KMID : 1104220180300020153
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Korean Journal of Medical Education 2018 Volume.30 No. 2 p.153 ~ p.159
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The effect of communication training using standardized patients on nonverbal behaviors in medical students
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Park Kyung-Hye
Park Seung-Guk
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Abstract
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Purpose: Nonverbal communication (NVC) is important in the patient-physician relationship, but the effect of NVC education is not well kown. In this study, we try to identify if students¡¯ NVC abilities are improved through communication training.
Methods: First-year medical students conducted medical interviews, which were performed with standardized patients (SPs) before and after communication skill education, and recorded in video. Fifty-one students were enrolled for this study. Two researchers used the NVC checklist, which consists of 12 nonverbal behaviors, to analyze and compare the students¡¯ nonverbal expressions in the interviews recorded before and after the education.
Results: After the students participated in communication training, open body position and adequate facial expression were increased while unnecessary silence, un-purposive movements, and giggling were decreased. These results can be interpreted as positive effects of the education. However, hand gesture was increased as a negative effect of the education. The total NVC score of the 12 nonverbal behaviors in the NVC checklist improved significantly, rising from 8.56 to 10.03.
Conclusion: Communication skill education using SPs can improve nonverbal behaviors of medical students, especially facial expression, un-purposive movement, body position, unnecessary silence, and giggle, but not hand gesture. Further research is needed on a variety of teaching methods to improve NVCs.
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KEYWORD
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Nonverbal communication, Medical students, Medical education, Simulation, Patient, Feedback
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