| Impact of student ethnicity and patient-centredness on communication skills performance. | |
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MedLine Citation:
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PMID: 20636584 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: The development of patient-centred attitudes by health care providers is critical to improving health care quality. A prior study showed that medical students with more patient-centred attitudes scored higher in communication skills as judged by standardised patients (SPs) than students with less patient-centred attitudes. We designed this multicentre study to examine the relationships among students' demographic characteristics, patient-centredness and communication scores on an SP examination. METHODS: Early Year 4 medical students at three US schools completed a 12-item survey during an SP examination. Survey items addressed demographics (gender, ethnicity, primary childhood language) and patient-centredness. Factor analysis on the patient-centredness items defined specific patient-centred attitudes. We used multiple regression analysis incorporating demographic characteristics, school and patient-centredness items and examined the effect of these variables on the outcome variable of communication score. RESULTS: A total of 351 students took the SP examination and 329 (94%) completed the patient-centredness questionnaire. Responses indicated generally high patient-centredness. Student ethnicity and medical school were significantly associated with communication scores; gender and primary childhood language were not. Two attitudinal factors were identified: patient perspective and impersonal attitude. Multiple regression analysis revealed that school and scores on the impersonal factor were associated with communication scores. The effect size was modest. CONCLUSIONS: In a medical student SP examination, modest differences in communication scores based on ethnicity were observed and can be partially explained by student attitudes regarding patient-centredness. Curricular interventions to enhance clinical experiences, teaching and feedback are needed to address key elements of a patient-centred approach to care. |
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Authors:
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Karen E Hauer; Christy Boscardin; Neil Gesundheit; Andrew Nevins; Malathi Srinivasan; Alicia Fernandez |
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Publication Detail:
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Type: Journal Article; Multicenter Study |
Journal Detail:
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Title: Medical education Volume: 44 ISSN: 1365-2923 ISO Abbreviation: Med Educ Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-19 Completed Date: 2010-12-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7605655 Medline TA: Med Educ Country: England |
Other Details:
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Languages: eng Pagination: 653-61 Citation Subset: IM |
Affiliation:
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Department of Medicine, University of California, San Francisco School of Medicine, San Francisco, CA 94143-0120, USA. Karen.hauer@ucsf.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel Clinical Competence / standards* Communication* Education, Medical, Undergraduate Ethnic Groups* Factor Analysis, Statistical Female Humans Male Patient-Centered Care / standards* Questionnaires Students, Medical / psychology* |
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