ABSTRACT
Objective: To assess the role of workshop in communication skills training of doctors resulting in better healthcare delivery
Study Design: Quasi-experimental interventional study
Place and Duration of Study: Combined Military Hospital Bahawalpur, from Jun 2013 to Aug 2013
Material and Methods: The participants were divided into two groups, those who received the intervention [n=10] and those who received the placebo [n=5]. Intervention was offered in the shape of a workshop that imparted knowledge via lectures and handouts and skill and attitude via audiovisual tapes and role playing. The placebo comprised of an academic workshop which had nothing to do with communication skills. The patients of both groups of doctors were given DISQ [Doctors interpersonal skills questionnaire] and their level of satisfaction based on their interaction with the doctors was evaluated
Results: The overall reliability of the study design and the method of its administration, pre and post the administration of the intervention was 93.2% and were deemed high enough to be considered reliable. The patients of doctors who received the intervention scored a mean of 37.2350 on DISQ with SD of +/- 8.68139 before intervention and mean of 42.0550 with SD of +/- 10.22176 after intervention. The patients of doctors who received the placebo scored a mean of 35.7100 with a SD of +/- 9.81166 before placebo and mean of 36.5900 with SD of +/- 8.55770 after placebo. The p-value was =0.001 [highly significant] when intervention group was compared before intervention and after intervention. However p-value was 0.433 [not significant] when control group was compared before and after placebo
Conclusion: Doctors who received the workshop designed to enhance the effectiveness of their communication skills were able to satisfy their patients to a greater degree compared as to those who received the placebo
ABSTRACT
To determine the diagnostic accuracy of direct microscopy in clinically diagnosed cases of tinea pedis by keeping culture as gold standard. validation study. Department of Dermatology Military Hospital and Armed Forces Institute of Pathology Rawalpindi from January 2008 to July 2008. One hundred clinically diagnosed cases of tinea pedis were subjected to direct microscopy with 10% KOH and fungal culture. Direct microscopic examination was positive in 34% and culture in 60% of the cases. The sensitivity and specificity of direct microscopy were 38.33% and 72.5%, respectively keeping culture as gold standard. Direct microscopy had a positive predictive value of 67.65% and negative predictive value of 43.94%.Direct microscopy with 10% KOH may not be sufficient alone therefore cultures should be used for a definitive diagnosis