KMID : 0381520150270020077
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Korean Journal of Medical Education 2015 Volume.27 No. 2 p.77 ~ p.86
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Medical students¡¯ agenda-setting abilities during medical interviews
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Roh Hye-Rin
Park Kyung-Hye Jeon Young-Jee Park Seung-Guk Lee Jung-Sun
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Abstract
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Purpose: Identifying patients¡¯ agendas is important; however, the extent of Korean medical students¡¯ agenda-setting abilities is unknown. The study aim was to investigate the patterns of Korean medical students¡¯ agenda solicitation.
Methods: A total of 94 third-year medical students participated. One scenario involving a female patient with abdominal pain was created. Students were video-recorded as they interviewed the patient. To analyze whether students identify patients¡¯ reasons for visiting, a checklist was developed based on a modified version of the Calgary-Cambridge Guide to the Medical Interview: Communication Process checklist. The duration of the patient¡¯s initial statement of concerns was measured in seconds. The total number of patient concerns expressed before interruption and the types of interruption effected by the medical students were determined.
Results: The medical students did not explore the patients¡¯ concerns and did not negotiate an agenda. Interruption of the patient¡¯s opening statement occurred in 4.62¡¾2.20 seconds. The most common type of initial interruption was a recompleter (79.8%). Closed-ended questions were the most common question type in the second and third interruptions.
Conclusion: Agenda setting should be emphasized in the communication skills curriculum of medical students. The Korean Clinical Skills Exam must assess medical students¡¯ ability to set an agenda.
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KEYWORD
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Communication skills, Standardized patient, Objective structured clinical examination, Undergraduate, Medicine
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