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정신과학 임상실습 후 의학전문대학원생들과 의과대학생들의 환자중심태도 변화 비교

Comparison of Patient-centeredness Changes between Medical School Graduates and Medical Students after Psychiatric Clerkship

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초록

Purpose: The aim of this study was to compare patient-centeredness changes between medical school graduates and medical students after a psychiatric clinical clerkship. Methods: We focused on 40 medical school graduates. We received permission to use data from a 2006 study on patient-centeredness of 94 medical students. The following was repeated before and after clerkship: Minnesota Multiphasic Personality Inventory (MMPI), Meyers-Briggs type indicator (MBTI), Patient-practitioner Orientation Scale (PPOS) and Authoritarian Personality (AP) scale. Results: In the 2006 study on patient-centeredness of medical students, the AP scores were significantly lower than before clerkship and the PPOS scores were significantly higher than before clerkship. AP score changes were related to MBTI, correlated with MMPI subscales, but inversely correlated with PPOS changes. In this study, the change in PPOS scores was not significant after clerkship in case of medical school graduates. AP score changes inversely correlated with PPOS changes, but neither correlated with MMPI subscales or MBTI. Conclusion: Considering previous findings, medical school graduates tend to be more patient-centered than medical students, but medical students can adopt a more patient-centered attitude than graduates through a psychiatric clinical clerkship.

Abstract

Purpose: The aim of this study was to compare patient-centeredness changes between medical school graduates and medical students after a psychiatric clinical clerkship. Methods: We focused on 40 medical school graduates. We received permission to use data from a 2006 study on patient-centeredness of 94 medical students. The following was repeated before and after clerkship: Minnesota Multiphasic Personality Inventory (MMPI), Meyers-Briggs type indicator (MBTI), Patient-practitioner Orientation Scale (PPOS) and Authoritarian Personality (AP) scale. Results: In the 2006 study on patient-centeredness of medical students, the AP scores were significantly lower than before clerkship and the PPOS scores were significantly higher than before clerkship. AP score changes were related to MBTI, correlated with MMPI subscales, but inversely correlated with PPOS changes. In this study, the change in PPOS scores was not significant after clerkship in case of medical school graduates. AP score changes inversely correlated with PPOS changes, but neither correlated with MMPI subscales or MBTI. Conclusion: Considering previous findings, medical school graduates tend to be more patient-centered than medical students, but medical students can adopt a more patient-centered attitude than graduates through a psychiatric clinical clerkship.

참고문헌 (20)

  1. 문석우, "의과대학생들의 성격성향과 관련된 환자중심적 태도", 한국의학교육, 18(1), pp.77~86 (2006), 한국의학교육학회
  2. Krupat E, "The practice of physicians and patients: the effect of doctor-patient congruence on satisfaction", Patient Educ Couns, 39, pp.49~59 (2000)
  3. Min KH, "Authoritarian personality and social prejudice among college students", Korean J Soc Psychol, 4, pp.146~168 (1989)
  4. Kim JT, "MBTI-ui Gaebalgwa Whalyong" (1995), Korean Psychological Testing Institute
  5. Kim ZS, "Damyonjok Inseong Geomsaui Imsangjeok Haeseok" (1994), Seoul National University Press
  6. 박귀화, "의학전문대학원 학생들의 학업성취도 분석- 개인적 특성 및 입학전형요소를 중심으로 -", 한국의학교육, 18(3), pp.289~298 (2006), 한국의학교육학회
  7. 이상진, "충북대학교 의과대학생과 의학전문대학원생 간의 1학년 학업성취도 비교", 한국의학교육, 19(1), pp.73~81 (2007), 한국의학교육학회
  8. 손인기, "의과대학생, 전공의, 전문의의 환자중심적 태도", 신경정신의학, 41(2), pp.290~297 (2002), 대한신경정신의학회
  9. McCaulley MH, "Myers Briggs type indicator application" (1973), University of Florida
  10. Kim YH, "MMPI manual" (1989), Korea Guidance
  11. Stewart MA, "Effective physician-patient communication and health outcomes: a review", CMAJ, 152, pp.1423~1433 (1995)
  12. Stewart MA, "Patient-centered medicine: transforming the clinical method" (1995), Sage Publications
  13. Vedsted P, "Data quality and confirmatory factor analysis of the Danish EUROPEP questionnaire on patient evaluation of general practice", Scand J Prim Health Care, 26, pp.174~180 (2008)
  14. McWhinney IR, "Are we on the brink of major transformation of clinical method?", CMAJ, 135, pp.873~878 (1986)
  15. Lee KH, "Attitudes towards the doctor-patient relationship: a prospective study in an Asian medical school", Med Educ, 42, pp.1092~1099 (2008)
  16. 박재현, "환자-의사 관계에 대한 의대생의 태도", 한국의학교육, 19(3), pp.215~223 (2007), 한국의학교육학회
  17. Woloschuk W, "Attitude change during medical school: a cohort study", Med Educ, 38, pp.522~534 (2004)
  18. 이영희, "의예과 학생의 성격특성과 의사소통 능력 및 수업태도의 관계", 한국의학교육, 20(3), pp.177~187 (2008), 한국의학교육학회
  19. Sim HS, "Guidebook for MBTI leader II", Korean Psychological Test Institute, ~ (1998)
  20. Korean Psychological Test Institute, "MBTI data bank", pp.201~209 (2004), Korean Psychological Institute

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