بررسی چگونگی آموزش مهارت‌های برقراری ارتباط پزشک و بیمار از دیدگاه فراگیران پزشکی(کارآموز-کارورز) و اساتید در دانشگاه علوم پزشکی ایران و کرمانشاه

During last 20 years, the importance of communication skills in medicine has been increasingly stressed. Medical schools around the world have implemented instructional programs in this context. Since these skills are complex behavior, teaching has been of great importance. The objective of this study was to investigate communication skills teaching at IUMS and KUMS. In this descriptive-analytical study a self-administered questionnaire containing demographic data and 25 ordinal questions based on Likert scale was designed. A pilot study on stager/intern/staff in 4 main wards(internal medicine, surgery, pediatrics, OB & Gyn was performed. Face validity was sufficient. Content validity and coefficient reliability were determined(α of crohnbach 45% P=0.015). The number of stager/intern/staff at IUMS were 185/127/14 and those of KUMS were 63/61/30 which comprised a total of 446 medical learners and 45 medical clinical staffs who returned the questionnaires. Opinions of medical learners staffs at both universities were gathered and analyzed. The results obtained from each university were then compared. The main results were based on the following issues: formulating educational objectives and strategies for communicating with patients, drilling and giving feedback about patient’s history, receiving feedback from staffs and residents, the extent of communication skills teaching in different clinical enterprises and hospital settings, teaching and assessing the skill, and teaching basic and advanced skills. There were no definite formal educational programs and written objectives for communication skills at both universities. Teachings are unintentional, with no instructional design and plan in terms of teaching strategies(knowledge content and assessment in teaching basic and inter personal skills). It seems that KUMS medical staffs are more engaged in teaching and training the students.