DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20193500

Doctor-patient relationship: effectiveness of an intervention training module on knowledge and attitude of resident doctors

Kalidas D. Chavan, Purushottam A. Giri, Sachin S. Mumbre, Rajendra S. Bangal

Abstract


Background: The mutual trust between doctor and patient, an indispensable part of the healthcare, is weakening day by day. This has resulted in unwanted incidences of violence and attacks on doctors. Communication between doctors and patients is an integral part of the relationship and is one of the major determinants of mutual trust. Apart from the knowledge and skills required to treat a disease, communication skill is an indispensable part of a doctor’s professional life. The resident doctors do not get a chance to learn and implement the communication skills required for the doctor patient relationship.

Methods: An interventional study was carried out amongst 377 resident doctors of first to third year, from randomly selected medical colleges of Maharashtra having postgraduate courses in clinical subjects and affiliated to Maharashtra University of Medical Sciences, Nashik, Maharashtra during the period of February 2017 to January 2019.

Results: There was significant difference in the pre and post test scores for quantified knowledge in relation to training in communication skills (p<0.0001), and also significant difference in the pre and post test scores for quantified knowledge in relation to basic doctor patient relationship, suggesting that the intervention was effective in improving the communication skills.

Conclusions: The study has shown that there was significant difference in the pre and post test scores for quantified knowledge in relation to being doctor, basics of communication skills, doctor patient relationship, communication in special situation, and training in communication skills.


Keywords


Doctor-patient relationship, Intervention training module, Knowledge, Resident doctors

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References


Reents S. Impacts of the internet on the doctor-patient relationship: the rise of the internet health consumer. New York: Cyber Dialogue; 1999: 245-248.

Mishra S. Violence against Doctors: The Class Wars. Indian Heart J. 2015;67:289-92.

Madhiwalla N, Roy N. Assaults on public hospital staff by patients and their relatives: an inquiry. Indian J Med Ethics. 2006;3(2):17-21.

Hawryluck L. Communication with Patients and families, University of Toronto. 2000: 1296-1315.

Kennedy DM, Fasolino JP, Gullen DJ. Improving the patient experience through provider communication skills building. Patient Experience J. 2014;1(1):56-60.

Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Res Methods. 2007;39:175-91.

Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Res Methods. 2009;41:1149-60.

Mehta PN. Communication skills – Talking to parents. Indian Pediatr. 2008;45:300-4.

Rees C, Sheard C, McPherson A. Medical students’ views and experiences of methods of teaching and learning communication skills. Patient Educ Couns. 2004;54:119-21.

Hellen K. MBERIA- Communication Training Module. Int J Humanities Social Sci. 2011;1(20):112-5.

Likert R. A Technique for the Measurement of Attitudes. Arch Psychol. 1932;140:11-5.

Joekes K, Noble L, Kubacki A, Potts HWW, Lloyd M. Does the inclusion of 'professional development' teaching improve medical students' communication skills? BMC Med Educ. 2011;11:41-5.

Yedidia MJ, Gillespie CC, Kachur E, Schwartz MD, Ockene J, Chepaitis AE, et al. Effect of Communication Skill Training on Medical Students Performance. JAMA. 2003;290(9):1157-65.

Sangabppa S. Communication Skills Course in an Indian Undergraduate Dental Curriculum: A Randomized Controlled Trial. J Dental Educ. 2013;77(8):1092-98

Kalet AL, Janicik R, Schwartz M, Roses D, Hopkins MA, Riles T. Teaching communication skill on the surgery clerkship. Med Educ Online. 2005;10:16-20.

Carvalho IP, Pais VG, Silva FR, Martins R, Figueiredo-Braga M, Pedrosa R, et al. Teaching communication skills in clinical settings: comparing two applications of a comprehensive program with standardized and real patients. BMC Med Educ. 2014;14:92-5.

Sullivan AM, Rock LK, Gadmer NM, Norwich DE, Schwartzstein RM. The Impact of Resident Training on Communication with Families in the Intensive Care Unit. Resident Family Outcomes. 2016;13(4):512-21.

Aspegren K. BEME Guide No.2: Teaching and learning communication skills in medicine – a review with quality grading of articles. Medical Teacher. 1999;21:563-70.

Van Dalen J, Kerkhofs E, van Knippenberg-Van Den Berg BW, van Den Hout HA, Scherpbier AJ, van der Vleuten CP. Longitudinal and concentrated communication skills programmes: two dutch medical schools compared. Adv Health Sci Educ Theory Pract. 2002;7(1):29–40

Perrona NJ, Sommerc J, Louis-Simonetd M, Nendaz M. Teaching communication skills: beyond wishful thinking. Swiss Med Wkly. 2015;145:14064.