Evaluación de competencias en comunicación clínica en estudiantes de medicina con paciente simulado
Autor/a
Gené Tous, Emilio Miguel
Olmedo, Llum
Pascual, Marta
Azagra, Rafael
Elorduy Hernández-Vaquero, Marta
Virumbrales Cancio, Montserrat
Fecha de publicación
2018Otros títulos
Evaluation of clinical communication skills in medical students with simulated patients
ISSN
0034-9887
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 and Methods: 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.
Tipo de documento
Artículo
Versión del documento
Versión aceptada
Lengua
Castellano
Materias (CDU)
61 - Medicina
Palabras clave
Competència clínica
Comunicació en medicina
Estudiants universitaris
Competencia clínica
Comunicación en medicina
Estudiantes universitarios
Clinical competence
Communication in medicine
College students
Páginas
8
Publicado por
SciELO
Colección
146;2
Publicado en
Revista Médica de Chile
Citación
Gené, Emili; Olmedo, Llum; Pascual, Marta [et al.]. Evaluación de competencias en comunicación clínica en estudiantes de medicina con paciente simulado. Revista Médica de Chile, 2018, vol. 146, núm. 2, p. 160-167. DOI: 10.4067/s0034-98872018000200160
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