임상실습을 마친 의대생의 환자 중심적 의사소통 기술과 태도
Patient-Centered Attitudes and Communication Skills in Medical Students after Clerkship
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Abstract
Purpose: Patient-centered communication is known to improve patient satisfaction, compliance, doctor-patient relationship, and health outcomes. The aim of this study is to evaluate patient-centered communication skills and attitudes in medical students after their clerkship. Method: To evaluate their communication skills, OSCE was performed on 114 fourth-year medical students who had completed their clerkship. After OSCE, we used structured questionnaires to survey the subjects in assessing attitudes toward communication skill learning and patient-centeredness. Results: The accomplished frequency of patient-centered communication items were as follows: allow patient’s narrative thread (88.6%), open-to-closed-ended questions (47.4%), discuss psychosocial and emotional factors (36.0%), elicit patient’s concerns and perspectives (36.0%), discuss how health problem affects patient’s daily life (21.9%), express empathy (14.0%), negotiate plan of action with patient (68.4%), and ask whether patient has further issues to discuss (33.3%). The students who did [medical service as extracurricular activity??????????] and were confident with their communication skills performed better patient-centered interviews. There was no significant relationship between medical students’ patient-centered attitudes and patient-centered OSCE scores. Conclusion: Having completed their clerkship, medical students were still unable to perform a good patient-centered interview. Current medical curriculum should teach medical students how to communicate in a patient-centered manner. The education method should focus on behavior change initiatives.
참고문헌 (24)
- "일개 의대생의 2년간 의학면담기법 교육 전후의 인식도 변화", 14(2), pp.165~174 (2002)
- "21세기 한국 의학교육계획-희망과 도전", 16(1), pp.1~11 (2004)
- "환자중심 진료 실천 전략", 20(11), pp.1305~1312 (1999)
- "의과대학생, 전공의, 전문의의 환자중심적 태도", 41, pp.290~296 (2002)
- "환자중심방법", 20(11), pp.1291~1296 (1999)
- "Communication: the royal pathway to patient-centered medicine", 39, pp.1~3 (2000)
- "Reduction of postoperative pain by encouragement and instruction of patients-a study of doctor-patient rapport", 270, pp.825~827 (1964)
- "The clinical application of the biosychosocial model", 137, pp.535~544 (1980)
- "Medical student attitude toward the doctor-patient relationship", 36, pp.568~574 (2002)
- "Meta-analysis of correlates of provider behavior in medical encounters", med care, pp.26~ (1988)
- "Evaluation of clinical competencies: basic certification, subspecialty certification, and recertification", 79, pp.478~480 (2000)
- "Charecteristics of potential plaintiffs in malpractice litigation", 120, pp.792~798 (1994)
- "The practice orientations of physicians and patients the effect of doctor-patient congruence on satisfaction", 39, pp.49~59 (2000)
- "Teaching and Learning Communication Skills in Medicine" (1998)
- "Hidden conceptual models in clinical psychiatry", 288, pp.345~351 (1973)
- "Measuring patient-centredness: comparison of three observation-based instruments", 39, pp.71~80 (2000)
- "The SEGUE Framework for teaching and assessing communication skills", 45, pp.23~34 (2001)
- "The rise and fall of students’ skill in obtaining a medical history", 32, pp.282~288 (1998)
- "The relationship between medical students’ attitudes towards communication skills learning and their demographic and education-related characteristics", 36, pp.1017~1027 (2002)
- "The development of a scale to measure medical students’ attitudes towards communication skill learning: the Communication Attitude Scale(CSAS)", 36, pp.141~147 (2002)
- "Relations between physicians’ behaviors and analogue patients’ satisfaction", pp.437~451 (1987), and impressions
- "Provider continuity and quality of medical care- a retrospective analysis of prenatal and postnatal outcome", 21, pp.1204~1210 (1983)
- "Malpractice-the problem in perspective", 238, pp.861~863 (1977)
- "the curriculum of communication skills teaching at Maastricht Medical School", med educ, pp.23~ (1989)