Research on the different evaluation from the three parties of the clinical practice medical students’ communication ability in OSCE

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Research on the different evaluation from the three parties of the clinical practice medical students’ communication ability in OSCE

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- Research on the different evaluation from the three parties of the clinical practice medical students’ communication ability in OSCE
- Vol. 16, Issue 1, (2017)
- 作者机构：
  
  1. 第三军医大学第三附属医院护理学教研室
  2. 第三军医大学第三附属医院
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2017，
- 稿件说明：
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Research on the different evaluation from the three parties of the clinical practice medical students’ communication ability in OSCE. [J]. 16(1).(2017)
DOI：

Research on the different evaluation from the three parties of the clinical practice medical students’ communication ability in OSCE. [J]. 16(1).(2017) DOI：

摘要

摘要 [目的]分析客观结构化临床考试(objective structured clinical examination

OSCE)中考官、标准化病人（Standardized Patients，SP）、和医学生自身对医学生沟通能力评价的差异性及相关性，为采取适宜的医学生沟通能力评价方法提供科学依据。 [方法]采用OSCE对重庆市大坪医院某医学院90名临床实习医学生的沟通能力进行考官、SP、医学生自身三方评价。采用Excel及SPSS17.0统计分析软件，通过Friendman M检验、T检验、相关分析对三方评价的差异性及相关性进行分析。[结果]三方对医学生沟通能力评价的差异性分析结果显示：考官的评价最低（平均8.39±1.18）、SP的评价最高（平均9.62±0.73）、医学生自身的评价较高（平均9.28±1.09）；考官对医学生同理心、语言沟通能力、非语言沟通能力及礼仪操守的评价较低（P=0.00）。三方评价的相关分析结果显示：三方对医学生沟通能力的总体评价、同理心、非语言沟通能力的评价存在显著相关性（P＜0.05），SP与医学生自身对医学生语言沟通能力、礼仪操守的评价显著相关（P＜0.05）。[结论] OSCE中单用考官、SP或医学生自身来评价医学生沟通能力对其真实能力的反映性欠佳。考官和SP作为主要审考人员，应协作对医学生的沟通能力进行评价。考官评价医学生的医学伦理与法学、同理心、非语言沟通能力三项条目，SP评价医学生的语言沟通能力、礼仪操守两项条目，可更为准确反映医学生的医患沟通能力

Abstract

Abstract [Objective] to analyze the difference and correlation of the evaluation of the medical students' communication ability between the examiners

SP and medical students themselves in objective structured clinical examination (OSCE)

and to provide scientific basis for the appropriate evaluation method of medical students' communication ability. [Methods] OSCE was used to evaluate the communication ability of 90 medical students in Daping Hospital

Chongqing

and the three parties was evaluated by the examiners

SP and medical students themselves . Using Excel and SPSS17.0 statistical analysis software

through Friendman M test

T test and correlation analysis to analysis the differences and correlation of the three parties evaluations. [Results] the different evaluation between the three parties on the communication ability of medical students: Examiner' s evaluation is the lowest (mean 8.39 ± 1.18)

SP's evaluation is the highest (mean 9.62 ± 0.73)

Medical students themselves' is higher (mean9.28±1.09 );The examiner's evaluation of Medical students' empathy

verbal communication ability

nonverbal communication ability and etiquette is lower (P=0.00). The correlation analysis of the three parties' evaluation shows: There was a significant correlation between the three parties on the communication ability

empathy and non verbal communication ability (P < 0.05). The evaluation of SP and medical students themselves on medical students' language communication ability and etiquette was significantly correlated (P < 0.05). [Conclusions] Only use examiner or SP or medical students themselves to evaluate the communication ability of medical students is not accurate

The Examiner and SP as the main trial test personnel should collaborate to evaluate medical students' communication ability. The examiner evaluated the three projects what is medical ethics and law

empathy

non verbal communication ability

the SP evaluated the two projects what is language communication ability and etiquette

Collaborative evaluation of the two sides can be more accurate to reflect the communication ability of medical students’.

关键词

客观结构化临床考试医学生沟通能力评价方法

Keywords

Objective structured clinical examinationMedical studentscommunication abilityevaluation method

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