H. Wayne Huizenga College of Business and Entrepreneurship, Nova Southeastern University, Department of Management, Fort Lauderdale, Florida.
NYU Langone Orthopaedic Hospital, Department of Orthopaedic Surgery, New York, New York.
J Surg Educ. 2020 Jan-Feb;77(1):202-212. doi: 10.1016/j.jsurg.2019.08.012. Epub 2019 Sep 5.
This study examined the relationship between personality traits and interpersonal communication skills among first-year orthopedic surgery residents.
This study performed a retrospective analysis on the data collected in the 2 phases among the 6 cohorts of first-year orthopedic surgery residents (n = 73) during a 6-year period at an urban academic medical hospital. Resident personality was assessed through self-report prior to entry into the program and included a total of 7 personality traits. These traits were broken down into 2 categories, day to day, or usual, tendencies, which measured personality traits when no stress was present and stress tendencies, which measured personality traits when stressed or fatigued. The "day to day" tendencies measured were Emotional Stability, Agreeableness, Conscientiousness and Openness) and "stress" tendencies measured were Excitable, Skeptical and Imaginative. Communication skills were measured across 4 specific dimensions of patient communication (Engage, Empathy, Educate, Enlist) in an Objective Structured Clinical Examination (OSCE).
Multiple regression analyses showed that the personality traits identified as "stress" tendencies predicted performance on 2 of the 4 communication skills dimensions measured by the OSCE and accounted for up to 34.8% of the total variance in the ratings of empathic communication and up to 67.2% of the total variance in education-related communication.
Our research identifies specific personality traits that affect resident communication skills related to patient education and empathy in simulated encounters. Three stress-related personality traits (Excitable, Skeptical, Imaginative) had a strong negative influence on communication skills, while day to day personality traits (Emotional Stability, Agreeableness, Conscientiousness) positively influenced communication skills.
本研究考察了第一年骨科住院医师的人格特质与人际沟通技巧之间的关系。
本研究对 6 个第一年骨科住院医师队列（n=73）在 6 年期间在城市学术医疗中心进行的 2 个阶段的数据进行了回顾性分析。住院医师的人格特质在进入项目前通过自我报告进行评估，包括总共 7 个人格特质。这些特质分为日常或通常倾向，即没有压力时测量人格特质，以及应激倾向，即测量应激或疲劳时的人格特质。“日常”倾向测量的特质包括情绪稳定性、宜人性、尽责性和开放性，而“应激”倾向测量的特质包括易激动、多疑和富有想象力。沟通技巧在客观结构化临床考试（OSCE）中通过 4 个患者沟通特定维度（参与、共情、教育、招募）进行测量。
多元回归分析显示，被确定为“应激”倾向的人格特质预测了 OSCE 测量的 4 个沟通技巧维度中的 2 个维度的表现，占共情沟通评分总方差的 34.8%，占与教育相关的沟通总方差的 67.2%。
我们的研究确定了影响住院医师在模拟环境中与患者教育和同理心相关的沟通技巧的特定人格特质。3 种与应激相关的人格特质（易激动、多疑、富有想象力）对沟通技巧有强烈的负面影响，而日常人格特质（情绪稳定性、宜人性、尽责性）则对沟通技巧有积极影响。
