의대생의 학년별 환자-의사 관계 평가 비교

Abstract

Purpose: A proper patient-physician interaction (PPI) creates rapport between doctors and patients and improves medical outcomes. The importance of PPI evaluation items was evaluated in each medical student in grades 3 and 4, before and after their clinical clerkship. Methods: Six PPI evaluation guidelines (SEGUE, Kalamazoo Consensus, Calgary-Cambridge Guide, Macy guideline, 2 Korean Consortium guidelines) were selected and importance of each guideline was evaluated through the structured questionnaire in 73 pre-clinical clerkship (3rd-grade) and 78 post-clinical clerkship (4th-grade) medical students. Results: The importance of medical communication items among total clinical performance, students-rated PPI portion was 21± 9.7%. In SEGUE recommendations, ``Elicit information`` was evaluated to be most important items before (58.3%) and after (65.8%) clinical clerkship. In Kalamazoo Consensus, ``Gathering information`` was evaluated to be most important (49.3%/42.3%), same as in Calgary-Cambridge Guide (52.1%/56.4%) and Daegu Gyeongbuk Consortium (47.9%/43.6%). In the Macy guideline, ``Listening`` was evaluated to be most important (28.8%/33.3%). In the Seoul Gyeonggi Consortium, ``Buidling relationships`` was evaluated to be most important (23.3%/28.2%). Conclusion: In the 4th-grade post-clerkship medical students after clinical clerkship, importance of ``Gathering information`` was evaluated to be less important, however, ``Giving information`` and ``Understanding the patient perspective`` was evaluated to be more important, compared to pre-clerkship students 3rd-grade students.