Skip to main content
Log in

Perceived Communication Skills Among Tertiary Care Physicians

  • Original Research
  • Published:
Medical Science Educator Aims and scope Submit manuscript

Abstract

Objectives

Self-perception in clinical skills, including communication skills (CS), has been found to provide insights on strengths, weaknesses, and opportunities for skill improvement. The present study is aimed at exploring perceived CS among physicians working at a tertiary healthcare level.

Methods

Physicians working at a tertiary hospital based in Saudi Arabia were invited to complete a modified self-questionnaire that assesses CS. Descriptive and association studies were performed. Psychometric properties of the questionnaire were determined.

Results

Out of the 101 participating physicians, 57.2% rated their CS in the range of very good and excellent, but only 30.7% rated themselves as overall excellent. The question item with the highest mean score (score range, 1 to 5) was related to encouraging patients to ask questions (4.2 ± 0.9), while the lowest was for the item that assessed information disclosure (3.8 ± 0.8). Males rated themselves higher than females in the item related to explaining things to patients (p < 0.05), whereas physicians with non-surgical specialties rated themselves better than those with surgical specialties in the item related to expressing interest in patients (p < 0.05).

Conclusions

Based on physicians’ self-rated assessment, less than the third of tertiary care physicians considered themselves as maintaining an excellent level of CS. Future studies are encouraged to examine CS through a multisystem assessment and promote the need for CS training for physicians working at a tertiary care level.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. dos Santos Franco CAG, Franco RS, Lopes JMC, Severo M, Ferreira MA. 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(1):43.

    Article  Google Scholar 

  2. Kennedy M, Denise M, Fasolino M, John P, Gullen M, David J. Improving the patient experience through provider communication skills building. Patient Experience J. 2014;1(1):56–60.

    Article  Google Scholar 

  3. Price RA, Elliott MN, Zaslavsky AM. Valuing patient experience as a unique and intrinsically important aspect of health care quality. JAMA Surg. 2013;148(10):985–6.

    Article  Google Scholar 

  4. Stewart MA. Effective physician-patient communication and health outcomes: a review. Can Med Assoc J. 1995;152(9):1423.

    Google Scholar 

  5. Michie S, Miles J, Weinman J. Patient-centredness in chronic illness: what is it and does it matter? Patient Educ Couns. 2003;51(3):197–206.

    Article  Google Scholar 

  6. Hussein G, Alkabba A, Kasule O. Professionalism and ethics handbook for residents (PEHR): a practical guide. Riyadh: Saudi Commission for Health Specialties; 2015.

    Google Scholar 

  7. Rayes F. Communication skills: key to understanding. 1st ed. Saudi Commission for Health Specialties: Riyadh, Saudi Arabia; 2016.

    Google Scholar 

  8. Duffy FD, Holmboe ES. Self-assessment in lifelong learning and improving performance in practice: physician know thyself. JAMA. 2006;296(9):1137–9. https://doi.org/10.1001/jama.296.9.1137.

    Article  Google Scholar 

  9. Sobral DT. An appraisal of medical students' reflection-in-learning. Med Educ. 2000;34(3):182–7.

    Article  Google Scholar 

  10. Veenman MV, Van Hout-Wolters BH, Afflerbach P. Metacognition and learning: conceptual and methodological considerations. Metacogn Learn. 2006;1(1):3–14.

    Article  Google Scholar 

  11. Boekaerts M. Self-regulated learning: a new concept embraced by researchers, policy makers, educators, teachers, and students. Learn Instr. 1997;7(2):161–86.

    Article  Google Scholar 

  12. Ward M, Gruppen L, Regehr G. Measuring self-assessment: current state of the art. Adv Health Sci Educ. 2002;7(1):63–80.

    Article  Google Scholar 

  13. Symons AB, Swanson A, McGuigan D, Orrange S, Akl EA. A tool for self-assessment of communication skills and professionalism in residents. BMC Med Educ. 2009;9(1):1.

    Article  Google Scholar 

  14. Gordon MJ. A review of the validity and accuracy of self-assessments in health professions training. Acad Med. 1991;66(12):762–9.

    Article  Google Scholar 

  15. Burt J, Abel G, Elliott MN, Elmore N, Newbould J, Davey A, et al. The evaluation of physicians’ communication skills from multiple perspectives. Ann Fam Med. 2018;16(4):330–7. https://doi.org/10.1370/afm.2241.

    Article  Google Scholar 

  16. Gude T, Finset A, Anvik T, Bærheim A, Fasmer OB, Grimstad H, et al. Do medical students and young physicians assess reliably their self-efficacy regarding communication skills? A prospective study from end of medical school until end of internship. BMC Med Educ. 2017;17(1):107.

    Article  Google Scholar 

  17. Brindley PG, Smith KE, Cardinal P, LeBlanc F. Improving medical communication: skills for a complex (and multilingual) clinical world. Can Respir J. 2014;21(2):89–91.

    Article  Google Scholar 

  18. Nørgaard B, Ammentorp J, Ohm Kyvik K, Kofoed PE. Communication skills training increases self-efficacy of health care professionals. J Contin Educ Heal Prof. 2012;32(2):90–7.

    Article  Google Scholar 

  19. King A, Hoppe RB. “Best practice” for patient-centered communication: a narrative review. J Grad Med Educ. 2013;5(3):385–93.

    Article  Google Scholar 

  20. Abadel FT, Hattab AS. Patients’ assessment of professionalism and communication skills of medical graduates. BMC Med Educ. 2014;14(1):28. https://doi.org/10.1186/1472-6920-14-28.

    Article  Google Scholar 

  21. Kaiser HF. An index of factorial simplicity. Psychometrika. 1974;39(1):31–6. https://doi.org/10.1007/bf02291575.

    Article  Google Scholar 

  22. Makoul G, Krupat E, Chang C-H. Measuring patient views of physician communication skills: development and testing of the Communication Assessment Tool. Patient Educ Couns. 2007;67(3):333–42.

    Article  Google Scholar 

  23. Ha JF, Longnecker N. Doctor-patient communication: a review. Ochsner J. 2010;10(1):38–43.

    Google Scholar 

  24. Al Ansari A, Donnon T, Al Khalifa K, Darwish A, Violato C. The construct and criterion validity of the multi-source feedback process to assess physician performance: a meta-analysis. Adv Med Educ Pract. 2014;5:39.

    Article  Google Scholar 

  25. Ferguson J, Wakeling J, Bowie P. Factors influencing the effectiveness of multisource feedback in improving the professional practice of medical doctors: a systematic review. BMC Med Educ. 2014;14(1):76.

    Article  Google Scholar 

  26. Zill JM, Christalle E, Müller E, Härter M, Dirmaier J, Scholl I. Measurement of physician-patient communication—a systematic review. PLoS One. 2014;9(12):e112637.

    Article  Google Scholar 

  27. Ashbury FD, Iverson DC, Kralj B. Physician communication skills: results of a survey of general/family practitioners in Newfoundland. Med Educ Online. 2001;6(1):4521.

    Article  Google Scholar 

  28. Mobeireek AF, Al-Kassimi FA, Al-Majid SA, Al-Shimemry A. Communication with the seriously ill: physicians’ attitudes in Saudi Arabia. J Med Ethics. 1996;22(5):282–5.

    Article  Google Scholar 

  29. Mobeireek A, Al-Kassimi F, Al-Zahrani K, Al-Shimemeri A, Al-Damegh S, Al-Amoudi O, et al. Information disclosure and decision-making: the Middle East versus the Far East and the West. J Med Ethics. 2008;34(4):225–9.

    Article  Google Scholar 

  30. Ramirez A, Graham J, Richards M, Cull A, Gregory W, Leaning M, et al. Burnout and psychiatric disorder among cancer clinicians. Br J Cancer. 1995;71(6):1263–9.

    Article  Google Scholar 

  31. Teixeira C, Ribeiro O, Fonseca AM, Carvalho AS. Burnout in intensive care units-a consideration of the possible prevalence and frequency of new risk factors: a descriptive correlational multicentre study. BMC Anesthesiol. 2013;13(1):38.

    Article  Google Scholar 

  32. Alzahrani AS, Alqahtani A, Alhazmi M, Gaafar R, Bajabir D, Alharbi IM, et al. Attitudes of cancer patients and their families toward disclosure of cancer diagnosis in saudi Arabia: a Middle Eastern population example. Patient Prefer Adherence. 2018;12:1659–66.

    Article  Google Scholar 

  33. 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;45(3):239–48.

    Article  Google Scholar 

  34. Quigley DD, Elliott MN, Farley DO, Burkhart Q, Skootsky SA, Hays RD. Specialties differ in which aspects of doctor communication predict overall physician ratings. J Gen Intern Med. 2014;29(3):447–54.

    Article  Google Scholar 

  35. Löffler-Stastka H, Seitz T, Billeth S, Pastner B, Preusche I, Seidman C. Significance of gender in the attitude towards doctor-patient communication in medical students and physicians. Wien Klin Wochenschr. 2016;128(17–18):663–8.

    Article  Google Scholar 

  36. Bylund CL, Makoul G. Empathic communication and gender in the physician–patient encounter. Patient Educ Couns. 2002;48(3):207–16.

    Article  Google Scholar 

  37. Nomura K, Yano E, Fukui T. Gender differences in clinical confidence: a nationwide survey of resident physicians in Japan. Acad Med. 2010;85(4):647–53.

    Article  Google Scholar 

  38. Blanch-Hartigan D. Medical students’ self-assessment of performance: results from three meta-analyses. Patient Educ Couns. 2011;84(1):3–9.

    Article  Google Scholar 

  39. Gude T, Vaglum P, Anvik T, Bærheim A, Fasmer OB, Grimstad H, et al. Do physicians improve their communication skills between finishing medical school and completing internship? A nationwide prospective observational cohort study. Patient Educ Couns. 2009;76(2):207–12.

    Article  Google Scholar 

  40. Simmenroth-Nayda A, Weiss C, Fischer T, Himmel W. Do communication training programs improve students’ communication skills?-a follow-up study. BMC Res Notes. 2012;5(1):486.

    Article  Google Scholar 

  41. Tongue JR, Epps HR, Forese LL. Communication skills for patient-centered care: research-based, easily learned techniques for medical interviews that benefit orthopaedic surgeons and their patients. JBJS. 2005;87(3):652–8.

    Article  Google Scholar 

  42. Han JL, Pappas TN. A review of empathy, its importance, and its teaching in surgical training. J Surg Educ. 2018;75(1):88–94.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ahmad S Alzahrani.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the IRB committee of King Abdullah Medical City No. 17-403.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Alzahrani, A., Alqahtani, A., Abdulkader, S. et al. Perceived Communication Skills Among Tertiary Care Physicians. Med.Sci.Educ. 29, 771–777 (2019). https://doi.org/10.1007/s40670-019-00764-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40670-019-00764-8

Keywords

Navigation