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Communication skills learning during medical studies in Poland: opinions of final-year medical students
, 1, 23, 24, 1, 1, 1
Affiliations- Chair and Department of Medical Education, Poznan University of Medical Sciences, Poznan, Poland
- Department of Medical Simulation, Chair of Medical Education, Poznan University of Medical Sciences, Poznan, Poland
- Department of Pediatric Oncology, Hematology and Transplantology, Poznan University of Medical Sciences, Poznan, Poland
- Polish Society of Medical Simulation, Poland
open access
Abstract
INTRODUCTION: Despite the increasing emphasis on the medical curriculum, students’ empathy and communication
skills decline with time. As students’ attitudes and experiences may influence the effectiveness
of communication training and their future communication style, this study aimed to evaluate the opinions
of last-year medical students on communication skills learning.
MATERIAL AND METHODS: Following the fully mixed concurrent equal status design methodology, we invited
sixth-year medical students of our university to fill a paper questionnaire with closed and open questions on
their perspectives on communication skills learning.
RESULTS: Questionnaires were completed by a representative sample of 166 students. The majority of them
recognized the importance and benefits of communication training, and the need to increase its significance
in the medical curriculum. They noticed that students with low communication skills lack motivation
for improvement. Students also underlined the significance of the hidden curriculum, reporting a contrast
between communication classes and the behavior of some physicians. Moreover, students less positively inclined
towards communication training doubted its effectiveness and importance, suggesting that it should
be offered for volunteers.
CONCLUSIONS: In order to meet the expectations of students with positive opinions and overcome the lack
of motivation or engagement of negatively inclined students, more emphasis should be placed on communication
training. Changes in communication training should include increasing its practical character and
intensity, emphasizing its importance and benefits, and paying more attention to hidden curriculum aspects.
Revisions to the medical school application system should be considered to underline the importance
of interpersonal competencies already at the admission stage.
Abstract
INTRODUCTION: Despite the increasing emphasis on the medical curriculum, students’ empathy and communication
skills decline with time. As students’ attitudes and experiences may influence the effectiveness
of communication training and their future communication style, this study aimed to evaluate the opinions
of last-year medical students on communication skills learning.
MATERIAL AND METHODS: Following the fully mixed concurrent equal status design methodology, we invited
sixth-year medical students of our university to fill a paper questionnaire with closed and open questions on
their perspectives on communication skills learning.
RESULTS: Questionnaires were completed by a representative sample of 166 students. The majority of them
recognized the importance and benefits of communication training, and the need to increase its significance
in the medical curriculum. They noticed that students with low communication skills lack motivation
for improvement. Students also underlined the significance of the hidden curriculum, reporting a contrast
between communication classes and the behavior of some physicians. Moreover, students less positively inclined
towards communication training doubted its effectiveness and importance, suggesting that it should
be offered for volunteers.
CONCLUSIONS: In order to meet the expectations of students with positive opinions and overcome the lack
of motivation or engagement of negatively inclined students, more emphasis should be placed on communication
training. Changes in communication training should include increasing its practical character and
intensity, emphasizing its importance and benefits, and paying more attention to hidden curriculum aspects.
Revisions to the medical school application system should be considered to underline the importance
of interpersonal competencies already at the admission stage.
Keywords
communication skills learning; communication training; medical students; medical curriculum; hidden curriculum
About this articleTitle
Communication skills learning during medical studies in Poland: opinions of final-year medical students
Journal
Disaster and Emergency Medicine Journal
Issue
Article type
Research paper
Pages
172-182
Published online
2021-12-15
Page views
5978
Article views/downloads
386
DOI
Bibliographic record
Disaster Emerg Med J 2021;6(4):172-182.
Keywords
communication skills learning
communication training
medical students
medical curriculum
hidden curriculum
Authors
Piotr Przymuszala
Magdalena Cerbin-Koczorowska
Patrycja Marciniak-Stepak
Lidia Szlanga
Lucja Zielinska-Tomczak
Marek Dabrowski
Ryszard Marciniak
References (40)- Epstein RM, Street RL. The values and value of patient-centered care. Ann Fam Med. 2011; 9(2): 100–103.
- Bachmann C, Roschlaub S, Harendza S, et al. Medical students' communication skills in clinical education: Results from a cohort study. Patient Educ Couns. 2017; 100(10): 1874–1881.
- Cömert M, Zill JM, Christalle E, et al. Assessing Communication Skills of Medical Students in Objective Structured Clinical Examinations (OSCE)--A Systematic Review of Rating Scales. PLoS One. 2016; 11(3): e0152717.
- Löffler-Stastka H, Seitz T, Billeth S, et al. Significance of gender in the attitude towards doctor-patient communication in medical students and physicians. Wien Klin Wochenschr. 2016; 128(17-18): 663–668.
- Baig LA, Violato C, Crutcher RA. Assessing clinical communication skills in physicians: are the skills context specific or generalizable. BMC Med Educ. 2009; 9: 22.
- Braverman G, Bereknyei Merrell S, Bruce JS, et al. Finding the Words: Medical Students' Reflections on Communication Challenges in Clinic. Fam Med. 2016; 48(10): 775–783.
- Alotaibi FS, Alsaeedi A. Attitudes of medical students toward communication skills learning in Western Saudi Arabia. Saudi Med J. 2016; 37(7): 791–795.
- Taylor S, Bobba S, Roome S, et al. Simulated patient and role play methodologies for communication skills training in an undergraduate medical program: Randomized, crossover trial. Educ Health (Abingdon). 2018; 31(1): 10–16.
- Wright KB, Bylund C, Ware J, et al. Medical Student Attitudes Toward Communication Skills Training and Knowledge of Appropriate Provider-Patient Communication: A Comparison of First-Year and Fourth-Year Medical Students. Med Educ Online. 2006; 11(1): 4594.
- Ajzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes. 1991; 50(2): 179–211.
- Rees C, Sheard C. The relationship between medical students' attitudes towards communication skills learning and their demographic and education-related characteristics. Med Educ. 2002; 36(11): 1017–1027.
- Cleland J, Foster K, Moffat M. Undergraduate students' attitudes to communication skills learning differ depending on year of study and gender. Med Teach. 2005; 27(3): 246–251.
- Hojat M, Vergare MJ, Maxwell K, et al. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med. 2009; 84(9): 1182–1191.
- Neumann M, Edelhäuser F, Tauschel D, et al. Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 2011; 86(8): 996–1009.
- Tashakkori A, Creswell J. Editorial: The New Era of Mixed Methods. Journal of Mixed Methods Research. 2016; 1(1): 3–7.
- Johnson R, Onwuegbuzie A, Turner L. Toward a Definition of Mixed Methods Research. Journal of Mixed Methods Research. 2016; 1(2): 112–133.
- Denzin NK, Lincoln YS. The SAGE Handbook of Qualitative Research. 4th ed. SAGE Publications 2011.
- Hadi MA, Alldred DP, Closs SJ, et al. Mixed-methods research in pharmacy practice: basics and beyond (part 1). Int J Pharm Pract. 2013; 21(5): 341–345.
- Leech N, Onwuegbuzie A. A typology of mixed methods research designs. Quality & Quantity. 2007; 43(2): 265–275.
- Ordinance of the Minister of Science and Higher Education of May 9, 2012 on the standards of education for faculties: medical, dentistry, pharmacy, nursing and obstetrics. [Rozporządzenie Ministra Nauki i Szkolnictwa Wyższego z dnia 9 maja 2012 r. w sprawie standardów kształcenia dla kierunków studiów: lekarskiego, lekarsko-dentystycznego, farmacji, pielęgniarstwa i położnictwa.] Retrived from: http://prawo.sejm.gov.pl/isap.nsf/DocDetails.xsp?id=WDU20120000631.
- Krejcie R, Morgan D. Determining Sample Size for Research Activities. Educational and Psychological Measurement. 2016; 30(3): 607–610.
- Cleland JA. The qualitative orientation in medical education research. Korean J Med Educ. 2017; 29(2): 61–71.
- British Association for Educational Researchers. Ethical Guidelines for Educational Research. fourth edition, 2018. https://www.bera.ac.uk/researchers-resources/publications/ethical-guidelines-for-educational-research-2018.
- Knowles MS. The modern practice of adult education: From pedagogy to andragogy. Chicago. Association Press 1980.
- Knowles MS. Andragogy in action: Applying modern principles of adult learning. San Francisco. Jossey-Bass Publishers, 1984 .
- Jochemsen-van der Leeuw HG, van Dijk N, van Etten-Jamaludin FS, et al. The attributes of the clinical trainer as a role model: a systematic review. Acad Med. 2013; 88(1): 26–34.
- Paice E, Heard S, Moss F. How important are role models in making good doctors? BMJ. 2002; 325(7366): 707–710.
- Egnew TR, Wilson HJ. Faculty and medical students' perceptions of teaching and learning about the doctor-patient relationship. Patient Educ Couns. 2010; 79(2): 199–206.
- Junod Perron N, Sommer J, Louis-Simonet M, et al. Teaching communication skills: beyond wishful thinking. Swiss Med Wkly. 2015; 145: w14064.
- Rees CE, Sheard CE, McPherson AC. A qualitative study to explore undergraduate medical students' attitudes towards communication skills learning. Med Teach. 2002; 24(3): 289–293.
- Nogueira-Martins MC, Nogueira-Martins LA, Turato ER. Medical students' perceptions of their learning about the doctor-patient relationship: a qualitative study. Med Educ. 2006; 40(4): 322–328.
- Rees C, Sheard C, McPherson A. Medical students' views and experiences of methods of teaching and learning communication skills. Patient Educ Couns. 2004; 54(1): 119–121.
- Adamczuk J, Nieckula M, Dabrowska A, et al. Recommendations for the use of simulation methods in a selected area of health sciences based on an example simulation scenario. Disaster and Emergency Medicine Journal. 2019; 4(4): 173–179.
- Abelsson A. Learning through simulation. Disaster and Emergency Medicine Journal. 2017; 2(3): 125–128.
- Williams KN, Ramani S, Fraser B, et al. Improving bedside teaching: findings from a focus group study of learners. Acad Med. 2008; 83(3): 257–264.
- Tariq M, Motiwala A, Ali SU, et al. The learners' perspective on internal medicine ward rounds: a cross-sectional study. BMC Med Educ. 2010; 10: 53.
- Berkhof M, van Rijssen HJ, Schellart AJM, et al. Effective training strategies for teaching communication skills to physicians: an overview of systematic reviews. Patient Educ Couns. 2011; 84(2): 152–162.
- Veloski J, Boex JR, Grasberger MJ, et al. Systematic review of the literature on assessment, feedback and physicians' clinical performance: BEME Guide No. 7. Med Teach. 2006; 28(2): 117–128.
- Malhotra A, Gregory I, Darvill E, et al. Mind the gap: Learners' perspectives on what they learn in communication compared to how they and others behave in the real world. Patient Educ Couns. 2009; 76(3): 385–390.
- Rosenbaum ME, Axelson R. Curricular disconnects in learning communication skills: what and how students learn about communication during clinical clerkships. Patient Educ Couns. 2013; 91(1): 85–90.