A Study on Assessment of Communication Skills and Perceived Barriers among Medical Students

Pallavi V  Tenglikar; Roopa R  Mendagudli; Shantkumar R  Nigudgi

doi:10.5455/njcm.20190417021408

Authors

Pallavi V Tenglikar M R Medical College, Kalaburagi
Roopa R Mendagudli M R Medical College, Kalaburagi
Shantkumar R Nigudgi M R Medical College, Kalaburagi

DOI:

https://doi.org/10.5455/njcm.20190417021408

Keywords:

Communication skill, barriers, Medical students, health education

Abstract

ntroduction: Good communication skills are a core competency for all health professionals. Any formal training on communication is in not given to students in the present curriculum. Hence the study was conducted to assess existing level of communication skills and student perceived communication barriers among third year medical students.

Methodology: A cross sectional study was conducted in the field practice area of a medical college for 2 months among a convenient sample of 40 medical students. The existing levels of communication skills of students were assessed using Kalamazoo Essential elements check list and communication barriers as perceived the student were obtained using a pretested questionnaire.

Results: The communication skills were very good in 50% of students, 20% excellent and 30% were having poor to average skills. Majority of the students reported lack of familiarity with place and person as a barrier [78.3% males, 58.8% females] followed by perceived interpersonal barriers like age difference, socioeconomic class difference.

Conclusion: The present study revealed that most of the students have very good level of communication skills, but still 30% were falling in poor to average levels. All students perceived one or the other barriers for communication but more so with familiarity with place and person. Formal training of students on communication skills in curriculum is necessary to overcome various barriers and enable them to communicate effectively.

References

K Park. Park’s Text Book of Preventive and Social Medicine. 24th Edition 2017

Ong LML, De Haes CJM, HoosAM, Lamnes FB. Doctor patient communication ; A review of the Lit-erature. Soc. Sci. Med. 1995; 40 (7), 903-918.

Fallowfield L, Jenkins V, Saul J, Duffy A. Efficacy of a cancer research UK communication skills training model for oncologists: A randomized clinical trial. Lancet 2002; 359:650 -56.

Feltz-Cornelis VD, Christina M, Hoedeman R, Keu-ter EJW, Swinkels JA. Presentation of the Multidis-ciplinary Guideline Medically Unexplained Physical Symptoms (MUPS) and Somatoform Disorder in the Netherlands: disease management according to risk profiles. J Psychosomat Res 2012;72(2):168–9

Salient Features of Regulations on Graduate Medical Education, 1997. Medical Council of India. Pub-lished in Part III, Section 4 of The Gazette of India Dated 17th May 1997 (Internet). Chapter 1, General considerations and Teaching Approach.

Verhovsek EL, Byington RL, Deshkulkarni SQ. Per-ceptions of Interprofessional Communication: Im-pact on Patient Care, Occupational Stress, And Job Satisfaction. Internet J Radiol 2010;12(2):1.

Mahwish Gul, Ahsan Rasool, Laiba Binte Khalid, Maleeha Rasool, Farmanullah Khan, Muhammad Ayub, Salim Marwat. Isolation of medical students: communication barrier and its effect on career. J Ayub Med Coll Abbottabad 2012;24(3-4)

Anjali Choudhary and Vineeta Gupta. Teaching communications skills to medical students: intro-ducing the fine art of medical practice. International Journal of Applied and Basic Medical Research. 2015; 5:41-44

Yudkowsky R, Algeidi A, Cintron J. Beyond ful-filling the core competencies: An objective struc-tured clinical examination to assess communication and interpersonal skills in a surgical residency. Curr surg 2004; 61:499-503.

Sise MJ, Sise CB, Sack DI, Goerhing M. Surgeons' at-titudes about communicating with patients and their families. Curr surg 2006;63:213-218.

S Chatterjee, N Choudhury. Medical communication skills training in the Indian setting: Need of the hour. Asian J Transfus Sci. 2011;5:8–10. [PMC free article] [PubMed] [Google Scholar]

AK Shukla, VS Yadav, N Kastury. Doctor-Patient Communication: An Important but Often Ignored Aspect in Clinical Medicine. JIACM. 2010;11:208–11. [Google Scholar]

The Bayer -Fetzer Group on physician-patient com-munication in Medical education. Essential Ele-ments of Communication in Medical Encounters: Kalamazoo Consensus Statement. Academic Medi-cine2001 ;76(4):390-393

Jeevithan S, Dhanasekar G. Assessment of commu-nication skills of interns in urban health centre. Int J Community Medicine Public Health 2016; 3:104-11

Barati M, Moeini B, Samavati A, Salehi O. Assess-ment of communication skills level among medical college students: verbal, listening, and feedback skills. J Urmia Nurs Midwifery Fac. 2012;10(2).

A Ibrahim, ZI Delia, ME Asuku, T Dahiru. Commu-nication Skills among Surgical Trainees: Perceptions of Residents in a Teaching Hospital in Northern Ni-geria. Nigerian Journal of Surgery .2011;17(1):5-10

Lee J. Stress and coping experiences of international students with language barriers during the accul-turation process (Doctoral dissertation, University of Florida). 2008.

Akkad A, Bonas S, Stark, P. Gender differences in final year medical students’ experience of teaching of intimate examinations: a questionnaire study. BJOG 2008;115:625–32.