KMID : 0381520100220030169
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Korean Journal of Medical Education 2010 Volume.22 No. 3 p.169 ~ p.176
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Comparison of Patient-Physician Interaction (PPI) Evaluation between Different Grade Medical Students
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Kim Dae-Hyun
Yoon Hui-Jung Lee Min-Ji Ahn Ji-Youn Lee Seung-Jun Suh Young-Sung
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Abstract
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Purpose: A proper patient-physician interaction (PPI) creates rapport between doctors and patients and improves medical outcomes. The importance of PPI evaluation items was evaluated in each medical student in grades 3 and 4, before and after their clinical clerkship.
Methods: Six PPI evaluation guidelines (SEGUE, Kalamazoo Consensus, Calgary-Cambridge Guide, Macy guideline, 2 Korean Consortium guidelines) were selected and importance of each guideline was evaluated through the structured questionnaire in 73 pre-clinical clerkship (3rd-grade) and 78 post-clinical clerkship (4th-grade) medical students.
Results: The importance of medical communication items among total clinical performance, students-rated PPI portion was 21¡¾9.7%. In SEGUE recommendations, ¡¯Elicit information¡¯ was evaluated to be most important items before (58.3%) and after (65.8%) clinical clerkship. In Kalamazoo Consensus, ¡¯Gathering information¡¯ was evaluated to be most important (49.3%/42.3%), same as in Calgary-Cambridge Guide (52.1%/56.4%) and Daegu Gyeongbuk Consortium (47.9%/43.6%). In the Macy guideline, ¡¯Listening¡¯ was evaluated to be most important (28.8%/33.3%). In the Seoul Gyeonggi Consortium, ¡¯Buidling relationships¡¯ was evaluated to be most important (23.3%/28.2%).
Conclusion: In the 4th-grade post-clerkship medical students after clinical clerkship, importance of ¡¯Gathering information¡¯ was evaluated to be less important, however, ¡¯Giving information¡¯ and ¡¯Understanding the patient perspective¡¯ was evaluated to be more important, compared to pre-clerkship students 3rd-grade students.
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KEYWORD
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Patient-physician interaction, Medical student, Clinical clerkship
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