Medical students’ agenda-setting abilities during medical interviews

• 발행기관: 한국의학교육학회
• 저자명: HyeRin Roh Kyung Hye Park Young Jee Jeon Seung Guk Park Jungsun Lee
• 간행물 정보: 『Korean Journal of Medical Education』제27권 제2호, 77~86쪽, 전체 10쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2015.06.30

영문 초록

Purpose: Identifying patients’ agendas is important; however, the extent of Korean medical students’ agenda-setting abilities is unknown. The study aim was to investigate the patterns of Korean medical students’ agenda solicitation. Methods: A total of 94 third-year medical students participated. One scenario involving a female patient with abdominal pain was created. Students were video-recorded as they interviewed the patient. To analyze whether students identify patients’ reasons for visiting, a checklist was developed based on a modified version of the Calgary-Cambridge Guide to the Medical Interview: Communication Process checklist. The duration of the patient’s initial statement of concerns was measured in seconds. The total number of patient concerns expressed before interruption and the types of interruption effected by the medical students were determined. Results: The medical students did not explore the patients’ concerns and did not negotiate an agenda. Interruption of the patient’s opening statement occurred in 4.62±2.20 seconds. The most common type of initial interruption was a recompleter (79.8%). Closed-ended questions were the most common question type in the second and third interruptions. Conclusion: Agenda setting should be emphasized in the communication skills curriculum of medical students. The Korean Clinical Skills Exam must assess medical students’ ability to set an agenda.

목차

INTRODUCTION

SUBJECTS AND METHODS

RESULTS

DISCUSSION

REFERENCES

키워드

Communication skills Standardized patient Objective structured clinical examination Undergraduate Medicine