Evaluación de competencias en comunicación clínica en estudiantes de medicina con paciente simulado / Evaluation of clinical communication skills in medical students with simulated patients
Rev. méd. Chile
;
146(2): 160-167, feb. 2018. tab, graf
Article
in Spanish
| LILACS
| ID: biblio-961373
RESUMEN
Background:
Communication skills are not learnt innately. It is therefore necessary to both train and evaluate medical students in this area.Aim:
To evaluate communication skills of fourth-year medical students with the use of a simulated patient (SP). Material andMethods:
Four clinical scenarios (CS) for clinical interviews with simulated patients were designed chronic and acute diseases, difficult and functional patients. Each student performed the four CS, and his communication skills were evaluated using our own questionnaire as agreed with the SP. The questionnaire included items on verbal and nonverbal communication, warmth, respect, specificity, assertiveness and empathy (rated from 0 to 10). The response variable was the arithmetic mean of the scores on each item. All students received a detailed evaluation report.Results:
Sixty one students (32 men) performing 244 interviews, were evaluated. The overall mean score was 7.87 (4.62 to 9.03). The highest scores were for respect and specificity (7.57 and 7.15 respectively). The lowest were for empathy and nonverbal communication (6.44 and 6.84 respectively). The CS evaluations were 7.87 (chronic disease), 7.02 (difficult patient), 6.46 (acute disease) and 6.14 (functional pathology). Women had higher overall scores compared to men (7.26 and 6.51 respectively; p < 0.01) and a significantly higher score in all communication variables (p < 0.01).Conclusions:
The overall assessment in clinical communication with SP is satisfactory although there is room for improvement, especially in empathy and nonverbal communication. Women had significantly higher scores than men.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Students, Medical
/
Patient Simulation
/
Clinical Competence
/
Communication
/
Education, Medical, Undergraduate
Type of study:
Observational study
/
Prevalence study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2018
Type:
Article
Affiliation country:
Spain
Institution/Affiliation country:
Institut Català de la Salut/ES
/
Universitat Autònoma de Barcelona/ES
/
Universitat Internacional de Catalunya/ES
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