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