264 FAMILY MEDICINE RESIDENTS' PERCEPTION OF COMMUNICATION SKILLS.
Notice bibliographique
Résumé
International medical graduates (IMGs) currently fill one-quarter of the positions in graduate medical education. The Academy of American Family Physicians (AAFP) estimates that approximately 48% of all first-year family medicine residents graduated from a US medical school. There are limited national data on the differences in self-perception and confidence between IMGs and USMGs in using their communication skills during the physician-patient encounter. Purpose The purpose of our study was (1) to assess differences in perception and confidence level of communication skills between USMGs and IMGs family medicine residents and (2) examine differences in perception and confidence level between first-, second-, and third-year postgraduates. Method Program directors at all accredited family medicine residencies were contacted via e-mail and asked to direct their residents to a voluntary anonymous cross-sectional Web-based survey. The questionnaire measured six areas: participant demographics, physician confidence level of using communication skills, the importance of using communication strategies for a positive patient outcome, the use of specific communication strategies, the importance of closing the encounter for a positive patient outcome, and the use of specific strategies for closing the patient encounter. Main Findings A total of 108 surveys were received from the on-line survey questionnaire, of which 27% were IMG and 72% of the respondents were USMG; 19.8% were PGY1, 42.5% PGY2, and 37.7% were PGY3; and 91.0% of respondents indicated that they were confident in their use of communication skills; however, they indicated a need to improve in 16 of 18 communication strategies. Respondents believed that communication strategies are important for positive patient outcomes and in closing the patient encounter; 95.9% of respondents indicated the importance of closing the patient encounter. Yet 92.3% replied that closing strategies were rarely or never implemented. Preliminary analysis also suggests differences in the confidence and use of communication skills between IMGs and USMGs. PGY1 felt less confident in all areas of their perception of patient communication in comparison with the other years. Conclusion Family medicine residents recognize the importance and the need of communication skills during their patient interaction. However, there is a gap between the perceived importance and practice of these skills. There may also be specific concerns relevant to IMGs in particular. Great effort is needed in increasing the use of communication strategies among residents and their patients to improve the likelihood of a positive patient encounter.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,008 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,005 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».