Exploration of the application of SECUE framework in assessment on doctor-patient communication skills of clinical internship
10.3760/cma.j.issn.2095-1485.2014.12.006
- VernacularTitle:应用SECUE量表对临床实习生医患沟通技能评估的探索
- Author:
Jiarong FANG
;
Bin HU
;
Xin YU
- Publication Type:Journal Article
- Keywords:
Doctor-patient communication;
SEGUE framework;
Communication skills assessment
- From:
Chinese Journal of Medical Education Research
2014;13(12):1209-1214
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate doctor-patient communication skills status and the influencing factors so as to pu forward to develop the proposal.Methods We selected undergraduate students in fourth grade which participated in the 2012 Shanghai Jiaotong University School of Medicine OSCE examinations before practice of clinical medicine by cluster sampling 1 and we selected four western and chinese medicine hospitals randomly sample 2,which are three level of first-class hospitals in Shanghai.We design the questionnaire and observe sampling with the SEGUE framework.Application of SPSS 13.0 data for statistical analysis,descriptive statistics analysis,u test,t test,ANOVA,rank sum test and correlation analysis method.Results The test with SEGUE framework shows that the scores of samplingl were 12.54 points(out of 24),the score rate is low which was 52.25%,and in the score rate of the dimensions,the end of inquiry dimension is 4% which is the lowest.There are significant statistical differences between different groups of influencing factors such as Medical occupation interest score and so on.There is no statistically significant difference between the SEGUE score of traditional Chinese medicine and western medicine clinical Intern.The communication skills of western medical students are higher.Doctor-patient communication skills related factors such as recognition of the importance of doctor-patient communication skills and other groups are statistically significant,the correlation coefficients are very small which is between 0.1 and 0.3.Conclusion The overall level of doctor-patient communication skills on clinical internship are not high,through the guidance and training on the occupation interest of medical students,we can strengthen the recognition of the importance of doctor-patient communication skills,so that we will improve the doctor-patient communication skills for the medical students.SEGUE framework should be used to routine medical students communication skills evaluation.