|
KMID : 0381520040160020169
|
|
Korean Journal of Medical Education
2004 Volume.16 No. 2 p.169 ~ p.177
|
|
|
Patient-Centered Attitudes and Communication Skills in Medical Students after Clerkship
|
|
Choi Chang-Jin
Kim Jung-Min
Park Young-Kyu
|
|
|
Abstract
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Patient-centered, Communication skill, Attitude, Medical education, Evaluation
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
 
|
|