Title: When and What: Family Physicians' Perspective on Clinical Communication Skills and Professionalism Education during the Medical Training Program in Riyadh, Saudi Arabia
Authors: Dr. Layla Mansour Alotaibi, Professor. Sajida Agha, Dr. Amir Omair
DOI: https://dx.doi.org/10.18535/jmscr/v12i07.05
Abstract
Background: Effective communication skills are crucial for health professionals in order to build a favorable rapport with their patients, so enhancing their overall well-being and quality of life. From this standpoint, the implementation of communication skills training may serve as effective techniques to enhance the care delivered by healthcare personnel and the overall quality of healthcare services.
Aim: To investigate the perspectives of family physicians, on the necessary communication and professionalism skills for medical students, as well as the best time during medical training programs to attain these competencies in Riyadh, Saudi Arabia.
Methods: A cross-sectional survey-based study was conducted among family medicine physicians in different hospitals, Riyadh, Saudi Arabia. Participants responded to inquiries on the communication abilities and professionalism competencies while discussing the timing of competency achievement. An online questionnaire was sent to all the physicians. The questionnaire consisted of three sections: Gathering demographic information, Questionnaire on professional engagements, and a timeline estimation of each doctor's acquisition of communication skills and professionalism competencies. The data analysis was performed using SPSS, Version 26.0. Prior to analysis, data cleaning and entering were conducted. A test is considered significant if the P-value is below 0.05.
Results: A total of 301 participants, aged between 30 and 41 years old, took part in the current research. Approximately 51.5% of the participants were family physician specialists, whereas around 25.9% were residents and 4% were students. A majority of FM respondents (56.5%) said that FM residency is the most opportune period in the medical training program to include the bio-psycho-social context. Respondents (50.5%) felt that it is during this time that they get a better understanding of the patient's viewpoint and that of their family. Approximately 48.5% of FM participants believe that the FM residency is the most favorable period of medical training to take into account the beliefs, needs, and perspectives of patients and their families. However, 58.5% of participants feel that this residency provides an opportunity to develop strong critical thinking skills. Furthermore, 50.2% of participants believe that the FM residency equips them with the ability to handle uncertainty effectively and adapt to various situations and contexts. The majority of FM participants were doing clinical activities at different stages; After Residency (93.8%), Residency (80.8%), or Undergraduate (86.8%). In addition, teaching practice was significantly related to the stages of communication training (P<0.001); most of FM participants practice teaching after Residency (90.6%), and 53% of them practice teaching in their Residency. there is a significant relation between the clinical activity done and the stage of professionalism training (P=0.005), the majority of FM participants were doing clinical activities at different stages; After Residency (93.9%), Residency (83.6%), or Undergraduate (76.3%). In addition, the preceptor was significantly related to the stages of professionalism training (P=0.010); 45.5% of FM participants after residency were preceptors.
Conclusion: The perspectives of these family doctors' medical educators may aid in formulating the necessary objectives for medical training, which might influence the structure of medical curricula and promote lifelong learning initiatives. Future research should focus on certifying these key competencies and enhancing evaluation methodologies, with a particular emphasis on evaluating their effect on healthcare.
Keywords: Family Physicians, Perspectives, Clinical Communication Skills, Professionalism, Medical Training
References
- Benson BJ. Domain of competence: Interpersonal and communication skills. Acad Pediatr. 2014;14(2 Suppl):S55-S65. doi:10.1016/j.acap.2013.11.016
- Warnecke E. The art of communication. Aust Fam Physician. 2014;43(3):156-8.
- Brown J. How clinical communication has become a core part of medical education in the UK. Med Educ. 2008;42(3):271-8. doi:10.1111/j.1365-2923.2007.02955.x
- Noble LM, Scott-Smith W, O'Neill B, Salisbury H; UK Council of Clinical Communication in Undergraduate Medical Education. Consensus statement on an updated core communication curriculum for UK undergraduate medical education. Patient Educ Couns. 2018;101(9):1712-9. doi:10.1016/j.pec.2018.04.013
- Ounounou E, Aydin A, Brunckhorst O, Khan MS, Dasgupta P, Ahmed K. Nontechnical skills in surgery: A systematic review of current training modalities. J Surg Educ. 2019; 76(1):14-24. doi: 10.1016/j.jsurg.2018.05.017
- Verma P, Ford JA, Stuart A, Howe A, Everington S, Steel N. A systematic review of strategies to recruit and retain primary care doctors. BMC Health Serv Res. 2016;16:126. doi:10.1186/s12913-016-1370-1
- Al-Moamary MS, Mamede S, Schmidt HG. Innovations in medical internship: benchmarking and application within the King Saud bin Abdulaziz University for Health Sciences. Educ Health (Abingdon). 2010;23(1):367.
- Almahfouz NF, Aldaher AS, Algha OI. Medical specialty selection Guide for medical graduates, Saudi commission for health specialties, 2015. Retrieved from: Professional classification requirements | Saudi Commission for Health Specialties (http:// scfhs.org.sa /eng/Professional classification requirements )
- Turkeshi E, Michels NR, Hendrickx K, Remmen R. Impact of family medicine clerkships in undergraduate medical education: a systematic review. BMJ Open. 2015;5(8):e008265. doi:10.1136/bmjopen-2015-008265
- Swing SR. The ACGME outcome project: retrospective and prospective. Med Teach. 2007;29(7):648-54. doi:10.1080/01421590701392903
- Bachmann C, Abramovitch H, Barbu CG, et al. A European consensus on learning objectives for a core communication curriculum in health care professions. Patient Educ Couns. 2013;93(1):18-26. doi:10.1016/j.pec.2012.10.016
- Franco CAGDS, Franco RS, Lopes JMC, Severo M, Ferreira MA. Clinical communication skills and professionalism education are required from the beginning of medical training - a point of view of family physicians. BMC Med Educ. 2018;18(1):43. doi:10.1186/s12909-018-1141-2.
- Tavakoly Sany SB, Behzhad F, Ferns G, Peyman N. Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial. BMC Health Serv Res. 2020;20(1):60. doi:10.1186/s12913-020-4901-8.
- Nourein AAE, Shahadah RF, Alnemer MA, Al-Harbi SS, Fadel HT, Kassim S. Comparative study of attitudes towards communication skills learning between medical and dental students in Saudi Arabia. Int J Environ Res Public Health. 2020;18(1):128. doi:10.3390/ijerph18010128
- Birden H, Glass N, Wilson I, Harrison M, Usherwood T, Nass D. Defining professionalism in medical education: a systematic review. Med Teach. 2014;36(1):47-61. doi:10.3109/0142159X.2014.850154.
- Mata ÁN, de Azevedo KP, Braga LP, de Medeiros GC, de Oliveira Segundo VH, Bezerra IN, Pimenta ID, Nicolás IM, Piuvezam G. Training in communication skills for self-efficacy of health professionals: a systematic review. Human resources for health. 2021 Dec;19:1-9.
- Tavakoly Sany SB, Behzhad F, Ferns G, Peyman N. Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial. BMC health services research. 2020 Dec;20:1-0.
- Kee JW, Khoo HS, Lim I, Koh MY. Communication skills in patient-doctor interactions: learning from patient complaints. Health professions education. 2018 Jun 1;4(2):97-106.
- Moezzi M, Rasekh S, Zare E, Karimi M. Evaluating clinical communication skills of medical students, assistants, and professors. BMC Medical Education. 2024 Jan 3;24(1):19.
- Sarraf-Yazdi S, Teo YN, How AE, Teo YH, Goh S, Kow CS, Lam WY, Wong RS, Ghazali HZ, Lauw SK, Tan JR. A scoping review of professional identity formation in undergraduate medical education. Journal of general internal medicine. 2021 Nov;36(11):3511-21.
- Pyke JS. Creating an initial framework to judge value of digital platforms for the competency-based Continuing Professional Development (CPD) of physicians in Canada.
- Jiang Y, Shi L, Cao J, Zhu L, Sha Y, Li T, Ning X, Hong X, Dai X, Wei J. Effectiveness of clinical scenario dramas to teach doctor-patient relationship and communication skills. BMC medical education. 2020 Dec;20:1-8.
- Prieto YN, Sánchez GA, García AP. The discipline of Medical Psychology in the ethical-humanistic education of medical students. InSeminars in Medical Writing and Education 2023 Dec 29 (Vol. 2, pp. 42-42).
- McKinlay E, Gallagher P, Gray L, Wilson C, Pullon S. Sixteen months ‘from square one’: the process of forming an interprofessional clinical teaching team. Journal of Research into Interprofessional Education. 2015.
- Komattil R, Hande SH, Mohammed CA, Subramaniam B. Evaluation of a personal and professional development module in an undergraduate medical curriculum in India. Korean journal of medical education. 2016 Mar;28(1):117.
- Emanuel EJ. The inevitable reimagining of medical education. Jama. 2020 Mar 24;323(12):1127-8.
- Bellier A, Fournier J, Kaladzé N, Dechosal A, Chaffanjon P, Labarère J. Validity and reliability of standardized instruments measuring physician communication and interpersonal skills in video-recorded medical consultations–A systematic review. Patient Education and Counseling. 2023 Jun 1;111:107708.
- Dalgaty F, Guthrie G, Walker H, Stirling K. The value of mentorship in medical education. The clinical teacher. 2017 Apr;14(2):124-8.
- Göktaş O. The Göktaş definition of family medicine/general practice. Atencion primaria. 2022 Oct 1;54(10):102468.
- Autonomo FR, Hortale VA, Santos GB, Botti SH. A Preceptoria na formação médica e multiprofissional com ênfase na atenção primária–Análise das Publicações Brasileiras. Revista brasileira de educação médica. 2015 Apr;39:316-27.