PMID- 25813942
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20150328
LR  - 20220311
IS  - 2005-727X (Print)
IS  - 2005-727X (Linking)
VI  - 22
IP  - 3
DP  - 2010 Sep
TI  - Comprehension of Patient-Physician Interaction through Analysis of Relationships 
      between Domains in Clinical Performance Examination.
PG  - 177-84
LID - 10.3946/kjme.2010.22.3.177 [doi]
AB  - PURPOSE: This research investigated the psychometric properties of the 
      patient-physician interaction (PPI) domain in the clinical performance 
      examination (CPX). This research aimed to understand the PPI domain in the CPX 
      through a psychometric and relationship analysis between the domains. METHODS: 
      Data were drawn from 1,302 examinees on a set of 6 common CPX cases and 1,066 on 
      a 'bad news delivery' case. All cases included 7 PPI items, among which we 
      calculated internal consistency reliability. Correlations were made between PPI 
      and the other domains. Analyses using the structural equation model (SEM) were 
      conducted to assess the relationships between latent factors and controlled 
      measurement errors. To calculate the disparity between colleges, we performed a 
      multi-level analysis. Also, we conducted t-tests to investigate the consistency 
      of the PPI and information sharing (IS) scores in the 'bad news delivery' case. 
      RESULTS: Correlation between the mean PPI score and the total CPX score was high 
      (0.707). The correlations between PPI and other domains were; 0.904 for the 
      patient's overall satisfaction, 0.41 for history taking, and 0.327 for patient 
      education. In SEM, these correlations between latent variables increased. The 
      proportion of level-2 (between-school component) variance in PPI was 4.1%. For 
      'bad news delivery', the group that checked 'yes' on the IS items had higher PPI 
      scores (mostly p<0.01). CONCLUSION: PPI is an influential domain of the CPX and 
      is highly related with the patient's overall satisfaction, clinical courtesy, and 
      history taking. Disparities between schools in PPI are relatively small, such 
      that the PPI could be due to individual factors rather than the school.
FAU - Han, Jae Jin
AU  - Han JJ
AD  - Department of Medical Education, Ewha Womans University School of Medicine, 
      Seoul, Korea.
FAU - Lee, Myoung Jin
AU  - Lee MJ
AD  - Department of Medical Education, Ewha Womans University School of Medicine, 
      Seoul, Korea.
FAU - Im, Hyun-Jung
AU  - Im HJ
AD  - Korean Educational Development Institute, Seoul, Korea.
LA  - eng
PT  - Journal Article
DEP - 20100930
PL  - Korea (South)
TA  - Korean J Med Educ
JT  - Korean journal of medical education
JID - 101503071
OTO - NOTNLM
OT  - Clinical competence
OT  - Educational measurement
OT  - Undergraduate medical education
EDAT- 2010/09/01 00:00
MHDA- 2010/09/01 00:01
CRDT- 2015/03/28 06:00
PHST- 2010/04/06 00:00 [received]
PHST- 2010/05/17 00:00 [accepted]
PHST- 2015/03/28 06:00 [entrez]
PHST- 2010/09/01 00:00 [pubmed]
PHST- 2010/09/01 00:01 [medline]
AID - kjme.2010.22.3.177 [pii]
AID - 10.3946/kjme.2010.22.3.177 [doi]
PST - ppublish
SO  - Korean J Med Educ. 2010 Sep;22(3):177-84. doi: 10.3946/kjme.2010.22.3.177. Epub 
      2010 Sep 30.