van Zanten Marta, Boulet John R, McKinley Danette W, DeChamplain Andre, Jobe Ann C
FAIMER, 3624 Market Street, Philadelphia, PA 19104, USA.
Acad Med. 2007 Oct;82(10 Suppl):S65-8. doi: 10.1097/ACM.0b013e318141f40a.
The ability to communicate effectively with patients is an essential element of a physician's clinical expertise.
As part of the USMLE Step 2 Clinical Skills exam, standardized patients (SPs) provided ratings of communication and interpersonal skills (CIS) along three dimensions. Assessment data from a one-year (2006) cohort of graduates of international medical schools (IMGs) were analyzed and psychometric characteristics of the CIS measures are described.
Female and native English-speaking physicians received slightly higher CIS ratings than did males and examinees of other language backgrounds across all dimensions. However, no significant examinee by SP gender interaction effect was detected. Correlations with other measures support the construct validity of the CIS scale.
Results of this preliminary study indicate that properly trained SPs can provide accurate and defensible ratings of IMGs' communication and interpersonal skills.
与患者有效沟通的能力是医生临床专业技能的重要组成部分。
作为美国医师执照考试第二步临床技能考试的一部分,标准化患者(SPs)从三个维度对沟通和人际交往能力(CIS)进行评分。分析了国际医学院校(IMGs)2006年毕业生队列的一年评估数据,并描述了CIS测量的心理测量特征。
在所有维度上,女性和以英语为母语的医生的CIS评分略高于男性和其他语言背景的考生。然而,未检测到考生与SP性别交互作用的显著影响。与其他测量方法的相关性支持了CIS量表的结构效度。
这项初步研究的结果表明,经过适当培训的SPs可以对IMGs的沟通和人际交往能力提供准确且可辩护的评分。