Park Wan Beom, Phyo Sae Ra, Jang Eun Young, Kang Seok Hoon, Myung Sun Jung, Shin Hee Young, Lee Yoon Seong, Shin Jwa-Seop
Office of Medical Education, Seoul National University College of Medicine, Seoul, Korea.
Korean J Med Educ. 2010 Dec;22(4):269-74. doi: 10.3946/kjme.2010.22.4.269. Epub 2010 Dec 31.
Medical students' communication and interpersonal skills can be evaluated by standardized patients in a clinical performance examination (CPX). The purpose of this study is to investigate which communication and interpersonal skills are more closely correlated between medical students and residents.
This study included 2nd-year residents in 2009 who took the eight-station CPX as 4th-year medical students in 2006. In-patients who were cared for by the residents were asked the seven items related to interpersonal and communication skills. The correlation between the scores of these seven items in the 2006 CPX and the scores in the 2009 patient survey was evaluated.
Twenty-six residents, 11 in medical wards and 15 in surgical wards, participated in the study. The medical students' total scores tended to be correlated with the residents' scores (r=0.381, p=0.055). There was significant correlation between the scores for students and residents for 'Explaining more explicably' (r=0.470, p=0.015), and marginally significant correlation (r=0.385, p=0.052) for 'Listening attentively.' There was no significant correlation for the other five items.
'Explaining more explicably' and 'Listening attentively', these skills were more closely correlated between medical students and residents. These basic communication skills should be included in graduate or licensing evaluations.
在临床技能考核(CPX)中,标准化病人可用于评估医学生的沟通及人际技能。本研究旨在调查医学生与住院医师之间哪些沟通及人际技能的相关性更强。
本研究纳入了2009年的二年级住院医师,他们在2006年作为四年级医学生参加了八站式CPX考核。对这些住院医师所护理的住院患者询问了与人际和沟通技能相关的七个项目。评估了2006年CPX中这七个项目的得分与2009年患者调查得分之间的相关性。
26名住院医师参与了研究,其中11名在内科病房,15名在外科病房。医学生的总分与住院医师的得分呈正相关趋势(r = 0.381,p = 0.055)。学生和住院医师在“解释得更清楚”项目上的得分之间存在显著相关性(r = 0.470,p = 0.015),在“认真倾听”项目上存在边缘显著相关性(r = 0.385,p = 0.052)。其他五个项目无显著相关性。
“解释得更清楚”和“认真倾听”,这些技能在医学生和住院医师之间的相关性更强。这些基本沟通技能应纳入毕业或执照评估中。