Theme
8AA Communication skills
INSTITUTION
Khonkaen Hospital - Psychiatry - khon Kaen - Thailand
Khonkaen Hospital - Community Medicine - khon Kaen - Thailand
► Bad news is a sensitive issue and affect both patients and their families.
► Medical doctors should have appropriate skills for telling the truth.
► Medical students could not practice breaking bad news skill appropriately.
► An action research
► 40 fifth-year medical students, Khon Kaen medical education center, in 2014
► The module should be modified to promote communication skills practice for medical student.
► Encouraging of medical students to practice communication skills with their friends should be added.
► The students concerned:
♦ Lack of skills in the real practice:
» Basic communication skills, students said
"I understand the theory but I don't know how to implement in my practice"
» Empathic skills;
" I copy the empathic words from lecture to response patient but I don't really understand them"
► The students needed:
♦ To observe communication skills from teachers as a good role model, they said
"I don't have opportunity to observe my teacher practice"
♦ To practice with simulated patients continuously;
"Practicing with simulated patients makes me feel like being in a real situation"
♦ To giving feedback by their teachers;
"Getting feedback from teacher makes me more understanding communication skills and more confidence"
► Main problems of inappropriate breaking bad news skills:
♦ Teaching style; emphasized more lectures than practices
♦ Do not have opportunity to observe a good role model in communication skills practice
♦ Few opportunities to giving feedback by their teacher
► Appropriate breaking bad news practices for medical students:
♦ To practice communication skills with simulated patients and their friends continuously
♦ More giving feedback by their teacher
♦ To observe a good role model practicing communication skills
► Collaborative Project to Increase Product of Rural Doctor (CPIRD), Ministry of Public Health, Thailand.