Analysis of the assessment of clinical students' doctor-patient communication skills and recom-mendations for improvement

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Analysis of the assessment of clinical students' doctor-patient communication skills and recom-mendations for improvement

更新时间：2024-09-19

- Analysis of the assessment of clinical students' doctor-patient communication skills and recom-mendations for improvement
- Vol. 14, Issue 8, Pages: 824-828(2015)
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- Published：2015，
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Analysis of the assessment of clinical students' doctor-patient communication skills and recom-mendations for improvement. [J]. 14(8):824-828(2015)
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Analysis of the assessment of clinical students' doctor-patient communication skills and recom-mendations for improvement. [J]. 14(8):824-828(2015) DOI：

摘要

目的　了解临床专业学生对医患沟通技能掌握情况，评估医患沟通教学效果，提出改进设想。方法　以南京医科大学2009级临床专业学生５４９名为研究对象，于实习结束后组织客观结构化临床技能考试（objective structured clinical examination，OSCE），其中包括医患沟通技能毕业考核。分析不同学制医学生的医患沟通技能及相关成绩。数据用ＳＰＳＳ 11.0进行统计处理，采用t检验及Pearson分布。结果　549人医患沟通技能平均成绩为（82.72±4.23）分，其中五年制329人均分（81.88±4.23），七年制220人均分（83.96±3.91），七年制临床专业学生医患沟通平均成绩比五年制要好（P<0.001）。五年制和七年制学生OSCE考核总成绩与医患沟通成绩均呈正相关（五年制：相关系数0.520，P=0.000；七年制：相关系数 0.416，P=0.000）。结论　医患沟通教学效果总体较好，经过改进必然对临床专业学生医患沟通技能的提高有更积极的意义。医患沟通考核成绩不仅体现沟通能力培养成效，实质是综合能力培养成效的表现

Abstract

Objective　To investigate the mastery of clinical students' doctor-patient communi-cation skills and to assess the teaching effectiveness about the doctor-patient communication

and then propose some improvement ideas. Methods　We conducted a study in students of clinical medicine of Nanjing Medical University in Grade 2009

using Objective Structured Clinical Examination (OSCE) after internship

which included graduation assessment of doctor-patient communication skills. Then we analyzed the doctor-patient communication skills and related scores of students trained in different clinical medical programs. Results　The average score of doctor-patient communication skills of 549 students was （82.72±4.23）

of which

the average score of 329 five-year students of clinical medicine was （81.88±4.23） and the average score of seven-year students was （83.96±3.91） in. The average score of seven-year students of clinical medicine was significantly higher than five-year students (P=0.000). Moreover

there was a significant positive correlation between the total score of OSCE and the score of doctor-patient communication skills in both five-year and seven-year students of clinical medicine (five year program students' score correlation coefficient was 0.520

P=0.000; seven year pro-gram students' score correlation coefficient 0.416

P=0.000). Conclusion　The teaching effectiveness of doctor-patient communication has proved to be quite effective

and it is definitely of great significance in improving clinical students' doctor-patient communication skills. The score of the assessment of the doctor-patient communication reflects not only the training effectiveness of the communication skills

but also the comprehensive capacity.

关键词

医患沟通　临床专业　毕业考核　客观结构化临床技能考试　相关性分析

Keywords

Doctor-patient communication　Clinical medical program　Graduation assess-ment　Objective structured clinical examination　Correlation analysis

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丁杨　孔祥国

张旭东1　杨冬茹2　刘庆2　刘娜3　孙旭1　陈瑞雪2

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