Medical student communication skills and specialty choice. Acad Psychiatry 2015 Jun;39(3):275-9
Date
07/20/2014Pubmed ID
25037248DOI
10.1007/s40596-014-0165-0Scopus ID
2-s2.0-84929079624 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
OBJECTIVE: The aim of this study was to determine if communication skills differ for medical students entering person or technique-oriented specialties.
METHODS: Communication ratings by clerkship preceptors on an institutionally required end of clerkship medical student performance evaluation (SPE) form were compiled for 2011/2012 academic year (Class of 2013). M3 clerkships and the Class of 2013 match appointments were categorized as person or technique-oriented clerkships/specialties. Mean differences in SPE communication scores were determined by analyses of variance (ANOVA) and independent t tests. Score associations were determined by Pearson correlations. Inter-item reliability was reported with Cronbach alpha.
RESULTS: The Class of 2013 match appointments were as follows: person-oriented (N = 91) and technique-oriented (N = 91) residency specialties. There was no significant difference in mean communication scores for medical students who entered person-oriented (mean 7.8, SD 0.4) versus technique-oriented (mean 7.9, SD 0.4) specialties (p = 0.258) or for person-oriented clerkship (mean 7.8, SD 0.4) versus technique-oriented clerkship (mean 7.9, SD 0.6) ratings for medical students who matched into person-oriented specialties (p = 0.124). Medical students who matched into technique-oriented specialties (mean 8.1, SD 0.5) received significantly higher (p = 0.001) communication ratings as compared with those matching into person-oriented specialties (mean 7.8, SD 0.5) from technique-oriented clerkships.
CONCLUSIONS: Communication with patients and families is a complex constellation of specific abilities that appear to be influenced by the rater's specialty. Further study is needed to determine if technique-oriented specialties communication skill rating criteria differ from those used by raters from person-oriented specialties.
Author List
Ping Tsao CI, Simpson D, Treat RAuthor
Robert W. Treat PhD Associate Professor in the Academic Affairs department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultCareer Choice
Clinical Clerkship
Communication
Employee Performance Appraisal
Female
Humans
Male
Professional-Patient Relations
Students, Medical
Young Adult