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Korean J Med Educ > Volume 21(1); 2009 > Article
Korean Journal of Medical Education 2009;21(1): 3-16. doi: https://doi.org/10.3946/kjme.2009.21.1.3
진료실습전 훈련 방법과 기간에 따른 의학과 학생의 의사소통능력의 향상
김양희1,5, 양정희2,5, 안성연3, 송서영4, 노혜린1,5
1강원대학교 의학전문대학원 외과학교실
2강원대학교 의학전문대학원 가정의학교실
3강원대학교 의학전문대학원 소아과학교실
4강원대학교 의학전문대학원 내과학교실
5강원대학교 의학전문대학원 진료능력개발센터
Communication Skills Improvement of Medial Students According to Length and Methods of Preclinical Training
Yang Hee Kim1,5, Jeong Hee Yang2,5, Sung Yeon Ahn3, Seo-Young Song4, HyeRin Roh1,5
1Department of Surgery, School of Medicine, Kangwon National University, Chuncheon, Korea.
2Department of Family Medicine, School of Medicine, Kangwon National University, Chuncheon, Korea.
3Department of Pediatrics, School of Medicine, Kangwon National University, Chuncheon, Korea.
4Department of Internal Medicine, School of Medicine, Kangwon National University, Chuncheon, Korea.
5Clinical Performance Center, School of Medicine, Kangwon National University, Chuncheon, Korea.
Corresponding Author: HyeRin Roh, Tel: 033-258-2306, Fax: 033-258-2169, Email: hyerinr@kangwon.ac.kr
Received: September 22, 2008;  Accepted: January 28, 2009.
ABSTRACT
PURPOSE: The purpose of this study is to evaluate the changing pattern of communication skills of medical students according to length and methods of training. METHODS: We evaluated a 1-week communications training course in 2003, a 1-year course in 2004, and a 1-semester course in 2005 during development of our curriculum. We have conducted the 10-minute CPX on abdominal pain annually since 2002 to assess the clinical performance of medical students who have completed the 3rd year clerkship. We selected CPX videos that were appropriate for assessment. One hundred sixty-four videos were available (1-week didactics: 42 cases, 1-week training: 28 cases, 1-semester training: 50 cases, 1-year training: 44 cases). We developed a 10-item global rating checklist to assess communication skills. A 5-point Likert scale was used to evaluate each item (4-very likely, 0-least likely). Two expert standardized patient (SP) raters evaluated the communication skills of students independently. We analyzed the outcomes based on the training length and methods. The reliability (G coefficient) was 0.825 with 2 SPs and 1 station. RESULTS: The communication skills of students improved with practice and longer training, especially with regard to opening the interview, expressing empathy, understanding the patient's perspective, and preparing for the physical examination. Rapport-building, organization of the interview, understandable explanation, nonverbal communication, active listening and consideration during the physical examination was unchanged between durations of training. The scores for empathetic expression, active listening and understanding the patient's perspective were low across all groups. CONCLUSION: We should concentrate our efforts to improve students' skills in empathetic expression, active listening and understanding the patient's perspective.
Keywords: Communication;Patient-physician relations;Reproducibility of results;Educational measurement
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