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dc.contributor.authorGude, Tore
dc.contributor.authorFinset, Arnstein
dc.contributor.authorAnvik, Tor
dc.contributor.authorBaerheim, Anders
dc.contributor.authorFasmer, Ole Bernt
dc.contributor.authorGrimstad, Hilde
dc.contributor.authorVaglum, Per Jørgen Wiggen
dc.date.accessioned2018-02-05T15:47:03Z
dc.date.available2018-02-05T15:47:03Z
dc.date.created2017-09-12T11:28:17Z
dc.date.issued2017
dc.identifier.citationBMC Medical Educationnb_NO
dc.identifier.issn1472-6920
dc.identifier.urihttp://hdl.handle.net/11250/2482799
dc.description.abstractBackground This prospective study from end of medical school through internship investigates the course and possible change of self- reported self-efficacy in communication skills compared with observers’ ratings of such skills in consultations with simulated patients. Methods Sixty-two medical students (43 females) from four Norwegian universities performed a videotaped consultation with a simulated patient immediately before medical school graduation (T1) and after internship (internal medicine, surgery and family medicine, half a year each - T2). Before each consultation, the participants assessed their general self-efficacy in communication skills. Trained observers scored the videos and applied a well-validated instrument to rate the communication behaviour. Results from the two assessment methods were correlated at both time points and possible differences from T1 to T2 were explored. Results A close to zero correlation between self-efficacy and observed communication skills were found at T1. At T2, participants’ self-efficacy scores were inversely correlated with levels of observed skills, demonstrating a lack of concordance between young physicians’ own assessment of self-efficacy and observers’ assessment. When dividing the sample in three groups based on the observers’ scores (low <1/3-, medium 1/3 to 2/3-, high competence >2/3), the group of male physicians showed higher levels of self-efficacy than females in all the three performance groups at T1. At T2, those having a high performance score yielded a low self-efficacy, regardless of gender. Conclusions The lack of positive correlations between self-efficacy assessment and expert ratings points to limitations in the applicability of self-assessment measures of communication skills. Due to gender differences, groups of female and male physicians should be investigated separately. Those obtaining high-performance ratings from observers, through the period of internship, may become more conscious of how demanding clinical communication with patients may be. This insight may represent a potential for growth, but could in some physicians represent too much of a self-critical attitude. Active supervision of young physicians throughout internship is important in order to help physicians to be more aware of their strengths and weaknesses, in order to gain increased mastery in the art of doctoring.nb_NO
dc.language.isoengnb_NO
dc.publisherBioMed Centralnb_NO
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/deed.no*
dc.titleDo medical students and young physicians assess reliably their self-efficacy regarding communication skills? A prospective study from end of medical school until end of internshipnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.volume17nb_NO
dc.source.journalBMC Medical Education. 2017, 17 (107).nb_NO
dc.source.issue107nb_NO
dc.identifier.doi10.1186/s12909-017-0943-y
dc.identifier.cristin1492971
dc.description.localcode© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.nb_NO
cristin.unitcode194,65,20,0
cristin.unitnameInstitutt for samfunnsmedisin og sykepleie
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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