzing communication in medical consultations: Do behavioral measures correspond to patients' perceptions?", Med Care, 30, pp.976~988 (1992)