TRAINING OF MEDICAL STUDENTS IN COMMUNICATION SKILLS: FROM COHERENT SPEECH TO MANAGEMENT AND LEADERSHIP IN THE FIELD
DOI:
https://doi.org/10.11603/1681-2786.2022.1.13076Keywords:
communication, physician training, risk communication, information security, medical educationAbstract
Purpose: to give the recommendations for improving the training of medical students in the field of communications.
Materials and Methods. A comparative analysis of the necessary competencies of medical specialists of the WHO European Region, Ukrainian educational standard, and curricula for the training of physicians was conducted.
Results. The development of public health in Ukraine and the COVID-19 pandemic are drawing attention to the importance of health communication. At the same time, according to the WHO, our country has a limited capacity in this area. The main graduates’ competencies necessary for proper communication are identified, including the ability to adapt scientific data to different populations, build therapeutic relationships with the patient, interact with different populations, communicate through modern media, work in multidisciplinary groups, etc. Measures to achieve these competencies within the existing training courses, such as Ukrainian and foreign languages, medical terminology, computer science, social medicine, public health, clinical disciplines, etc. are proposed. Approaches to the organization of the elective course “Communication in Health Care” have been developed.
Conclusions. Ukrainian higher medical education has significant reserves for improving the training students’ communication skills. Attention should be paid to information hygiene and security, crisis and risk communication, communication of research data and uncertainty, communication with persons with communication disorders, services, which help organize the remote work of teams, etc.
References
Balashov, K.V. (2021). Stavlennya hromadyan Ukrayiny do kanaliv komunikatsiyi pro zdorovya: z 2012 po 2020 r. [The attitude of the population to the health communication channels in Ukraine from 2012 to 2020]. Ukrayina. Zdorovya natsiyi – Ukraine. Nation’s Health, 1(2), 5-13. DOI 10.24144/2077-6594.2.1.2021.235352 [in Ukrainian].
(2021). Shupyk NHUU. Misiia VOOZ v Ukraini: rezultaty, otsinky ta perspektyvy [PLU NUOZ of Ukraine Shupika. WHO mission in Ukraine: results, assessments and prospects]. Retrieved from: https://nuozu.edu.ua/n/m/8513-misiia-vooz-v-ukraini-rezultaty-otsinky-ta-perspektyvy [in Ukrainian].
(2021). Standart vyshchoi osvity zi spetsialnosti 222 Medytsyna haluzi znan 22 Okhorona zdorovia dlia druhoho (mahisterskoho) rivnia vyshchoi osvity [Standard of higher education in the specialty 222 Medicine in the field of knowledge 22 Health care for the second (master’s) level of higher education]. Retrieved from: https://mon.gov.ua/storage/app/media/vishcha-osvita/zatverdzeni standarty/2021/11/09/222-Medytsyna.mahistr.09.11.pdf [in Ukrainian].
Dubosh, N., Hall, M., Novack, V., Shafat, T., Shapiro, N., & Ullman, E. (2019). A Multimodal Curriculum with Patient Feedback to Improve Medical Student Communication: Pilot Study. Western Journal of Emergency Medicine, 21(1), 115-121. DOI 10.5811/westjem.2018.11.44318.
Betsch, C., & Böhm, R. (2016). Cultural Diversity Calls for Culture-Sensitive Health Communication. Medical Decision Making, 36(7), 795-797. DOI 10.1177/0272989X16663482.
Graf, J., Loda, T., Zipfel, S., Wosnik, A., Mohr, D., & Herrmann-Werner, A. (2020). Communication skills of medical students: survey of self- and external perception in a longitudinally based trend study. BMC Medical Education, 20(1), 149. DOI 10.1186/s12909-020-02049-w.
Ye, Z., Dalal, K., Zhang, H., Li, F., Zhao, J., & Wang, S.-M. (2020). Core competencies for injury prevention among public health students and an advocacy for curriculum development in the medical universities in China: a cross-sectional study. Injury Prevention, 26(6), 555-561. DOI 10.1136/injuryprev-2020-043857.
Taylor, E., Atkins, K.E., Medlock, J., Li, M., Chapman, G.B., & Galvani, A.P. (2016). Cross-Cultural Household Influence on Vaccination Decisions. Medical Decision Making, 36(7), 844-853. DOI: 10.1177/0272989X15591007.
Deis, N., Koch, C., Dreimüller, N., Gaitzsch, E., Weißkircher, J., Jünger, J., & Lieb, K. (2020). Development, implementation, and evaluation of a curriculum for medical students on conflicts of interest and communicating risk. GMS Journal for Medical Education, 37(1), Doc3. DOI 10.3205/zma001296.
Han, P.K.J., Joekes, K., Elwyn, G., Mazor, K.M., Thomson, R., Sedgwick, P., ... Wong, J.B. (2014). Development and evaluation of a risk communication curriculum for medical students. Patient Education and Counseling, 94(1), 43-49. DOI 10.1016/j.pec.2013.09.009.
European Training Requirements for Pediatric Surgery, 11 (2020). Retrieved from: https://www.uems.eu/__data/assets/pdf_file/0019/123805/UEMS-2020.33-European-Training-Requirements-in-Paediatric-Surgery.pdf.
Voronenko, Y.V., Hulchiy, O.P., Zakharova, N.M., Balashov, K.V., & Turianytsia, S.M. (2021). Exposome: priorities of Ukraine. Ukrainian Medical Journal, 141. DOI 10.32471/umj.1680-3051.141.197637.
Johansson, P., Nickol, D., Maloney, S., Grimm, B., Tibbits, M., Siahpush, M., ... Gofin, J. (2020). Health Professions Students’ Assessment of an Interprofessional Rural Public Health-Focused Rotation: A Pilot Study Based on the Community-Oriented Primary Care Approach. Journal of Medical Education and Curricular Development, 7. DOI 10.1177/2382120520932549.
Hines, A., & Jernigan, D.H. (2012). Developing a Comprehensive Curriculum for Public Health Advocacy. Health Promotion Practice, 13(6), 733-737. DOI 10.1177/1524839912457682.
Oda, Y., Onishi, H., Sakemi, T., Fujimoto, K., & Koizumi, S. (2014). Improvement in medical students’ communication and interpersonal skills as evaluated by patient satisfaction questionnaire after curriculum reform. Journal of Clinical Biochemistry and Nutrition, 55(1), 72-77. DOI 10.3164/jcbn.14-29.
Melvin, L., Connolly, K., Pitre, L., Dore, K.L., & Wasi, P. (2015). Improving medical students’ written communication skills: design and evaluation of an educational curriculum. Postgraduate Medical Journal, 91(1076), 303-308. DOI 10.1136/postgradmedj-2014-132983.
Kalamazoo. (2001). Kalamazoo Essential Elements Communication Checklist. In Practical Guide to Teaching and Assessing the ACGME Core Competencies. Retrieved from: https://documentcloud.adobe.com/link/review?uri=urn:aaid:scds:US:ef4082bb-552c-4fe4-b00c-053cee853189#pageNum=1.
Koponen, J., Pyörälä, E., & Isotalus, P. (2014). Communication Skills for Medical Students. Simulation & Gaming, 45(2), 235-254. DOI 10.1177/1046878114538915.
Lungeanu, D., Tractenberg, R.E., Bersan, O.S., & Mihalas, G.I. (2009). Towards the integration of medical informatics education for clinicians into the medical curriculum. Studies in Health Technology and Informatics, 150, 936-940. DOI 10.3233/978-1-60750-044-5-936.
Macfarlane, J. (2018). How fake medical news is SERIOUSLY damaging our health: From vaccines and heart pills to cancer drugs and diets, as experts report a rise in misinformation online, a special investigation tackles the dangerous myths threatening our health. Retrieved from: https://www.dailymail.co.uk/health/article-6424819/How-fake-news-SERIOUSLY-damaging-health.html.
Machleid, F., Kaczmarczyk, R., Johann, D., Balčiūnas, J., Atienza-Carbonell, B., von Maltzahn, F., & Mosch, L. (2020). Perceptions of Digital Health Education Among European Medical Students: Mixed Methods Survey. Journal of Medical Internet Research, 22(8), e19827. DOI 10.2196/19827.
Lau, B., Duggal, P., Ehrhardt, S., Armenian, H., Branas, C.C., Colditz, G.A., … Celentano, D. D. (2020). Perspectives on the Future of Epidemiology: A Framework for Training. American Journal of Epidemiology, 189(7), 634-639. DOI 10.1093/aje/kwaa013.
Balashov, K.V., Slabkiy, G.O., Hulchiy, O.P., Zakharova, N.M., & Turianytsia, S.M. (2021). Relationships Between the Source of Health Information and the Behavior of Mothers of Children Under 5 Years Old: Cross-Sectional Study Analysis. Wiadomosci Lekarskie (Warsaw, Poland, 1960), 74(3, 2), 630-635. DOI 10.36740/wlek202103212.
Rider, E. (2010). Interpersonal and Communication Skills. In Rider EA, Nawotniak RH. A Practical Guide to Teaching and Assessing the ACGME Core Competencies, 2nd edition. Marblehead, MA: HCPro, Inc., 2010.
Carrión Martín, A.I., Derrough, T., Honomou, P., Kolie, N., Diallo, B., Koné, M., ... Jansà, J.M. (2016). Social and cultural factors behind community resistance during an Ebola outbreak in a village of the Guinean Forest region, February 2015:
a field experience. International Health, 8(3), 227-229. DOI 10.1093/inthealth/ihw018.
Baylor, C., Burns, M., McDonough, K., Mach, H., & Yorkston, K. (2019). Teaching Medical Students Skills for Effective Communication With Patients Who Have Communication Disorders. American Journal of Speech-Language Pathology, 28(1), 155-164. DOI 10.1044/2018_AJSLP-18-0130.
Training Requirements for the Specialty of Internal Medicine, 67 (2016). Retrieved from: https://www.uems.eu/__data/assets/pdf_file/0017/44450/UEMS-2016.13-European-Training-Requirements-Internal-Medicine.pdf.
Broniatowski, D.A., Jamison, A.M., Qi, S., AlKulaib, L., Chen, T., Benton, A., ... Dredze, M. (2018). Weaponized Health Communication: Twitter Bots and Russian Trolls Amplify the Vaccine Debate. American Journal of Public Health, 108(10), 1378-1384. DOI 10.2105/AJPH.2018.304567.
World Health Organization. (2016). Global diffusion of eHealth: Making universal health coverage achievable. In Report of the third global survey on eHealth. Retrieved from: http://who.int/goe/publications/global_diffusion/en/.
World Health Organization. Regional Office for Europe. (2021). WHO-ASPHER competency framework for the public health workforce in the European Region. Retrieved from: https://apps.who.int/iris/handle/10665/347866.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Bulletin of Social Hygiene and Health Protection Organization of Ukraine
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
