Evidence map›Paper›PMID 31924191›Full record

ArticleBMC medical education2020

Have medical students' attitudes towards clinical communication skills changed over a 12- year period? A comparative long-term study.

Tore Gude, Reidar Tyssen, Tor Anvik, Hilde Grimstad, Are Holen, Anders Baerheim, Per Vaglum, Lise Løvseth

Abstract readComparative Study
In one paragraph

Article in BMC medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tore GudeDepartment of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, POB 1111 - Blindern, N-0317, Oslo, Norway. tore.gude@medisin.uio.no.ORCID http://orcid.org/0000-0002-4602-6447
Reidar TyssenDepartment of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, POB 1111 - Blindern, N-0317, Oslo, Norway.
Tor AnvikDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway.
Hilde GrimstadDepartment of Public Health and General Practice, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
Are HolenDepartment of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
Anders BaerheimDepartment of Global Public Health and Primary Care, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
Per VaglumDepartment of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, POB 1111 - Blindern, N-0317, Oslo, Norway.
Lise LøvsethDept. Research and Development, Division of Psychiatry, St Olavs' University hospital, Box 3250 Torgarden, 7006, Trondheim, Norway.

Funding

Dept of Mental health care, St Olav university hospital not availableNorwegian Health Authorities not available
6 · The paper itself

Abstract

backgroundAttitudes towards learning clinical communication skills at the end of medical school are likely to reflect the students' training and motivation for the continued development of their skills as doctors. Students from two Norwegian medical schools, one with a traditional, and the other with an integrated curriculum, were approached in 2003 and 2015; with regard to changes in students' attitudes towards acquiring communication skills in two diverse learning environments. This comparison might reveal the effects of the training programs from a long-term perspective, as neither of the medical schools made any major curriculum changes within the study period.

methodsThe samples comprised final-year medical students. Two separate cross-sectional surveys performed 12 years apart (2003 and 2015) used items from the Communication Skills Attitude Scale in addition to age and gender. The traditional curriculum included only theoretical teaching and no contact with patients was made during the first 2 to 2.5 years of medical school. However, the integrated curriculum combined training in theoretical and clinical communication skills with early patient contact from the beginning.

resultsAttitudes improved from the first to the second survey at both schools, however, students from the integrated school reported more positive attitudes than those from the traditional school. Female students from the integrated school contributed the most to the difference in attitudes in both surveys.

conclusionsStudents in both traditional and integrated curricula improved their attitudes from the first to the second assessment. However, compared with the traditional curriculum, the integrated one fostered even higher levels of positive attitudes towards acquiring communication skills, and a pronounced influence was observed on female students. These findings suggest that an educational program with greater emphasis on improving attitudes among male students may be required.

Indexed as

Attitude of Health PersonnelClinical CompetenceCommunicationCurriculumPhysician-Patient RelationsAdultCross-Sectional StudiesFemaleHumansMaleNorwayStudents, MedicalSurveys and QuestionnairesTime FactorsYoung AdultAttitudesCommunication skillsDoctor-patient relationshipMedical students

Identifiers

PMID31924191
PMCPMC6954512

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.