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의학전문대학원생이 스스로 평가한 커뮤니케이션 능력 점수와 표준화 환자가 평가한 의학전문대학원생의 커뮤니케이션 능력 점수의 일치도

PURPOSE: The purpose of this study was to examine the concordance between self and standardized patient (SP) ratings of medical students' communication skills. METHODS: Forty-three students interviewed SPs. The students were asked to complete a communication skills questionnaire that comprised...

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Detalles Bibliográficos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Medical Education 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8813410/
https://www.ncbi.nlm.nih.gov/pubmed/25804651
http://dx.doi.org/10.3946/kjme.2013.25.1.29
Descripción
Sumario:PURPOSE: The purpose of this study was to examine the concordance between self and standardized patient (SP) ratings of medical students' communication skills. METHODS: Forty-three students interviewed SPs. The students were asked to complete a communication skills questionnaire that comprised 2 measures (empathy and interpersonal communication) before the interview. After each student’s interview with the SP, the latter completed the same questionnaire as the students. RESULTS: Based on Lin's concordance coefficient, there was strong disconcordance between students' self-ratings and the SPs' ratings. With regard to empathic communication, more than 50% of students who considered themselves higher than middle level were regarded by SP as low level. On interpersonal communication, 39% of students who assessed themselves as higher than middle level were scored low level by SPs. CONCLUSION: There was strong disconcordance between students' self-ratings and the SPs' ratings—students tended to overevaluate themselves regarding their communication skills. These differences might result in patient dissatisfaction and noncompliance. Further, it could become a serious hindrance to the development of a good doctor-patient relationship. Medical educators should make sincere efforts to reduce this gap by teaching medical students the importance of the patients' perception of his doctors' communication skills.