SciELO - Scientific Electronic Library Online

 
vol.146 número2El tabaco exacerba características inflamatorias en células dendríticas de pacientes chilenos con artritis reumatoidePatrón de tabaquismo y nivel socioeconómico en dos cohortes de adultos jóvenes índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

GENE, Emili et al. Evaluación de competencias en comunicación clínica en estudiantes de medicina con paciente simulado. Rev. méd. Chile [online]. 2018, vol.146, n.2, pp.160-167. ISSN 0034-9887.  http://dx.doi.org/10.4067/s0034-98872018000200160.

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.

Palabras clave : Clinical Competence; Health Communication; Patient Simulation.

        · texto en Español     · Español ( pdf )