의학전문대학원생이 스스로 평가한 커뮤니케이션 능력 점수와 표준화 환자가 평가한 의학전문대학원생의커뮤니케이션 능력 점수의 일치도
Concordance between Self and Standardized Patient Ratings of Medical Students’ Communication Skills
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Purpose: The purpose of this study was to examine the concordance between self and standardized patient (SP) ratings of medical students' communication skills. Methods: Forty-three students interviewed SPs. The students were asked to complete a communication skills questionnaire that comprised 2 measures (empathy and interpersonal communication) before the interview. After each student’s interview with the SP, the latter completed the same questionnaire as the students. Results: Based on Lin's concordance coefficient, there was strong disconcordance between students' self-ratings and the SPs' ratings. With regard to empathic communication, more than 50% of students who considered themselves higher than middle level were regarded by SP as low level. On interpersonal communication, 39% of students who assessed themselves as higher than middle level were scored low level by SPs. Conclusion: There was strong disconcordance between students' self-ratings and the SPs' ratings—students tended to overevaluate themselves regarding their communication skills. These differences might result in patient dissatisfaction and noncompliance. Further,it could become a serious hindrance to the development of a good doctor-patient relationship. Medical educators should make sincere efforts to reduce this gap by teaching medical students the importance of the patients' perception of his doctors'communication skills.
Abstract
Purpose: The purpose of this study was to examine the concordance between self and standardized patient (SP) ratings of medical students' communication skills. Methods: Forty-three students interviewed SPs. The students were asked to complete a communication skills questionnaire that comprised 2 measures (empathy and interpersonal communication) before the interview. After each student’s interview with the SP, the latter completed the same questionnaire as the students. Results: Based on Lin's concordance coefficient, there was strong disconcordance between students' self-ratings and the SPs' ratings. With regard to empathic communication, more than 50% of students who considered themselves higher than middle level were regarded by SP as low level. On interpersonal communication, 39% of students who assessed themselves as higher than middle level were scored low level by SPs. Conclusion: There was strong disconcordance between students' self-ratings and the SPs' ratings—students tended to overevaluate themselves regarding their communication skills. These differences might result in patient dissatisfaction and noncompliance. Further,it could become a serious hindrance to the development of a good doctor-patient relationship. Medical educators should make sincere efforts to reduce this gap by teaching medical students the importance of the patients' perception of his doctors'communication skills.
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