KMID : 0381520130250010029
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Korean Journal of Medical Education 2013 Volume.25 No. 1 p.29 ~ p.38
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Concordance between Self and Standardized Patient Ratings of Medical Students¡¯ Communication Skills
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Je Min-Ji
Lee Su-Hyun Lee Chang-Hyung Kim Sung-Soo
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Abstract
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Purpose: The purpose of this study was to examine the concordance between self and standardized patient (SP) ratings of medical students¡¯ communication skills. Methods: Forty-three students interviewed SPs. The students were asked to complete a communication skills questionnaire that comprised 2 measures (empathy and interpersonal communication) before the interview. After each student¡¯s interview with the SP, the latter completed the same questionnaire as the students. Results: Based on Lin¡¯s concordance coefficient, there was strong disconcordance between students¡¯ self-ratings and the SPs¡¯ ratings. With regard to empathic communication, more than 50% of students who considered themselves higher than middle level were regarded by SP as low level. On interpersonal communication, 39% of students who assessed themselves as higher than middle level were scored low level by SPs. Conclusion: There was strong disconcordance between students¡¯ self-ratings and the SPs¡¯ ratings-students tended to overevaluate themselves regarding their communication skills. These differences might result in patient dissatisfaction and noncompliance. Further, it could become a serious hindrance to the development of a good doctor-patient relationship. Medical educators should make sincere efforts to reduce this gap by teaching medical students the importance of the patients¡¯ perception of his doctors¡¯ communication skills.
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KEYWORD
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Empathic communication, Interpersonal communication, Lin¡¯s concordance, Standardized patients, Overevaluation of communication skills
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