摘要：Purpose:A proper patient-physician interaction (PPI) creates rapport between doctors and patients and improves medical outcomes. The importance of PPI evaluation items was evaluated in each medical student in grades 3 and 4,before and after their clinical clerkship. Methods:Six PPI evaluation guidelines (SEGUE,Kalamazoo Consensus,Calgary-Cambridge Guide,Macy guideline,2 Korean Consortium guidelines) were selected and importance of each guideline was evaluated through the structured questionnaire in 73 pre-clinical clerkship (3rd-grade) and 78 post-clinical clerkship (4th-grade) medical students. Results:The importance of medical communication items among total clinical performance,students-rated PPI portion was 21± 9.7%. In SEGUE recommendations,'Elicit information' was evaluated to be most important items before (58.3%) and after (65.8%) clinical clerkship. In Kalamazoo Consensus,'Gathering information' was evaluated to be most important (49.3%/42.3%),same as in Calgary-Cambridge Guide (52.1%/56.4%) and Daegu Gyeongbuk Consortium (47.9%/43.6%). In the Macy guideline,'Listening' was evaluated to be most important (28.8%/33.3%). In the Seoul Gyeonggi Consortium,'Buidling relationships' was evaluated to be most important (23.3%/28.2%). Conclusion:In the 4th-grade post-clerkship medical students after clinical clerkship,importance of 'Gathering information' was evaluated to be less important,however,'Giving information' and 'Understanding the patient perspective' was evaluated to be more important,compared to pre-clerkship students 3rd-grade students.
其他摘要：바람직한 환자-의사 관계(patient-physician interaction) 는 좋은 환자-의사 관계를 형성하고,의료 분쟁을 예방하고, 환자의 문제를 평가하기 위한 정보를 얻는 동시에 치료효과 를 높일 수 있다[1]. 최근 임상적 면담에 대한 관심이 증대되 면서 계명대학교 의과대학에서는 2005년도부터 의학과 3학 년을 대상으로 의학면담수업을 실시하고 있으며 국내의 여러 대학에서도 의과 대학생들의 면담 능력과 기술을 증진시키기 위한 교육 프로그램이
