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Analyzing communication skills of Pediatric Postgraduate Residents in Clinical Encounter by using video recordings

OBJECTIVE: To analyze communication skills of pediatric postgraduate residents in clinical encounter by using video recordings. METHODS: This qualitative exploratory research was conducted through video recording at The Children’s Hospital Lahore, Pakistan. Residents who had attended the mandatory c...

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Detalles Bibliográficos
Autores principales: Bari, Attia, Khan, Rehan Ahmed, Jabeen, Uzma, Rathore, Ahsan Waheed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5768816/
https://www.ncbi.nlm.nih.gov/pubmed/29492050
http://dx.doi.org/10.12669/pjms.336.13481
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author Bari, Attia
Khan, Rehan Ahmed
Jabeen, Uzma
Rathore, Ahsan Waheed
author_facet Bari, Attia
Khan, Rehan Ahmed
Jabeen, Uzma
Rathore, Ahsan Waheed
author_sort Bari, Attia
collection PubMed
description OBJECTIVE: To analyze communication skills of pediatric postgraduate residents in clinical encounter by using video recordings. METHODS: This qualitative exploratory research was conducted through video recording at The Children’s Hospital Lahore, Pakistan. Residents who had attended the mandatory communication skills workshop offered by CPSP were included. The video recording of clinical encounter was done by a trained audiovisual person while the resident was interacting with the patient in the clinical encounter. Data was analyzed by thematic analysis. RESULTS: Initially on open coding 36 codes emerged and then through axial and selective coding these were condensed to 17 subthemes. Out of these four main themes emerged: (1) Courteous and polite attitude, (2) Marginal nonverbal communication skills, (3) Power game/Ignoring child participation and (4) Patient as medical object/Instrumental behaviour. All residents treated the patient as a medical object to reach a right diagnosis and ignored them as a human being. There was dominant role of doctors and marginal nonverbal communication skills were displayed by the residents in the form of lack of social touch, and appropriate eye contact due to documenting notes. A brief non-medical interaction for rapport building at the beginning of interaction was missing and there was lack of child involvement. CONCLUSION: Paediatric postgraduate residents were polite while communicating with parents and child but lacking in good nonverbal communication skills. Communication pattern in our study was mostly one-way showing doctor’s instrumental behaviour and ignoring the child participation.
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spelling pubmed-57688162018-02-28 Analyzing communication skills of Pediatric Postgraduate Residents in Clinical Encounter by using video recordings Bari, Attia Khan, Rehan Ahmed Jabeen, Uzma Rathore, Ahsan Waheed Pak J Med Sci Original Article OBJECTIVE: To analyze communication skills of pediatric postgraduate residents in clinical encounter by using video recordings. METHODS: This qualitative exploratory research was conducted through video recording at The Children’s Hospital Lahore, Pakistan. Residents who had attended the mandatory communication skills workshop offered by CPSP were included. The video recording of clinical encounter was done by a trained audiovisual person while the resident was interacting with the patient in the clinical encounter. Data was analyzed by thematic analysis. RESULTS: Initially on open coding 36 codes emerged and then through axial and selective coding these were condensed to 17 subthemes. Out of these four main themes emerged: (1) Courteous and polite attitude, (2) Marginal nonverbal communication skills, (3) Power game/Ignoring child participation and (4) Patient as medical object/Instrumental behaviour. All residents treated the patient as a medical object to reach a right diagnosis and ignored them as a human being. There was dominant role of doctors and marginal nonverbal communication skills were displayed by the residents in the form of lack of social touch, and appropriate eye contact due to documenting notes. A brief non-medical interaction for rapport building at the beginning of interaction was missing and there was lack of child involvement. CONCLUSION: Paediatric postgraduate residents were polite while communicating with parents and child but lacking in good nonverbal communication skills. Communication pattern in our study was mostly one-way showing doctor’s instrumental behaviour and ignoring the child participation. Professional Medical Publications 2017 /pmc/articles/PMC5768816/ /pubmed/29492050 http://dx.doi.org/10.12669/pjms.336.13481 Text en Copyright: © Pakistan Journal of Medical Sciences http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Bari, Attia
Khan, Rehan Ahmed
Jabeen, Uzma
Rathore, Ahsan Waheed
Analyzing communication skills of Pediatric Postgraduate Residents in Clinical Encounter by using video recordings
title Analyzing communication skills of Pediatric Postgraduate Residents in Clinical Encounter by using video recordings
title_full Analyzing communication skills of Pediatric Postgraduate Residents in Clinical Encounter by using video recordings
title_fullStr Analyzing communication skills of Pediatric Postgraduate Residents in Clinical Encounter by using video recordings
title_full_unstemmed Analyzing communication skills of Pediatric Postgraduate Residents in Clinical Encounter by using video recordings
title_short Analyzing communication skills of Pediatric Postgraduate Residents in Clinical Encounter by using video recordings
title_sort analyzing communication skills of pediatric postgraduate residents in clinical encounter by using video recordings
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5768816/
https://www.ncbi.nlm.nih.gov/pubmed/29492050
http://dx.doi.org/10.12669/pjms.336.13481
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