Eskandari Merina, Hosseini Fakhrolsadat, Razjouyan Katayoon, Abadi Alireza
National Center for Strategic Research in Medical Education, Tehran, Iran.
School of Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2021 Sep 22;35:122. doi: 10.47176/mjiri.35.122. eCollection 2021.
This study aimed to determine the level of communication skills in residents of Shahid Beheshti University of Medical Sciences in the final year of the main courses in accordance with the Calgary Cambridge Observation Guide for the purpose of improving their skills and improving the quality and correcting the existing problems. In this cross-sectional study, 190 residents of 14 majors were evaluated using a checklist of patient and physician communication skills based on the Calgary Cambridge Guide that has been localized in Persian language and culture using the cross-cultural adaptation standard in 6 stages. Content validity was verified by the primary author. The skills within the 71-item checklist were examined via a 3-point Likert-type rating scale, with scores ranging from 1 to 3 (good to poor) and the data were analyzed using the SPSS 16 software. Of the190 residents, 161 were enrolled in the study. Of them 74 were internal and 87 surgical residents, and 89 were male and 72 were female. The mean score of the total communication skills in 14 major courses was 128.68±37.2264; it was 121.7±36.990 in the Department of Surgery, and 136.8±36.073 in the Department of Internal Medicine, with p=0.010, in female students 126.6 and in male student 130.3 with p=0.500. The score of 71 communication skills points in the list was prepared using the Likert scale option 3. In the overall skills, the weak score is 71 to 118.33, the average score is 118.34 to 165.66, and the good score is 165.67 to 213. Based on the findings of the study and examining the educational curriculum, it can be stated that unlike in psychiatry with an average score of 168.83, which is at a good level, the other fields are not well-developed and overall the communication skills in the residents, with a mean score of 128.68, are moderately poor and therefore further education and training is needed in these fields for resident students.
本研究旨在根据《卡尔加里 - 剑桥观察指南》确定设拉子医科大学医学专业最后一年学生的沟通技能水平,以提高他们的技能,提升质量并纠正现存问题。在这项横断面研究中,根据已按照六个阶段的跨文化适应标准本地化至波斯语言和文化背景的基于《卡尔加里 - 剑桥指南》的医患沟通技能清单,对14个专业的190名学生进行了评估。内容效度由第一作者验证。通过3点李克特量表对71项清单中的技能进行检查,分数范围为1至3(从好到差),并使用SPSS 16软件对数据进行分析。190名学生中,161名参与了研究。其中74名是内科学生,87名是外科学生,89名是男性,72名是女性。14个主要课程的总沟通技能平均分为128.68±37.2264;外科系为121.7±36.990,内科系为136.8±36.073,p = 0.010,女学生为126.6,男学生为130.3,p = 0.500。清单中71项沟通技能得分采用李克特量表选项3编制。在整体技能方面,低分是71至118.33,平均分是118.34至165.66,高分是165.67至213。根据研究结果并审视教育课程,可以说与平均分为168.83且处于良好水平的精神病学不同,其他领域发展不佳,学生的沟通技能平均分为128.68,处于中等偏下水平,因此这些领域的学生需要进一步的教育和培训。