진료실습전 훈련 방법과 기간에 따른 의학과 학생의 의사소통능력의 향상

• 영문명: Communication Skills Improvement of Medial Students According to Length and Methods of Preclinical Training
• 발행기관: 한국의학교육학회
• 저자명: 김양희(Yang Hee Kim) 양정희(Jeong Hee Yang) 안성연(Sung Yeon Ahn) 송서영(Seo Young Song) 노혜린(Hye Rin Roh)
• 간행물 정보: 『Korean Journal of Medical Education』제21권 제1호, 3~16쪽, 전체 14쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.03.31

영문 초록

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.

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대상 및 방법

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키워드

Communication Patient-physician relations Reproducibility of results Educational measurement