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Effectiveness of a Physician-Patient Communication Training Program for Medical Students by Applying the Social Cognitive Theory
Physician-patient communication ability
Social cognitive theory
This research aims at the development of physician-patient communication (PPC) training program using the social cognitive theory (SCT) application and the curriculum of training program on the effect of PPC skills for medical students. This study used the quasi-experimental design and recruited 120 five-year medical students in a medical school. In the study group, 60 medical students in class A were given five weeks 10 hours of PCC training program using SCT; while in the control group, 60 medical students in class B were subject to five-week 10 hours of traditional PPC program. Two groups of subjects were assessed by the self-made " self-physician-patient communication skills questionnaire " before, after, and two months after the training program, which included five assessment of expression ability, listening ability, empathy reaction ability, interpersonal interaction ability and self-efficacy of five kinds of abilities. The reliability and validity were high in this questionnaire. This study had the following findings: 1. The expression study of PCC skills, expression ability, listening ability, empathy reaction ability, interpersonal interaction ability and self-efficacy on the genus level, ability to "self-efficacy" perform the best, "listening ability " second, and " empathy reaction ability " the worst. 2. The PPC program was designed based on SCT, which included lectures, film shows, role playing, simulation, demonstration, practice, feedback and panel discussions in order to promote research in multiple stimuli, practice, and growth of PPC abilities in social cognitive theory design. 3. After the intervention with PPC training program designed by SCT, empathy reaction ability and self-efficacy showed both immediate and delay effect; in "expression capacity" aspects showed only immediate effect, no delay effect; in "listening capacity" aspects showed no immediately effect; however, it showed effect after two months of clinical practice at hospital; in "General interpersonal interactive capacity" aspects showed no immediate nor delay effect. Based on the results of this study, SCT designed training program should be provided to improve the expression ability, listening ability, empathy reaction ability, interpersonal interaction ability and self-efficacy of medical students.
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