신입 전공의를 대상으로 한 의료커뮤니케이션 워크숍의 교육 효과성 인식과 학습경험 분석
Analysis of the Perceived Effectiveness and Learning Experience of Medical Communication Skills Training in Interns
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Purpose: This study aims to explore the perceived effectiveness, benefits, and learning experiences of interns with regard to their participation in a communication skills workshop program, which can have implications for the development and implementation of future communication skills training. Methods: One hundred twenty one interns and 12 senior residents and fellows participated in the workshop program as learners and tutors. The participating interns encountered three difficult communication situations, represented by trained standardized patients. During each encounter, each participant had an individual encounter, group discussion, and feedback on his performance. A self-assessment survey, composed of five itemized questions and seven open-ended questions, was administered after the workshop. A mixed methods approach was used to analyze the quantitative and qualitative data. Results: The participants had positive perceptions of the implementation and effects of the workshop, and they responded higher than 4.0 to all itemized questions on their perception of the effectiveness and benefits of the workshop. The analysis of open-ended questions demonstrated specific learning experiences of the participants, such as the hardship of solving ill-structured communication problems and reflection on their current knowledge, skills, attitudes, and practice as physicians. The participants reported that the workshop provided opportunities of improving diverse communication skills and problem-solving skills and identifying further learning needs. Conclusion: The results suggest that communication skills training for interns facilitates their reflection and development of communication skills, as well as their competency of situated problem solving. Consequently, communication skills development should be regarded as an important subject of continuing medical education. Several implications of this study can contribute to the design and development of communication skills-related programs.
Abstract
Purpose: This study aims to explore the perceived effectiveness, benefits, and learning experiences of interns with regard to their participation in a communication skills workshop program, which can have implications for the development and implementation of future communication skills training. Methods: One hundred twenty one interns and 12 senior residents and fellows participated in the workshop program as learners and tutors. The participating interns encountered three difficult communication situations, represented by trained standardized patients. During each encounter, each participant had an individual encounter, group discussion, and feedback on his performance. A self-assessment survey, composed of five itemized questions and seven open-ended questions, was administered after the workshop. A mixed methods approach was used to analyze the quantitative and qualitative data. Results: The participants had positive perceptions of the implementation and effects of the workshop, and they responded higher than 4.0 to all itemized questions on their perception of the effectiveness and benefits of the workshop. The analysis of open-ended questions demonstrated specific learning experiences of the participants, such as the hardship of solving ill-structured communication problems and reflection on their current knowledge, skills, attitudes, and practice as physicians. The participants reported that the workshop provided opportunities of improving diverse communication skills and problem-solving skills and identifying further learning needs. Conclusion: The results suggest that communication skills training for interns facilitates their reflection and development of communication skills, as well as their competency of situated problem solving. Consequently, communication skills development should be regarded as an important subject of continuing medical education. Several implications of this study can contribute to the design and development of communication skills-related programs.
참고문헌 (18)
- Stewart M, "Evidence on patient-doctor communication", Cancer Prev Control, 3, pp.25~30 (1999)
- Coiera EW, "Jayasuriya RA, Hardy J, Bannan A, Thorpe ME. Communication loads on clinical staff in the emergency department", Med J Aust, 176, pp.415~418 (2002)
- 김선, "의예과 학생들의 의사소통 교육효과", 한국의학교육, 18(2), pp.171~182 (2006), 한국의학교육학회
- 이영미, "의학과 학생을 위한 커뮤니케이션 교육과정 시행 경험", 한국의학교육, 19(2), pp.171~175 (2007), 한국의학교육학회
- 이영희, "의예과 학생의 성격특성과 의사소통 능력 및 수업태도의 관계", 한국의학교육, 20(3), pp.177~187 (2008), 한국의학교육학회
- 이영미, "의료대화 수업의 실기시험과 임상진료시험에서 환자-의사관계 점수의 연관성", 한국의학교육, 20(4), pp.313~320 (2008), 한국의학교육학회
- Kramer AW, "Acquisition of communication skills in postgraduate training for general practice", Med Educ, 38, pp.158~167 (2004)
- Thomas NK, , JAMA, 292, pp.2880~2889 (2004)
- Zick A, "First-year medical students' assessment of their own communication skills:a video-based, open-ended approach", Patient Educ Couns, 68, pp.161~166 (2007)
- Johnson RB, "Mixed methods research: a research paradigm whose time has come", Educ Res, 33, pp.14~26 (2004)
- Greene JC, "Toward a conceptual framework for mixed-method evaluation designs", Educ Eval Policy Anal, 11, pp.255~274 (1989)
- Mamede S, "The structure of reflective practice in medicine", Med Educ, 38, pp.1302~1308 (2004)
- Levine RB, "The impact of prompted narrative writing during internship on reflective practice: a qualitative study", Adv Health Sci Educ Theory Pract, 13, pp.723~733 (2008)
- Bennett NL, "Information-seeking behaviors and reflective practice", J Contin Educ Health Prof, 26, pp.120~127 (2006)
- Laidlaw TS, "Implementing a communication skills programme in medical school: needs assessment and programme change", Med Educ, 36, pp.115~124 (2002)
- Losh DP, "Teaching inpatient communication skills to medical students: an innovative strategy", Acad Med, 80, pp.118~124 (2005)
- Daly MG, "Examining stress and responses to stress in medical students and new medical graduates", Med J Aust, 177, pp.14~15 (2002)
- Daugherty SR, "Learning, satisfaction, and mistreatment during medical internship: a national survey of working conditions", JAMA, 279, pp.1194~1199 (1998)