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Medical students' concerns about communicating with patients
P Hajek1, E Najberg, A Cushing
1Department of Human Science and Medical Ethics, St Bartholomew's and the Royal London Hospital School of Medicine and Dentistry, QMW, London, UK.
Medical students
Area of Science:
- Medical Education
- Communication Skills Training
Background:
- Limited data exists on medical students' concerns about patient communication.
- Student apprehension before clinical contact and formal training is a key area.
Purpose of the Study:
- To assess third-year medical students' concerns regarding communication with patients.
- To evaluate changes in these concerns after initial clinical exposure and communication training.
Main Methods:
- 179 third-year medical students rated 16 communication concerns.
- Ratings were collected before patient contact and communication skills teaching.
- Follow-up ratings were obtained from 139 students at the term's end.
Main Results:
- All identified concerns significantly decreased by the end of the term.
- The relative ranking of concerns remained consistent.
- Highest rated concerns involved patients experiencing pain or strong negative emotions.
Conclusions:
- Communication skills training should prioritize addressing student anxieties about managing distressed patients.
- Curricula should prepare students for challenging patient interactions.
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