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Korean J Med Educ > Volume 16(2); 2004 > Article
Korean Journal of Medical Education 2004;16(2): 169-177. doi: https://doi.org/10.3946/kjme.2004.16.2.169
임상실습을 마친 의대생의 환자 중심적 의사소통 기술과 태도
최창진1, 김정민1, 박용규2
1가톨릭대학교 의과대학 가정의학교실
2가톨릭대학교 의과대학 통계학교실
Patient-Centered Attitudes and Communication Skills in Medical Students after Clerkship
Chang Jin Choi1, Jung Min Kim1, Yong Gyu Park2
1Department of Family Medicine, Department of Statistics, Korea.
2The Catholic University of Korea College of Medicine, Seoul, Korea.
Corresponding Author: Chang Jin Choi, Tel: 02)590-1625, Fax: 02)590-2968, Email: fmchcj@catholic.ac.kr
PURPOSE: Patient-centered communication is known to improve patient satisfaction, compliance, doctor-patient relationship, and health outcomes. The aim of this study is to evaluate medical students patient-centered communication skills and attitudes in medical students after their clerkship. METHODS: To evaluate medical students' communication skills, OSCE was performed on 114 fourth-year medical students who had completed their clerkship. After OSCE, we used structured questionnaires to survey the subjects in assessing attitudes toward communication skill learning and patient-centeredness. RESULTS: The accomplished frequency of patient-centered communication items were as follows: allow patient's narrative thread (88.6%), open-to-closed-ended questions (47.4%), discuss psychosocial and emotional factors (36.0%), elicit patient's concerns and perspectives (36.0%), discuss how health problem affects patient's daily life (21.9%), express empathy (14.0%), negotiate plan of action with patient (68.4%), and ask whether patient has further issues to discuss (33.3%). The students who did medical service as extracurricular activity and were confident with their communication skills performed better patient-centered interviews. There was no significant relationship between medical students' patient-centered attitudes and patientcentered OSCE scores. CONCLUSION: Having completed their clerkship, medical students were still unable to perform a good patient-centered interview. Current medical curriculum should teach medical students how to communicate in a patient-centered manner. The education method should focus on behavior change initiative.
Keywords: Patient-centered;Communication skill;Attitude;Medical education;Evaluation
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