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首页> 外文期刊>BMC Medical Education >Do medical students and young physicians assess reliably their self-efficacy regarding communication skills? A prospective study from end of medical school until end of internship
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Do medical students and young physicians assess reliably their self-efficacy regarding communication skills? A prospective study from end of medical school until end of internship

机译：医学生和年轻医师是否能可靠地评估他们在沟通技巧方面的自我效能？从医学院毕业到实习结束的前瞻性研究

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Background This prospective study from end of medical school through internship investigates the course and possible change of self- reported self-efficacy in communication skills compared with observers’ ratings of such skills in consultations with simulated patients. Methods Sixty-two medical students (43 females) from four Norwegian universities performed a videotaped consultation with a simulated patient immediately before medical school graduation (T1) and after internship (internal medicine, surgery and family medicine, half a year each - T2). Before each consultation, the participants assessed their general self-efficacy in communication skills. Trained observers scored the videos and applied a well-validated instrument to rate the communication behaviour. Results from the two assessment methods were correlated at both time points and possible differences from T1 to T2 were explored. Results A close to zero correlation between self-efficacy and observed communication skills were found at T1. At T2, participants’ self-efficacy scores were inversely correlated with levels of observed skills, demonstrating a lack of concordance between young physicians’ own assessment of self-efficacy and observers’ assessment. When dividing the sample in three groups based on the observers’ scores (low 2/3), the group of male physicians showed higher levels of self-efficacy than females in all the three performance groups at T1. At T2, those having a high performance score yielded a low self-efficacy, regardless of gender. Conclusions The lack of positive correlations between self-efficacy assessment and expert ratings points to limitations in the applicability of self-assessment measures of communication skills. Due to gender differences, groups of female and male physicians should be investigated separately. Those obtaining high-performance ratings from observers, through the period of internship, may become more conscious of how demanding clinical communication with patients may be. This insight may represent a potential for growth, but could in some physicians represent too much of a self-critical attitude. Active supervision of young physicians throughout internship is important in order to help physicians to be more aware of their strengths and weaknesses, in order to gain increased mastery in the art of doctoring.
机译：背景这项从医学院毕业到实习的前瞻性研究调查了沟通技巧的过程和自我报告的自我效能可能发生的变化，与观察者在与模拟患者进行咨询时对这些技巧的评价相比。方法挪威四所大学的62名医学生（43名女性）在医学院毕业前（T1）和实习后（内科，外科和家庭医学，每半年-T2）与模拟患者进行了录像咨询。在每次咨询之前，参与者都要评估他们在沟通技巧方面的一般自我效能。受过训练的观察员对视频进行了评分，并使用了经过充分验证的工具对交流行为进行评分。两种评估方法的结果在两个时间点都相关，并探讨了T1与T2之间可能存在的差异。结果在T1时，自我效能与观察到的沟通技巧之间的相关性接近于零。在T2，参与者的自我效能得分与所观察到的技能水平成反比，这表明年轻医师对自我效能的评估与观察者的评估之间缺乏一致性。根据观察者的分数将样本分为三组（低2/3），在T1的所有三个表现组中，男性医师的自我效能水平均高于女性。在T2，无论性别，具有高绩效得分的人自我效能低下。结论自我效能评估与专家评分之间缺乏正相关关系，这表明沟通技能自我评估方法的适用性受到限制。由于性别差异，应分别调查男女医师的群体。那些在整个实习期间从观察者那里获得高评价的人可能会更加意识到与患者进行临床交流的要求可能会很高。这种见解可能代表了增长的潜力，但在某些医师中可能代表了太多的自我批评态度。在整个实习期间，对年轻医师的积极监督很重要，这有助于使医师更多地了解自己的长处和短处，以期获得更多的掌握技巧的知识。

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