A Study about the Medical Communication Proficiency of Korean Traditional Medical Students Using Standardized Patients with Hwa-Byoung

표준화 화병환자를 활용한 한의대생의 진료 및 의사소통 수준연구

  • Kim, Kyeong-Ok (Suncheon Oriental Hospital, Dongshin University) ;
  • Kim, Hee-Kyung (Counselling Psychology department, Dongshin University) ;
  • An, Hyo-Ja (Nursing department, Dongshin University) ;
  • Shin, Heon-Tae (Korean traditional medical department, Dongshin University)
  • Received : 2013.02.26
  • Accepted : 2013.04.26
  • Published : 2013.04.30

Abstract

Objectives : After analyzing the proficiency of medical communication of the students in College of Korean Traditional Medicine using standardized patients, we suggests ways to improve clinical practice in the future class and medical communication curriculum development. Methods : 20 students before clinical practice class (3rd grade) and 20 students after 1 year clinical practice class (4th grade) participated and did their medical interview on Standardized patient. They were evaluated on patient-physician communication skills by standardized patients and professor evaluator. In addition to be evaluated on patient-physician relationship, medical interview skills by professor evaluator. Results : As follows in the evaluation of clinical practice with standardized patients 1. More than half of the participated students regardless of their grade received poor score in their medical communication evaluated by SP(Standardized patient) and PE(Professor evaluator). 2. Greeting, History taking parts were higher in the 4th students who received 1 year clinical practice class, but verbal-nonverbal response, voice tone parts were higher in the 3rd students who do not received clinical practice lesson. 3. Pronunciation&Voice tone parts were higher in the male students but, gathering information part was higher in the female students. Conclusions : We think that the current clinical practice lessons are insufficient as a way to learn and improve medical knowledge and medical communication skills, and it is necessary a new form of clinical practice class. Participatory lesson using standardized patient could be a good alternative of that in the future class.

Keywords

References

  1. Cupach, W., & Spitzberg, B. H.. A comparison of dispositional and situational measures of interpersonal communication competence. West J Speech Commun 1983;47(4):364-379. https://doi.org/10.1080/10570318309374131
  2. 노용균. "의료커뮤니케이션 교육 현황: 의과 대학/의학전문대학원 중심으로. 대한의료커 뮤니케이션."2009년 봄철학술대회.
  3. 최윤영, 백대일, 김현덕, 진보형, 배광학. 치과 영역에서 의사와 환자간의 의사소통 연구. 대한구강보건학회지 2007;31:100-101.
  4. Winefield HR, ChurHansen. A. Evaluating the outcome of communication skill teaching for entry-level medical students: dose knowledge of empathy increase? Med Educ, 2000:34:90-94. https://doi.org/10.1046/j.1365-2923.2000.00463.x
  5. Ammentorp J, Sabroe S, Kofoed P, Mainz J. The effect of training in communication skills on medical doctors' and nurse' self efficacy: A randomized controlled trail. Patient Educ Couns 2007:66:270-277. https://doi.org/10.1016/j.pec.2006.12.012
  6. 채한, 신상우, 장우창, 백유상. 한의과대학(韓 醫科大學) 학부생을 대상으로 한 원전학(原 典學) 논문작성 교수법의 효과 고찰. 대한한의학원전학회 2008:21(1):285-294.
  7. DeBourgh, G., & Prion, S.. Using simulation to teach prelicensure nursing students to minimize patient risk and harm. Clinical Simulation in Nursing, 2011:7 (2):47-56. https://doi.org/10.1016/j.ecns.2009.12.009
  8. Eom, M. R., Kim, H. S., Kim, E. K., & Seong, K. Y.. Effects of teaching method using standardized patients on nursing competence in subcutaneous injection, selfdirected learning readiness, and problem solving ability. Journal of Korean Academic Society of Nursing Education, 2010:40: 151-160 https://doi.org/10.4040/jkan.2010.40.2.151
  9. 김종훈. 의학교육과 표준화 환자-교육에서 평가까지-. 인하대학교 출판부. 2010
  10. Kurz, J., Mahoney, K., Martin-Plank, L., & Lidicker, J.. Objective structured clinical examination and advanced practice nursing students. Journal of Professional Nursing, 2009; 25: 186-191. https://doi.org/10.1016/j.profnurs.2009.01.005
  11. Nestel, D., Clark, S., Tabak, D., Ashwell, V., Muir, E., Paraskevas, P., et al. Defining responsibilities of simulated patients in medical education. Simulation in Healthcare, 2010; 5:161-168. https://doi.org/10.1097/SIH.0b013e3181de1cb6
  12. 박신영, 권영란. 표준화 환자를 적용한 간호 대학생의 정신간호학 실습교육 효과. 정신간호학회지 2012; 21(1) : 79-88.
  13. Luctkar-Flude, M., Wilson-Keates, B., & Larocque, M. (in press). Evaluating high -fidelity human simulators and standardized patients in an undergraduate health assessment course. Nurse Education Today.
  14. 전국 한의과대학 신경정신과 교과서편찬위원회. 한의신경정신과학(증보판). 집문당, 2010; p.3,229,231.
  15. 신은주. 참여학습과 관찰학습의 실습만족도 및 임상수기술, 동의신경정신과학회지, 2008; 19(2):195-207
  16. 박훈기. 표준화 환자를 이용한 의학교육, Hanyang Medical Reviews. 2012:32(1):36
  17. 이성은. 표준화 환자를 활용한 모성간호학 실습 학습방법 효과 분석, 한국간호교육학회지 2011;17(1):20-1.
  18. 유문숙. 기본간호학 실습교육에 있어 표준화 환자를 이용한 학습방법의 효과. 한국간호교육학회지 2001;7(1):103