임상실습을 마친 의대생의 환자 중심적 의사소통 기술과 태도

• 영문명: Patient-Centered Attitudes and Communication Skills in Medical Students after Clerkship
• 발행기관: 한국의학교육학회
• 저자명: 최창진(Chang Jin Choi) 김정민(Jung Min Kim) 박용규(Yong Gyu Park)
• 간행물 정보: 『Korean Journal of Medical Education』제16권 제2호, 169~177쪽, 전체 9쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2004.08.31

영문 초록

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 medical students’ patient-centered communication skills and attitudes in medical students after their clerkship. Methods: To evaluate medical students’ 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 patientcentered 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 initiative.

목차

서 론

대상 및 방법

결 과

고 찰

참 고 문 헌

키워드

Patient-centered Communication skill Attitude Medical education Evaluation