Evaluación de competencias en comunicación clínica en estudiantes de medicina con paciente simulado

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 scenari...

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Autores principales:	Gené,Emili, Olmedo,Llum, Pascual,Marta, Azagra,Rafael, Elorduy,Marta, Virumbrales,Montserrat
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Clinical Competence Health Communication Patient Simulation
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000200160
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spelling	oai:scielo:S0034-988720180002001602018-06-20Evaluación de competencias en comunicación clínica en estudiantes de medicina con paciente simuladoGené,EmiliOlmedo,LlumPascual,MartaAzagra,RafaelElorduy,MartaVirumbrales,Montserrat Clinical Competence Health Communication Patient Simulation 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.2 20182018-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000200160es10.4067/s0034-98872018000200160
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Clinical Competence Health Communication Patient Simulation
spellingShingle	Clinical Competence Health Communication Patient Simulation Gené,Emili Olmedo,Llum Pascual,Marta Azagra,Rafael Elorduy,Marta Virumbrales,Montserrat Evaluación de competencias en comunicación clínica en estudiantes de medicina con paciente simulado
description	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.
author	Gené,Emili Olmedo,Llum Pascual,Marta Azagra,Rafael Elorduy,Marta Virumbrales,Montserrat
author_facet	Gené,Emili Olmedo,Llum Pascual,Marta Azagra,Rafael Elorduy,Marta Virumbrales,Montserrat
author_sort	Gené,Emili
title	Evaluación de competencias en comunicación clínica en estudiantes de medicina con paciente simulado
title_short	Evaluación de competencias en comunicación clínica en estudiantes de medicina con paciente simulado
title_full	Evaluación de competencias en comunicación clínica en estudiantes de medicina con paciente simulado
title_fullStr	Evaluación de competencias en comunicación clínica en estudiantes de medicina con paciente simulado
title_full_unstemmed	Evaluación de competencias en comunicación clínica en estudiantes de medicina con paciente simulado
title_sort	evaluación de competencias en comunicación clínica en estudiantes de medicina con paciente simulado
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000200160
work_keys_str_mv	AT geneemili evaluaciondecompetenciasencomunicacionclinicaenestudiantesdemedicinaconpacientesimulado AT olmedollum evaluaciondecompetenciasencomunicacionclinicaenestudiantesdemedicinaconpacientesimulado AT pascualmarta evaluaciondecompetenciasencomunicacionclinicaenestudiantesdemedicinaconpacientesimulado AT azagrarafael evaluaciondecompetenciasencomunicacionclinicaenestudiantesdemedicinaconpacientesimulado AT elorduymarta evaluaciondecompetenciasencomunicacionclinicaenestudiantesdemedicinaconpacientesimulado AT virumbralesmontserrat evaluaciondecompetenciasencomunicacionclinicaenestudiantesdemedicinaconpacientesimulado
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Evaluación de competencias en comunicación clínica en estudiantes de medicina con paciente simulado

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