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A study on communication skills of doctors and their attitude towards Communication Skill training program

Final Review Report

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Page 1: Final Review Report

8/6/2019 Final Review Report

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A study on communication skills of doctors and their attitude

towards Communication Skill training program

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Objectives

� To measure the communication skills of Doctors

� To identify the attitude of doctors towards Communication skill

training program.� To identify the relationship between Communication skills and

 Attitudes towards Communication Skill program

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Methodology

� This study is conducted with a sample size of 150 doctors in

Chennai city. The questionnaires was sent to the respondents

through e mail or through personal visit.

� A modified version of the American Board of Internal Medicine's

(ABIM) Patient Assessment survey was used to assess thecommunication skills of Doctors.

� A modified version of Communication Skill Attitude Scale designed

by Rees and Garrud in 2001 was used to assess the doctor¶s

attitude towards Communication Skill Training program

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Hypothesis to be tested:

� Communication skills scores of doctors varies with age of the doctor 

� Communication skills scores of doctors varies with number of 

patients seen per day

� Communication skills scores of doctors varies with years of 

experience of the doctor 

� Communication skills of doctors varies with gender 

� Doctors with basic education in English have higher communication

skills score

� The Communication skill attitude scores of the doctor varies with the Age, experience and Number of patients seen by the doctor 

� The Communication skill attitude scores of the doctor varies with the

Communication skills scores

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Descriptives

Descriptives

Descriptive Statistics

N Range Minimum Maximum Mean Std. Deviation Variance Skewness

Statistic Statistic Statistic Statistic Statistic Statistic Statistic Statistic Std. Error  

 Age 150 45 19 64 26.25 5.159 26.620 3.559 .198

Sex 150 1 1 2 1.42 .495 .245 .327 .198

Medium of instruction 150 1 1 2 1.09 .292 .085 2.824 .198

No. Of years of Practice 150 39 1 40 3.89 5.640 31.814 3.375 .198

No.of patients seen 150 97 3 100 25.08 15.941 254.101 1.796 .198

Valid N (listwise) 150

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CS questionnaire: Factor analysis

Showing empathy 

� Showing interest in them as a person; not acting bored or ignoring what they have to

say

� Letting them tell their story; listening carefully; asking thoughtful questions; not

interrupting them while they¶re talking

� Greeting them warmly; calling them by the name they prefer; being friendly, never 

crabby or rude

� Explaining what they need to know about their problems, how and why they occurred,

and what to expect next

Pr oviding inf ormation

� Using words they can understand when explaining their problems and treatment;

explaining any technical medical terms in plain language

� Warning them during the physical exam about what you are going to do and why;

telling them what you find

� How would you rate your level of professionalism?

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Respecting the patient

� Encouraging them to ask questions; answering them clearly; never 

avoiding their questions or lecturing them

� Discussing options with them; asking their opinion; offering choicesand

� letting them help decide what to do; asking what they think before

telling

� them what to do

� Treating them like they¶re on the same level; never ³talking down´ to

them or treating them like a child

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Regression between Communication skills score & Age,No.Of years of 

practice, No.of patients seen

Correlations

Communication Skills

Score Age

No. Of years of 

Practice

No.of patients

seen

Pearson Correlation Communication Skills Score 1.000 .122 .118 .151

 Age .122 1.000 .722 .081

No. Of years of Practice .118 .722 1.000 .027

No.of patients seen .151 .081 .027 1.000

Sig. (1-tailed) Communication Skills Score . .068 .076 .032

 Age .068 . .000 .161

No. Of years of Practice .076 .000 . .370

No.of patients seen .032 .161 .370 .

N Communication Skills Score 150 150 150 150

 Age 150 150 150 150

No. Of years of Practice 150 150 150 150

No.of patients seen 150 150 150 150

Coefficientsa

Model

Unstandardized Coefficients

Standardized

Coefficients

t Sig.B Std. Error Beta

1 (Constant) 36.243 4.300 8.428 .000

 Age .089 .178 .059 .502 .617

No. Of years of Practice .098 .162 .071 .603 .547

No.of patients seen .070 .040 .144 1.771 .079

a. Dependent Variable: Communication Skills Score

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 ANOVA for CS score for doctors and between two genders:Descriptives

Communication Skills Score

N Mean Std. Deviation Std. Error  

95% Confidence Interval for 

Mean

Minimum MaximumLower Bound Upper Bound

male 87 39.69 9.439 1.012 37.68 41.70 1 54

Female 63 42.16 4.232 .533 41.09 43.22 33 49

Total 150 40.73 7.770 .634 39.47 41.98 1 54

ANOVA

Communication Skills Score

Sum of 

Squares df  

Mean

Square F Sig.

Between

Groups

222.760 1 222.760 3.758 .054

Within

Groups

8773.033 148 59.277

Total 8995.793 149

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 ANOVA between CS score and Medium of instruction in school

Descriptives

Communication Skills Score

N Mean Std. Deviation Std. Error  

95% Confidence Interval for 

Mean

Minimum MaximumLower Bound Upper Bound

English 136 40.77 7.908 .678 39.43 42.11 1 54

others 14 40.29 6.510 1.740 36.53 44.04 27 49

Total 150 40.73 7.770 .634 39.47 41.98 1 54

ANOVA

Communication Skills Score

Sum of 

Squares df  

Mean

Square F Sig.

Between Groups 3.002 1 3.002 .049 .824

Within Groups 8992.791 148 60.762

Total 8995.793 149

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Communication skills attitude scale ± Descriptives

Descriptive Statistics

N Minimum Maximum Mean Std. Deviation Skewness

Statistic Statistic Statistic Statistic Statistic Statistic Std. Error  

Positive Attitude Score 150 28 85 51.19 8.995 1.178 .198

Negative attitude score 150 21 55 32.99 5.168 .414 .198

Valid N (listwise) 150

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Regression analysis 1

Dependent variable- positive attitude score

Independent variables- Age, No. Of years of practice, Number of patients seen

Coefficientsa

Model

Unstandardized Coefficients

Standardized

Coefficients

t Sig.B Std. Error Beta

1 (Constant) 41.622 4.848 8.586 .000

 Age .340 .200 .195 1.696 .092

No. Of years of Practice .196 .183 .123 1.072 .286

No.of patients seen -.004 .045 -.008 -.099 .921

a. Dependent Variable: Positive Attitude Score

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Regression analysis 2

Dependent variable- Negative attitude score

Independent variables- Age, No. Of years of practice, Number of patients seenCorrelations

Negative attitude

score Age

No. Of years of 

Practice

No.of patients

seen

Pearson Correlation Negative attitude score 1.000 .103 .044 .144

 Age .103 1.000 .722 .081

No. Of years of Practice .044 .722 1.000 .027

No.of patients seen .144 .081 .027 1.000

Sig. (1-tailed) Negative attitude score . .106 .296 .039

 Age .106 . .000 .161No. Of years of Practice .296 .000 . .370

No.of patients seen .039 .161 .370 .

N Negative attitude score 150 150 150 150

 Age 150 150 150 150

No. Of years of Practice 150 150 150 150

No.of patients seen 150 150 150 150Coefficientsa

ModelUnstandardized Coefficients

Standardized

Coefficientst Sig.B Std. Error Beta

1 (Constant) 28.652 2.870 9.982 .000

 Age .131 .119 .130 1.101 .272

No. Of years of 

Practice

-.049 .108 -.054 -.455 .650

No.of patients seen .044 .027 .135 1.652 .101

a. Dependent Variable: Negative attitude score

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Regression analysis 3

Dependent variable- positive attitude score

Independent variables- Communication skills score

Correlations

Positive Attitude

Score

Communication

Skills Score

Pearson Correlation Positive Attitude Score 1.000 .156

Communication Skills Score .156 1.000

Sig. (1-tailed) Positive Attitude Score . .028

Communication Skills Score .028 .

N Positive Attitude Score 150 150

Communication Skills Score 150 150

Coefficientsa

Model

Unstandardized

Coefficients

Standardiz

ed

Coefficient

s

t Sig.

95.0% Confidence

Interval for B

B Std. Error Beta

Lower 

Bound

Upper 

Bound

1 (Constant) 43.813 3.897 11.244 .000 36.113 51.513

Communication

Skills Score

.181 .094 .156 1.926 .056 -.005 .367

a. Dependent Variable: Positive Attitude Score

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Regression analysis 4

Dependent variable- Negative attitude score

Independent variables- Communication skills score

Correlations

Negative attitude

score

Communication

Skills Score

Pearson Correlation Negative attitude score 1.000 -.040

Communication Skills Score -.040 1.000

Sig. (1-tailed) Negative attitude score . .315

Communication Skills Score .315 .

N Negative attitude score 150 150

Communication Skills Score 150 150

Coefficientsa

Model

Unstandardized

Coefficients

Standardi

zed

Coefficien

ts

T Sig.

95.0% Confidence

Interval for B

B Std. Error Beta

Lower 

Bound

Upper 

Bound

1 (Constant) 34.062 2.265 15.039 .000 29.586 38.538

Communication

Skills Score

-.026 .055 -.040 -.483 .630 -.134 .082

a. Dependent Variable: Negative attitude score