Teaching patient communication skills to medical students - A review of randomized controlled trials

被引:82
|
作者
Smith, Sherilyn
Hanson, Janice L.
Tewksbury, Linda R.
Christy, Cynthia
Talib, Nasreen J.
Harris, Mitchell A.
Beck, Gary L.
Wolf, Fredric M.
机构
[1] Univ Washington, Dept Pediat, Seattle, WA 98195 USA
[2] Uniformed Serv Univ Hlth Sci, Bethesda, MD 20814 USA
[3] NYU, New York, NY USA
[4] Childrens Mercy Hosp, Kansas City, MO 64108 USA
[5] Indiana Univ Purdue Univ, Indianapolis, IN 46202 USA
[6] Univ Nebraska, Med Ctr, Omaha, NE 68182 USA
关键词
medical student; meta-analysis; patient communication skills; systematic review;
D O I
10.1177/0163278706297333
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Tools to examine the effects of teaching interventions across a variety of studies are needed. The authors perform a meta-analysis of 24 randomized controlled trials evaluating the effects of teaching on medical students' patient communication skills. Study quality is rated using a modified Jadad score, and standardized mean difference effect size (d) measures are calculated. Fifteen of 24 studies have sufficient data for analysis. Students' ability to establish rapport improves after teaching. The effects are large when the teaching intervention was small group discussion (n = 5) or giving structured feedback on a student-patient interview (n = 6). A similar effect of teaching is seen on student data gathering skills (n = 5). Teaching medical students patient communication skills using small group discussion or providing feedback on a student-patient interview results in improvement in student performance.
引用
收藏
页码:3 / 21
页数:19
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