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2020, Number 2

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Revista Cubana de Educación Médica Superior 2020; 34 (2)

Role model, experiences and communicative skills in medical students

Villegas SCE, Hamui SA, Vives VT

Language: Spanish
References: 57
Page:
PDF size: 132.78 Kb.


ABSTRACT

Introduction: Communication has been defined as a key element and cross-sectional pivot of medical curricula worldwide. Also, in the training process of the medical student, the effect of professorial role models is recognized as a key factor.
Objective: To review, conceptually, the role model in association with to the communicative curriculum, as well as its influence on the teaching and learning process of medical students.
Methods: A systematic bibliographic review was carried out of scientific articles available in the databases EbscoHost and PubMed, as well as medical education texts, taking into account the keywords validated on the Health Sciences Descriptors (DeCS).
Results: We presented the definition and importance of the role model, as well as the professor’s identity, characteristics and pedagogical capacities. Concepts such as positive role model and antimodel were also exposed. We also showed the context in which the teaching role was developed based on the communication experience, as well as the settings, moments and ways by which the students’ communication capacities, competences and abilities were achieved, which showed that learning through the professorial model was essential.
Conclusions: It is necessary to promote professorial training processes as means to redefine the significance of role models in the student's communicative practice. The role model and its influence on the development of communication skills and professionalism constitute a perspective for research in medical education.


REFERENCES

  1. Silverman J. Teaching clinical communication: a mainstream activity or just a minority sport? Patient Educ Couns. 2009 [acceso 01/12/2019];76(3):361-7. Disponible en: https://www-sciencedirectcom. consultaremota.upb.edu.co/science/article/pii/S0738399109002572?via%3Dihub [ Links ]

  2. Ruiz Morala R, Pérula de Torresa LA. Validez y fiabilidad de un instrumento para evaluar la comunicación clínica en las consultas: el cuestionario CICAA. Aten Primaria. 2006 [acceso 26/06/2018];37(6):320-4. Disponible en: http://www.elsevier.es/esrevista- atencion-primaria-27-articulo-validez-fiabilidad-un-instrumento-evaluar- 13086707

  3. Ruiz Moral R. Programas de formación en comunicación clínica: una revisión de su eficacia en el contexto de la enseñanza médica. Educ Med. 2003 [acceso 26/06/2018];6(4):159-67. Disponible en: http://scielo.isciii.es/scielo.php?pid=S1575- 18132003000500009&script=sci_arttext&tlng=en

  4. Noble LM, Scott Smith W, O'Neill B, Salisbury H. Consensus statement on an updated core communication curriculum for UK undergraduate medical education. Patient Educ Couns. 2018 [acceso 26/06/2018];101(9):1712-9. Disponible en: http://www.sciencedirect.com/science/article/pii/S0738399118301939

  5. Von Fragstein M, Silverman J, Cushing A, Quilligan S, Salisbury H, Wiskin C. UK consensus statement on the content of communication curricula in undergraduate medical education. Med Educ. 2008 [acceso 26/06/2018];42(11):1100-7. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365- 2923.2008.03137.x

  6. Makoul G. Essential elements of communication in medical encounters: the Kalamazoo consensus statement. Acad Med. 2001 [acceso 26/06/2018];76(4):390-3. Disponible en: https://insights.ovid.com/pubmed?pmid=11299158

  7. Duffy FD, Gordon GH, Whelan G, Cole-Kelly K, Frankel R. Assessing competence in communication and interpersonal skills: The Kalamazoo II report. Acad Med. 2004 [acceso 26/06/2018];79(6):495-507. Disponible en: https://insights.ovid.com/article/00001888-200406000-00002

  8. Teutsch C. Patient-doctor communication. Med Clin North Am. 2003 [acceso 26/06/2018];87(5):1115-45. Disponible en: https://www-sciencedirectcom. consultaremota.upb.edu.co/science/article/pii/S002571250300066X?via%3Dihub [ Links ]

  9. Kaplan CB, Siegel B, Madill JM, Epstein RM. Communication and the medical interview. J Gen Intern Med. 1997;12(Suppl 2):49-55.

  10. Casasbuenas Duarte L. Reflexiones en torno a la enseñanza de la comunicación para la salud. Iatreia. 2012 [acceso 26/06/2018];23(4):400-4. Disponible en: https://revistas.udea.edu.co/index.php/iatreia/article/view/11146

  11. Moore P, Gómez G, Kurtz S, Vargas A. La comunicación médico paciente: ¿cuáles son las habilidades efectivas? Rev Médica Chile. 2010 [acceso 27/06/2018];138(8). Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034- 98872010000800016&lng=en&nrm=iso&tlng=en

  12. Shapiro SM, Lancee WJ, Richards Bentley CM. Evaluation of a communication skills program for first-year medical students at the University of Toronto. BMC Med Educ. 2009 acceso 27/06/2018;9:11. Disponible en: Disponible en: https://www-ncbi-nlmnih- gov.consultaremota.upb.edu.co/pmc/articles/PMC2654445/

  13. Fadlon J, Pessach I, Toker A. Teaching medical students what they think they already know. Educ Health (Abingdon). 2004 [acceso 26/06/2018];17(1):35-41. Disponible en: https://www.semanticscholar.org/paper/Teaching-medical-studentswhat- they-think-they-Fadlon- Pessach/f2253c5bdf6bb0ad4efbb4ff468131536f0ebb4f

  14. Berkhof M, van Rijssen HJ, Schellart AJM, Anema JR, van der Beek AJ. Effective training strategies for teaching communication skills to physicians: an overview of systematic reviews. Patient Educ Couns. 2011 [acceso 26/06/2018];84(2):152-62. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0738399110003691?via% 3Dihub

  15. Rees C, Sheard C, McPherson A. Medical students' views and experiences of methods of teaching and learning communication skills. Patient Educ Couns. 2004 [acceso 26/06/2018];54(1):119-21. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0738399103001964?via% 3Dihub

  16. Shochet R, King J, Levine R, Clever S, Wright S. Thinking on my feet: an improvisation course to enhance students' confidence and responsiveness in the medical interview. Educ Prim Care. 2013 [acceso 26/06/2018];24(2):119-24. Disponible en: https://www.tandfonline.com/doi/abs/10.1080/14739879.2013.11493466

  17. Loureiro E, Severo M, Bettencourt P, Ferreira MA. Third year medical student's perceptions towards learning communication skills: implications for medical education. Patient Educ Couns. 2011 [acceso 26/06/2018];85(3):e265-71. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0738399111001972?via% 3Dihub

  18. Cary J, Kurtz S. Integrating clinical communication with clinical reasoning and the broader medical curriculum. Patient Educ Couns. 2013 [acceso 26/06/2018];92(3):361-5. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0738399113002838?via% 3Dihub

  19. Brown J. Perspective: clinical communication education in the United Kingdom. Acad Med. 2012[acceso 26/06/2018];87(8):1101-4. Disponible en: https://insights.ovid.com/article/00001888-201208000-00026

  20. Gude T, Vaglum P, Anvik T, Baerheim A, Eide H, Fasmer OB, et al. Observed communication skills: how do they relate to the consultation content? A nation-wide study of graduate medical students seeing a standardized patient for a first-time consultation in a general practice setting. BMC Med Educ. 2007 acceso 26/06/2018;(7):43. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2213643/pdf/1472-6920-7- 43.pdf

  21. Beca JP, Browne LF, Repetto LP, Ortiz P, Salas AC. Relación estudiante de medicina-enfermo: visión de los estudiantes. Rev Médica Chile. 2007 [acceso 26/06/2018];135(12):1503-9. Disponible en: https://scielo.conicyt.cl/scielo.php?pid=S0034- 98872007001200001&script=sci_arttext&tlng=p

  22. Baribeau DA, Mukovozov I, Sabljic T, Eva KW, de Lottinville CB. Using an objective structured video exam to identify differential understanding of aspects of communication skills. Med Teach. 2012 [acceso 26/06/2018];34(4):e242-50. Disponible en: https://www.tandfonline.com/doi/full/10.3109/0142159X.2012.660213

  23. van Weel Baumgarten E, Bolhuis S, Rosenbaum M, Silverman J. Bridging the gap: how is integrating communication skills with medical content throughout the curriculum valued by students? Patient Educ Couns. 2013 [acceso 26/06/2018];90(2):177-83. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0738399112004934?via% 3Dihub

  24. Moore P, Gómez G, Kurtz S. Comunicación médico-paciente: una de las competencias básicas pero diferente. Aten Primaria. 2012 [acceso 26/06/2018];44(6):358-65. Disponible en: https://www.sciencedirect.com/science/article/pii/S0212656711004239

  25. Gude T, Baerheim A, Holen A, Anvik T, Finset A, Grimstad H, et al. Comparing selfreported communication skills of medical students in traditional and integrated curricula: a nationwide study. Patient Educ Couns. 2005 [acceso 26/06/2018];58:271- 8. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0738399105000704?via% 3Dihub

  26. Laidlaw A, Hart J. Communication skills: an essential component of medical curricula. Part I: assessment of clinical communication: AMEE Guide No. 51. Med Teach. 2011 [acceso 26/06/2018];33(1):6-8. Disponible en: https://www.tandfonline.com/doi/full/10.3109/0142159X.2011.531170

  27. Bombeke K, Van Roosbroeck S, De Winter B, Debaene L, Schol S, Van Hal G, et al. Medical students trained in communication skills show a decline in patient-centred attitudes: an observational study comparing two cohorts during clinical clerkships. Patient Educ Couns. 2011 [acceso 26/06/2018];84:310-8. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0738399111001431?via% 3Dihub

  28. Windish DM, Price EG, Clever SL, Magaziner JL, Thomas PA. Teaching medical students the important connection between communication and clinical reasoning. J Gen Intern Med. 2005 [acceso 26/06/2018];20(12):1108-13. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1490291/pdf/jgi_244.pdf

  29. Zick A, Granieri M, Makoul G. First-year medical students' assessment of their own communication skills: a video-based, open-ended approach. Patient Educ Couns. 2007 [acceso 26/06/2018];68(2):161-6. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0738399107002236?via% 3Dihub

  30. Hulsman RL. The art of assessment of medical communication skills. Patient Educ Couns. 2011 [acceso 26/06/2018];83(2):143-4. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0738399111001443?via% 3Dihub

  31. Dielissen P, Bottema B, Verdonk P, Lagro-Janssen T. Attention to gender in communication skills assessment instruments in medical education: a review. Med Educ. 2011 [acceso 26/06/2018];45(3):239-48. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365- 2923.2010.03876.x

  32. Simmenroth-Nayda A, Weiss C, Fischer T, Himmel W. Do communication training programs improve student´s communication skills?-a follow-up study. BMC Res Notes. 2012 [acceso 26/06/2018];5:486:1-9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3495627/pdf/1756-0500-5- 486.pdf

  33. Bachmann C, Barzel A, Roschlaub S, Ehrhardt M, Scherer M. Can a brief two-hour interdisciplinary communication skills training be successful in undergraduate medical education? Patient Educ Couns. 2013 [acceso 26/06/2018];93(2):298-305. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0738399113002218?via% 3Dihub

  34. García de Leonardo C, Ruiz-Moral R, Caballero F, Cavaco A, Moore P, Dupuy LP, et al. A Latin American, Portuguese and Spanish consensus on a core communication curriculum for undergraduate medical education. BMC Med Educ. 2016 [acceso 26/06/2018];16:99. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4809037/pdf/12909_2016_Article_ 610.pdf

  35. Petra Micua IM, Cortés Gutiérrez MT. La enseñanza de la comunicación en medicina. En: Sánchez Mendiola M, Lifshitz Guinzberg A, Vilar Puig P, Martínez González A, Varela Ruiz ME, Graue Wiechers E. Educación médica: teoría y práctica. México: Elsevier; 2015. p. 123-9.

  36. de Haes H, Bensing J. Endpoints in medical communication research, proposing a framework of functions and outcomes. Patient Educ Couns. 2009 [acceso 26/06/2018];74(3):287-94. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0738399108006484?via% 3Dihub

  37. Ellman MS, Fortin AH. Benefits of teaching medical students how to communicate with patients having serious illness. Yale J Biol Med. 2012 [acceso 26/06/2018];85(2):261-70. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3375674/pdf/yjbm_85_2_261.pdf [ Links ]

  38. Burgess A, Oates K, Goulston K. Role modelling in medical education: the importance of teaching skills. Clin Teach. 2016 [acceso 26/06/2018];13(2):134-7. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/tct.12397

  39. Lozano Sánchez JR, Ramírez Arrieta MA. Formación docente. En: Sánchez Mendiola M, Lifshitz Guinzberg A, Vilar Puig P, Martínez González A, Varela Ruiz ME, Graue Wiechers E. Educación Médica: teoría y práctica. México: Elsevier; 2015. p. 243-7. [ Links ]

  40. Kershenobich Stanilkowitz D. Qué significa ser profesor. En: Sánchez Mendiola M, Lifshitz Guinzberg A, Vilar Puig P, Martínez González A, Varela Ruiz ME, Graue Wiechers E. Educación médica: teoría y práctica. México: Elsevier; 2015. p. 159-61. [ Links ]

  41. Nogueira Martins MC, Nogueira Martins LA, Turato ER. Medical students' perceptions of their learning about the doctor-patient relationship: a qualitative study. Med Educ. 2006 [acceso 26/06/2018];40(4):322-8. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365- 2929.2006.02411.x

  42. Hamui Sutton A, Fortoul van der Goes TI. El currículo oculto y la dinámica de la Educación Médica. En: Sánchez Mendiola M, Lifshitz Guinzberg A, Vilar Puig P, Martínez González A, Varela Ruiz ME, Graue Wiechers E. Educación médica: teoría y práctica. México: Elsevier; 2015. p. 249-53.

  43. Makoul G, Schofield T. Communication teaching and assessment in medical education: an international consensus statement. Patient Educ Couns. 1999 [acceso 26/06/2018];37(2):191-5. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0738399199000233?via% 3Dihub

  44. Essers G, Van Weel-Baumgarten E, Bolhuis S. Mixed messages in learning communication skills? Students comparing role model behavior in clerkships with formal training. Med Teach. 2012 [acceso 26/06/2018];34(10):e659-65. Disponible en: https://www.tandfonline.com/doi/full/10.3109/0142159X.2012.687483

  45. Salmon P, Young B. Dependence and caring in clinical communication: The relevance of attachment and other theories. Patient Educ Couns. 2009 [acceso 26/06/2018];74(3):331-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764431/

  46. Deveugele M, Derese A, Maesschalck SD, Willems S, Driel MV, Maeseneer JD. Teaching communication skills to medical students, a challenge in the curriculum? Patient Educ Couns. 2005 [acceso 26/06/2018];58(3):265-70. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0738399105001710?via% 3Dihub

  47. Martin C. Perspective: to what end communication? Developing a conceptual framework for communication in medical education. Acad Med. 2011 [acceso 26/06/2018];86(12):1566-70. Disponible en: https://insights.ovid.com/article/00001888-201112000-00024

  48. Burgess A, Goulston K, Oates K. Role modelling of clinical tutors: a focus group study among medical students. BMC Med Educ. 2015 [acceso 26/06/2018];15:17. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4335700/pdf/12909_2015_Article_ 303.pdf

  49. Baumal R, Benbassat J. Current trends in the educational approach for teaching interviewing skills to medical students. Med Educ. 2008 [acceso 26/06/2018];10:4. Disponible en: https://www.ima.org.il/MedicineIMAJ/viewarticle.aspx?year=2008&month=07&pag e=552

  50. Alonso González M, Kraftchenko Beoto O. La Comunicación médico-paciente como parte de la formación Ético-Profesional de los estudiantes de Medicina. Rev Cuba Educ Med Super. 2003 [acceso 26/06/2018];17(1):38-45. Disponible en: http://scielo.sld.cu/pdf/ems/v17n1/ems04103.pdf

  51. Malhotra A, Gregory I, Darvill E, Goble E, Pryce-Roberts A, Lundberg K, et al. Mind the gap: learners' perspectives on what they learn in communication compared to how they and others behave in the real world. Patient Educ Couns. 2009 [acceso 26/06/2018];76(3):385-90. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0738399109003255?via% 3Dihub

  52. Rees CE, Sheard CE, McPherson AC. A qualitative study to explore undergraduate medical students' attitudes towards communication skills learning. Med Teach. 2002 [acceso 26/06/2018];24(3):289-93. Disponible en: https://www.tandfonline.com/doi/abs/10.1080/01421590220134123

  53. Turan S, Elcin M, Uner S, Odabasi O, Sayek I, Senemoglu N. The impact of clinical visits on communication skills training. Patient Educ Couns. 2009 [acceso 26/06/2018];77(1):42-7. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0738399109000822?via% 3Dihub

  54. van Dalen J. Communication skills in context: trends and perspectives. Patient Educ Couns. 2013[acceso 26/06/2018];92(3):292-5. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S073839911300222X?via% 3Dihub

  55. Losh DP, Mauksch LB, Arnold RW, Maresca TM, Storck MG, Maestas RR, et al. Teaching inpatient communication skills to medical students: an innovative strategy. Acad Med. 2005 [acceso 26/06/2018];80(2):118-24. Disponible en: https://journals.lww.com/academicmedicine/Fulltext/2005/02000/Teaching_Inpati ent_Communication_Skills_to_Medical.2.aspx

  56. Sutton AH, Hernández Torres I, Grijalva MG, Ortiz León S, Fouilloux Morales C. Estrategias para el desarrollo de habilidades en la comunicación médico-paciente. En: Hamui Sutton L, Paulo Maya A, Hernández Torres I. La comunicación dialógica como competencia médica esencial. México: Manual Moderno; 2018. p. 100-52.

  57. Kaplan CB, Siegel B, Madill JM, Epstein RM. Communication and the medical interview. Strategies for learning and teaching. J Gen Intern Med. 1997 [acceso 26/06/2018];12(Suppl 2):S49-55. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1497228/pdf/jgi_97sh.pdf




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