151 0

의과대학 학생의 실제 환자 진료와 표준화 환자 진료 간의 환자 중심 면담 특성 비교

Title
의과대학 학생의 실제 환자 진료와 표준화 환자 진료 간의 환자 중심 면담 특성 비교
Other Titles
Patient-Centeredness of Medical Students during a Real Patient Encounter and a Standardized Patient Encounter on the Clinical Performance Examination
Author
황환식
Keywords
CPX; MPCC; 환자중심의료; 환자면담교육; Patient-centered care; Physician-patient relations; Education
Issue Date
2013-06
Publisher
한국의학교육학회
Citation
한국의학교육, 2013, 25(2), P.139-147
Abstract
Purpose: Patient-centered care is one of the most important factors of high-quality medical care. Medical educators have been increasingly interested in education for patient-centered care. This study was conducted to guide such education by assessing the patient-centeredness of medical students in a real patient encounter and a standardized patient encounter on the clinical performance examination (CPX). Methods: During the first semester of 2010 and 2011, fourth-year medical students in a clinical clerkship interviewed outpatients who visited the Department of Family Medicine. The interviews were videotaped, 25 of which were selected for study. We searched the 25 students’ CPX videotapes that were recorded in the same year for comparison. The patient-centeredness of the students was assessed by measure of patient-centered communication (MPCC). Results: The inter-rater reliability of the MPCC was 0.89 when measuring real patient encounters. MPCC scores of 25 students were very low for both real patients (mean, 28.8; range, 8.2~53.1) and for standardized patients (mean, 27.5; range, 8.2~52.7), and there was no significant difference between two groups. The component 1 MPCC scores were significantly higher for real patient encounters compared with those of CPX encounters (0.28 vs 0.18, p=0.0001). The component 2, 3 MPCC scores of two groups were not different each other. Conclusion: Medical educators must emphasize the importance of exploring a patient’s illness and social background and involving them in making a diagnosis and treatment plan for patient-centered care. They should give students more opportunities to interview real patients and diversify scenarios for standardized patients.
URI
http://kjme.kr/journal/view.php?doi=10.3946/kjme.2013.25.2.139http://hdl.handle.net/20.500.11754/55806
ISSN
2005-727X
DOI
10.3946/kjme.2013.25.2.139
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE