THE RELATIONSHIP OF A DOCTOR’S COMMUNICATION SKILLS WITH DISTORTIONS AND LOSSES OF INFORMATION AT THE STAGE OF COLLECTING COMPLAINTS AND ANAMNESIS (USING THE EXAMPLE OF PRIMARY ACCREDITATION)
AbstractThe study of the effectiveness of physician communication skills has been a relevant area in Russian reality for the past twenty years. Studies by foreign authors prove that clinical outcomes are associated with physician communication skills and contribute to the formulation of diagnostic conclusions based on the collection of complaints and anamnesis. In domestic medical practice, it is recognized that anamnesis collection is a key method for making a diagnosis, but there are not many studies devoted to assessing the relationship between communication skills and diagnosis. The authors, using the example of graduates of the medical and pediatric faculties passing the communication station “Collection of complaints and anamnesis” as part of primary accreditation, analyzed communication errors, losses and distortions of information when a “standardized patient” communicates his complaints and symptoms to an accredited physician. It was revealed that graduates of the medical faculty reliably more often identify all patient complaints. It was proven that the number of complaints identified through a closed question affects the distortion of information by the physician. The relationship between the communication skills “screening“ (identification of additional circumstances of the disease/condition) and “summarizing“ (repetition by the doctor of information received from patients) with the identification of all patient complaints has been established. It was found that the physician’s use of effective communication skills “screening” and “summarizing” reduces his use of the ineffective skill “closed question”.
Keywords: medical communication; communication errors; communication distortions; loss of information; medical university; standardized patient
Funding. The study had no sponsor support.
Conflict of interest. The authors declare no conflict of interest.
For citation: Pomytkina T. Yu., Zhuchenko O.A. The relationship of a doctor’s communication skills with distortions and losses of information at the stage of collecting complaints and anamnesis (using the example of primary accreditation). Meditsinskoe obrazovanie i professional’noe razvitie [Medical education and professional development]. 2024; 15 (3): 51–58. DOI: https://doi.org/10.33029/2220-8453-2024-15-3-51-8 (in Russian)
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