Yas Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
BMC Med Educ. 2024 Feb 25;24(1):193. doi: 10.1186/s12909-024-05140-8.
Attitudes determine behavior, and alterations in attitude may result in behavioral changes. Medical students would benefit from learning communication skills. This study aimed to determine the attitude of medical students toward the importance of learning communication skills and the training courses and their role in contributing.
In this cross-sectional study, 442 medical students from three different levels of medical training were enrolled. Students in the first 4 years of the medical program were classified as basic sciences and physiopathology students, those in the fifth and sixth years were classified as clerkship students, and those in the last three terms of medical training were classified as interns. The attitude among these three groups was assessed by the Communication Skills Attitude Scale (CSAS) questionnaire, and the contributing factors were determined.
The mean total points for attitude in positive and negative aspects were 50.7 and 30.9, respectively showing a positive attitude toward communication skills among medical students. The median scores of the scales Important in Medical Content, Excuse, Learning, and Overconfidence varied significantly from highest to lowest, respectively. Gender, educational level, ethnic origin, language, family burden, paternal literacy, history of presence in communication skills courses, self-report from communication skills, and need to further learning in this era showed significant association with attitude (P < 0.05).
It may be concluded that generally, medical students have a positive attitude toward communication skills, and this perspective is a multi-factorial entity that programming according to the various related factors would help to attainment of additional communication capabilities among medical students.
态度决定行为，态度的改变可能导致行为的改变。医学生学习沟通技巧将从中受益。本研究旨在确定医学生对学习沟通技巧重要性的态度以及培训课程及其对沟通技巧的作用。
本横断面研究纳入了来自三个不同医学培训水平的 442 名医学生。医学课程前 4 年的学生被归类为基础科学和病理生理学学生，第 5 年和第 6 年的学生被归类为实习学生，最后三个学期的医学培训的学生被归类为实习生。通过沟通技巧态度量表（CSAS）问卷评估这三组学生的态度，并确定影响因素。
积极和消极方面的平均总分分别为 50.7 和 30.9，表明医学生对沟通技巧持积极态度。各量表的中位数评分在医学内容重要性、借口、学习和过度自信方面依次递减，差异有统计学意义。性别、教育程度、种族、语言、家庭负担、父亲文化程度、沟通技巧课程的参与史、自我报告的沟通技巧以及在这个时代进一步学习的需求与态度显著相关（P < 0.05）。
总的来说，医学生对沟通技巧持积极态度，这种观点是一个多因素的实体，根据各种相关因素进行规划将有助于提高医学生的沟通能力。
