Communication in chest diseases; cohort analysis onmedical faculty students taking communication course inhealth

Aim: The aim of this course was to evaluate the effectiveness of the 'Communication in Health' course given at the Faculty ofMedicine and the effect of taking this course on patient communication and exam success in clinical education processes, inparticular for chest diseases internship in medical students.Materials and Methods: In this cohort-designed study, 102 volunteer students who received medical communication lessons inthe third grade and Chest Diseases internship in the fourth grade in medical school, were evaluated. The Communication SkillsScale (CSS) was applied as a pre-and post-test in health communication lesson and written exam, practical exam, and patientpresentation for clinical internship in chest diseases.Results: The mean pre-test score for communication lessons was found to be 58.77 ± 8.09 and the mean post-test score wasfound to be 94,46±5,40 in the students who had a mean age of 21.35 ± 1.56 years. While the mean CSS pre-test score was foundto be 94.37 ± 9.42, the mean post-test score was found to be 105.53 ± 8.02. It was found that there was an increase in the CSSscores and in the subscale scores of communication principles and basic skills, effective listening and non-verbal communication,self-expression, and willingness to communicate in the students who received "communication in health" lesson, and there was astatistically significant difference. In addition, we found a statistically significant positive correlation between the students' chestdisease course grades and the total scores of the CSS scale. Conclusion: It is consider that there is an increase in the communication skills of medical students who take "communicationin health" lessons, and this increase also contributes to the clinical education processes specifically in terms of chest diseasesinternship. Communication skills and drama lessons should be given in medical education.

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1. World Health Organization (1948). Constitution of World Health Organization Geneva. https://apps.who. int/iris/bitstream/handle/10665/121457/em_rc42_ cwho_en.pdf access date 15.04.2020
2. Ahmadian YN, Bigdeli S, Soltani ASK, et al. The influence of role-modeling on clinical empathy of medical interns: A qualitative study. J Adv Med Educ Prof 2019;7:35-41.
3. Aomatsu M, Otani T, Tanaka A, et al. Medical students’ and residents’ conceptual structure of empathy: a qualitative study. Educ Health (Abingdon) 2013;26:4- 8.
4. McLuhan, M. Gutenberg Galaxy: The Making of Typographic Man, University of Toronto Press, Canada. 1962;293.
5. Ozcan A. Nurse-patient relationship and communication. Saray Medicine Bookstores. İzmir. 2006;1-2.
6. Cuceloglu D. Human to Human again. 26th Edition. Remzi Bookstore. İstanbul, 2001;71.
7. Dokmen U. Communication Conflicts and Empathy. System Publications. İstanbul, 2003;19.
8. Birol L. Nursing Process. Etki Typography. İzmir, 2007;36-7.
9. Ozturk DC, Dagdeviren HN, The Place of Effective Communication in The Practice of Medicine. Euras J Fam Med 2018;7:41-6.
10. Koch E, Turgut T. Current issues and intercultural aspects of the patient-physician relationship: an overview. Turkish J Psychiatry 2004;15:64-9.
11. Akkoc N, Guldal D. Introduction to the clinic: concept and applications. DEÜ Medical Faculty J 2001;1:75-8.
12. Aksakal O. Physician training programs in Turkey-1: Where are we? Medical Ethics-Law-History J 2003;11:64-8.
13. Starfield B. Is primary care essential? The Lancet 1994;344:1129-33.
14. Korkut Owen, F, Bugay A. Development of communication skills scale: validity and reliability study. Mersin University J Education Faculty 2014;10:51-64.
15. Baig LA, Violato C, Crutcher RA. Assessing clinical communication skills in physicians: are the skills context specific or generalizable. BMC Med Educ 2009;:22.
16. Dereboy C, Harlak H, Gurel S, et al. Teaching equanimity in medical education. Turkish J Psychiatry 2005; 16:83-9.
17. Rakel RE. Establishing rapport. In: Rakel RE, Rakel DP (eds). Textbook of family medicine. 9th.ed. Philadelphia: Elsevier Saunders; 2016;141-56.
18. Chung H, Lee H, Chang DS, et al. Doctor's attire influences perceived empathy in the patient-doctor relationship. Patient Educ Couns 2012;89:387-91.
19. Akgoz S, Ozcakir A, Atici E, et al. Empathic tendencies of physicians working in Uludağ University Health Application and Research Center Clinics of Turkey J Med Ethics 2005;13:97-104.
20. Nakanishi T. Disclosing unavoidable causes of adverse events improves patients’ feelings towards doctors. Tohoku J Exp Med 2014;234:161-8.
21. McWhinney IR, Freeman T. Patient-physician communication. Gündal AD (translated ed.) McWhinney's family medicine. 4th edition. Cukurova Nobel Medical Bookstore. Adana, 2016:173-202.
22. Kee JWY, Khoo HS, Lim I, et al. Communication skills in patient-doctor interactions: learning from patient complaints. Health Professions Education 2018;4:97- 106.
23. Ersanli K, Balci S. Developing the communication skills inventory: a validity and reliability study. TPCGJ 1998;2:7-12.
24. Kumcagiz H, Yilmaz M, Celik SB, et al. Communication skills of nurses: Samsun province example. Dicle Med J 2011;38:49-56.
25. Bozkir C, Tekin C, Mete B, et al. Communication Skills, Empathic Tendency and Affecting Factors of Assistant Doctors in Inonu Universty, Faculty of Medicine, MedScience 2015;4:2473-87.
26. Sahin ZA, Ozdemir FK. Determination of Communication and Empathy Skill Levels of Nurses. JAREN 2015;1:1-7.
27. Sen HT, Yilmaz FT, Unuvar OP. Levels of Comminaciation Skills of Service Education Nurses. J Psy Nurs 2013;4:13-20
28. Cetinkaya O, Alparslan AM. The effect of emotional intelligence on communication skills: a study on university students. The J Faculty of Economics and Administrative Sciences 2011;1:363-77.
29. Ozdemir N, Kaya H. Midwifery and Nursing Students’ Communication Skills and Life Orientation: Correlation with Stress Coping Approaches. Nurs Midwifery Stud 2013;2:198-205.
30. Erci B, Cokbekler N, Isik K. The Evaluation of Midwives and Nurses Communication Skills, Who Work in the Family Health Center. Bozok Med J 2011;7:49-5.
31. Gamsizkan Z. Cangur S. Evaluation of empathic disposition and communication skills of 3rd grade medical faculty students. Jour Turk Fam Phy 2019;10:89-97.
32. Eriguc G, Eris H, Kabalcioglu F. Emotional Intelligence and Communication Skills of Nursing Students: Example of Harran University School of Health. IOJES 2014;6:398-412
33. Arıcı I, Angin Y. Communication Skill Levels of Theology Faculty Students. Amasya Theology J 2017;199-219.
34. Sezer, N. Istanbul University Open and Distance Education Faculty Common Lecture Notes. Effective communication skills. 13. Access date: 13.06.2020
35. Akgun R, Cetin H. Üniversite Öğrencilerinin İletişim Becerilerinin ve Empati Düzeylerinin Belirlenmesi. MJSS 2018;7:3.
36. Baylor C, Burns M, McDonough K, et al. Teaching Medical Students Skills for Effective Communication With Patients Who Have Communication Disorders. Am J Speech Lang Pathol 2019;28:155-64.
37. Franco CAGDS, Franco RS, Lopes JMC, et al. 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;18:43.
38. Ozçakir A. should communicatıon and clinical skills training be given in medical education?: opinions of the intern students. T Klin J Med Sci 2002;22:185-9.