Selected aspects of a professional doctor-patient communication – education and practice
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Department of Informatics and Health Statistics, Institute of Rural Health, Lublin, Poland; Faculty of Pedagogy and Psychology, University of Economics and Innovation, Lublin, Poland
Ann Agric Environ Med. 2013;20(2):373-379
[b][i][/i][/b]Background: In the work of a physician, not only knowledge, and professional skills (technical/hard) are important, but also psychosocial skills (relational/soft). Objectives: The primary goal of the presented research was evaluation of the level (study of the state) of communication competences of physicians and determination of the factors on which this level depends. An additional goal was analysis of the needs and educational possibilities within the existing models of education in the area of interpersonal communication provided in Medical Universities in Poland. Design, setting and participants: Information about educational curricula available on the websites of 12 Medical Universities in Poland were compared. The self-designed questionnaire and adjective check list were subject to standardization from the aspect of reliability and validity. The study groups included 1) occupationally-active physicians (185 respondents) employed in outpatient departments and hospitals, who were covered by a pre-graduate standard educational programme and not trained in interpersonal communication skills as part of their continuing education; 2) medical students covered by a standard educational programme (246 respondents). Results: The conducted analysis of the educational curricula showed a very narrow scope of problems concerning professional medical communication. The results indicating the general state of respondents’ communication competences within all aspects (motivation, skills, knowledge) were relatively low. That clearly indicated an inadequate educational model (students), and lack of post-graduate training in the area of professional medical communication (physicians). Conclusions: The education of students of medicine should cover selected classes within the scope of professional communication competences. These classes should be based on the systemically designed training of skills. The patterning by students of the relations attitudes observed in practising physicians is insufficient. It is necessary to apply a methodical evaluation of communication competences, diagnosing educational needs of occupationally active physicians in this respect. This allows the preparation of courses in accordance with the needs in the area of professional communication competences.
Cals JW, de Bock L, Beckers PJ, Francis NA, Hopstaken RM, Hood K, de Bont EG, Butler CC, Dinant GJ. Enhanced Communication Skills and C-reactive Protein Point-of-Care Testing for Respiratory Tract Infection: 3.5-year Follow-up of a Cluster Randomized Trial. Ann Fam Med. 2013; 11(2): 157–64.
Ratanawongsa N, Karter AJ, Parker MM, Lyles CR, Heisler M, Moffet HH, Adler N, Warton EM, Schillinger D. Communication and medication refill adherence: the Diabetes Study of Northern California. JAMA Intern Med. 2013; 173(3): 210–8.
Weiland A, Van de Kraats RE, Blankenstein AH, Van Saase JL, Van der Molen HT, Bramer WM, Van Dulmen AM, Arends LR. Encounters between medical specialists and patients with medically unexplained physical symptoms; influences of communication on patient outcomes and use of health care: a literature overview. Perspect Med Educ. 2012; 1(4): 192–206.
Pérula LÁ, Campiñez M, Bosch JM, Barragán Brun N, Arboniés JC, Bóveda Fontán J, Martín Alvarez R, Prados JA, Martín-Rioboó E, Massons J, Criado M, Fernández JÁ, Parras JM, Ruiz-Moral R, Novo JM; collaborative Group Dislip-EM. Is the Scale for Measuring Motivational Interviewing Skills a valid and reliable instrument for measuring the primary care professionals motivational skills?: EVEM study protocol. BMC Fam Pract. 2012; 13: 112.
Meystre C, Bourquin C, Despland JN, Stiefel F, de Roten Y. Working alliance in communication skills training for oncology clinicians: a controlled trial. Patient Educ Couns. 2013; 90(2): 233–8.
Henman MJ, Butow PN, Brown RF, Boyle F, Tattersall MH. Lay constructions of decision-making in cancer. Psycho-oncology. 2002; 11(4): 295–306.
Jahng KH, Martin LR, Golin CE, DiMatteo MR. Preferences for medical collaboration: patient-physician congruence and patient outcomes. Patient Education and Counseling. 2005; 57(3): 308–314.
Kaplan SH, Greenfield S, Ware JE., Jr Assessing the effects of physicianpatient interactions on the outcomes of chronic disease. Medical Care. 1989; 27(3Suppl): S110–S127.
Ong LM, de Haes JC, Hoos AM, Lammes FB. Doctor-patient communication: a review of the literature. Soc Sci Med. 1995; 40(7): 903–918.
Stewart M, Brown JB, Donner A, McWhinney IR, Oates J, Weston WW, Jordan J. The impact of patient-centered care on outcomes. J Family Pract. 2000; 49(9): 796–804.
Trummer UF, Mueller UO, Nowak P, Stidl T, Pelikan JM. Does physician-patient communication that aims at empowering patients improve clinical outcome? A case study. Patient Educ Counsell. 2006; 61(2): 299–306.
Hall JA, Epstein AM, DeCiantis ML, McNeil BJ. Physicians’ liking for their patients: more evidence for the role of affect in medical care. Health Psychol. 1993; 12(2): 140–146.
Beach MC, Roter DL, Wang NY, Duggan PS, Cooper LA. Are physicians’ attitudes of respect accurately perceived by patients and associated with more positive communication behaviors? Patient Educ Counsell. 2006; 62(3): 347–354.
Levinson W, Roter D. Physicians’ psychosocial beliefs correlate with their patient communication skills. J General Internal Med. 1995; 10(7): 375–379.
Street RL Jr, Gordon H, Haidet P. Physicians’ communication and perceptions of patients: is it how they look, how they talk, or is it just the doctor? Soc Sci Med. 2007; 65(3): 586–98.
Street RL, Jr, Millay B. Analyzing patient participation in medical encounters. Health Commun. 2001; 13(1): 61–73.
Jarosz MJ, Kawczyńska-Butrym Z, Włoszczak-Szubzda A. Modele komunikacyjne relacji lekarz – pacjent – rodzina. Med Og Nauk Zdr. 2012; 18(3): 212–218.
Bertakis KD, Helms LJ, Azari R, Callahan EJ, Robbins JA, Miller J. Differences between family physicians’ and general internists’ medical charges. Med Care. 1999; 37(1): 78–82.
Paasche-Orlow M, Roter D. The communication patterns of internal medicine and family practice physicians. J Am Board Fam Pract. 2003; 16(6): 485–93.
urgess DJ, Fu SS, Van Ryn M. Why do providers contribute to disparities and what can be done about it? J General Internal Med. 2004; 19(11): 1154–1159.
Van Ryn M, Burgess D, Malat J, Griffin J. Physicians’ perceptions of patients’ social and behavioral characteristics and race disparities in treatment recommendations for men with coronary artery disease. Am J Public Health. 2006; 96(2): 351–357.
Elso ChJ, Hayes JA. Relacja terapeutyczna. Gdańsk GWP 2004; ss.2282005.ISBN 83–89574–41–1.
Matthews G, Zeinder M, Roberts RD. Emotional Intelligence: Science and Myth, MIT Press, Cambridge 2004.
Morreale SP, Spitzberg BH, Barge JK. Human communication: Motivation. knowledge and skills. Belmont, California: Wadsworth Thomson Learning, 2002.
Włoszczak-Szubzda A, Jarosz MJ. Professional communication competences of nurses. Ann Agric Environ Med 2012; 19(3): 601–607.
Chen RP. Moral imagination in simulation-based communication skills training. Nurs Ethics. 2011; 18(1): 102–111.
Włoszczak-Szubzda A, Jarosz MJ. Professional communication competences of physiotherapists – practice and educational perspectives. Ann Agric Environ Med. 2013; 20(1): 189–194.
Włoszczak-Szubzda A, Jarosz MJ. Professional communication competences of nurses – a review of current practice and educational problems. Ann Agric Environ Med. 2013; 20(1): 183–188.
Włoszczak-Szubzda A. Kompetencje komunikacyjne personelu medycznego. Badanie stanu oraz ocena potrzeb komunikacyjnych, praca doktorska, Uniwersytet Medyczny w Lublinie, Lublin 2009.
30. lekarski.pdf, standardy kształcenia dla kierunków studiów: kierunek lekarski (access: 23.03.2013).
Jackson VA, Back AL. Teaching communication skills using role-play: an experience-based guide for educators. J Palliat Med. 2011; 14(6): 775–80.
Berkhof M, van Rijssen HJ, Schellart AJ, Anema JR, van der Beek AJ. Effective training strategies for teaching communication skills to physicians: an overview of systematic reviews. Patient Educ Couns. 2011; 84(2): 152–62.
Zolnierek KB, Dimatteo MR. Komunikacja lekarz i pacjent przestrzeganie leczenia: metaanaliza. Med Care. 2009; 47:826–834.
Brown J. Transferring clinical communication skills from the classroom to the clinical environment: perceptions of a group of medical students in the United kingdom. Acad Med. 2010; 85(6): 1052–9.
Ha JF, Longnecker N. Doctor-patient communication: a review. Ochsner J. 2010; 10(1): 38–43.
Fentiman IS. Communication with older breast cancer patients. Breast J. 2007; 13(4): 406–9.
DiMatteo MR. The role of the physician in the emerging health care environment. West J Med. 1998; 168(5): 328–33.
Shochet R, King J, Levine R, Clever S, Wright S. ‘Thinking on my feet’: an improvisation course to enhance students’ confidence and responsiveness in the medical interview. Educ Prim Care. 2013; 24(2): 119–24.
Maguire P, Pitceathly C. Key communication skills and how to acquire them. BMJ. 2002; 325(7366): 697–700.
Sobel DS. Rethinking medicine: improving health outcomes with cost-effective psychosocial interventions. Psychosom Med. 1995; 57(3): 234–44.
Duffy FD, Gordon GH, Whelan G, Cole-Kelly K, Frankel R, Buffone N, Lofton S, Wallace M, Goode L, Langdon L Assessing competence in communication and interpersonal skills: the Kalamazoo II report. Acad Med. 2004; 79(6): 495–507.
Lee SJ, Back AL, Block SD, Stewart SK. Enhancing physician-patient communication. Hematology Am Soc. Hematol. Educ. Program. 2002: 464–83.
Harms C, Young JR, Amsler F, Zettler C, Scheidegger D, Kindler CH. Improving anaesthetists’ communication skills. Anaesthesia. 2004; 59(2): 166–72.
Brown JB, Boles M, Mullooly JP, Levinson W. Effect of clinician communication skills training on patient satisfaction. A randomized, controlled trial. Ann Intern Med. 1999; 131(11): 822–9.
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