Design and implementation of a clinical communication skills training course for dental students at Mashhad University of Medical Sciences

Document Type : Original Article

Authors

1 Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran

2 Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran

3 Medical Sciences Education Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

4 Dentist, Mashhad, Iran

5 Department of Pediatric Dentistry, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran

6 Provincial Health Center, Health Department, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

 
Background: Given the importance of communication skills education in medical sciences and the need for an appropriate curriculum for clinical education, this study aimed to design and implement a clinical communication skills curriculum for third-year dental students at Mashhad University of Medical Sciences.
Method: This action research study included 60 third-year dental students. The educational program was developed based on the Communication Skills Training-3 Elements Model and Instructional Development Institute (IDI) model. Interactive student-centered teaching methods were designed by including team-based teaching, group discussion, action-based interactive lectures, role-playing, and multimedia application strategies. The course was delivered over 18 sessions, each 90 minutes long, by communication skills and dentistry professors, as a workshop-based course worth 1 credit in the fifth semester of the general dentistry program. The students were evaluated regarding their knowledge and skills at the end of the course.
Results: Most of the expected communication skills, including starting the session and establishing a connection, gathering data, considering the patient's perspective, providing information, mutual agreement, and ending the session were at a good level after the implementation of this program. Female students performed better than their male counterparts in various communication aspects, although statistically significant differences were only observed for the skills of providing information, mutual agreement, and ending the session (P=0.032).
Conclusion: Using this clinical communication skills course for dental students can be beneficial, and with further studies in this field and examining its effectiveness in more dental schools, it can be presented to other dental schools as well.

Keywords

Main Subjects


  1. Carter EJ, Pouch SM, Larson EL. Common infection control practices in the emergency department: a literature review. Am J Infect Control. 2014;42(9):957-62.
  2. Pittet D, Boyce JM. Hand hygiene and patient care: pursuing the Semmelweis legacy. The Lancet Infectious 2001;1:9-20.
  3. Mathur P. Hand hygiene: back to the basics of infection control. Indian J Med Res. 2011;134(5):611-20.
  4. Sax H, Allegranzi B, Uckay I, Larson E, Boyce J, Pittet D. 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene. J Hosp Infect. 2007;67(1):9-21.
  5. Tibballs J. Teaching hospital medical staff to handwash. Medical Journal of Australia. 1996; 164(7):395-8.
  6. Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Infection Control Programme. Lancet. 2000; 356(9238):1307-12.
  7. Longtin Y, Sax H, Allegranzi B, Schneider F, Pittet D. Videos in clinical medicine. Hand hygiene. N Engl J Med. 2011; 364(13):e24.
  8. McLaws ML, Maharlouei N, Yousefi F, Askarian M. Predicting hand hygiene among Iranian health care workers using the theory of planned behavior. Am J Infect Control. 2012;40(4):336-39. doi:10.1016/j.ajic.2011.04.004
  9. Suen LKP, So ZYY, Yeung SKW, Lo KYK, Lam SC. Epidemiological investigation on hand hygiene knowledge and behaviour: a cross-sectional study on gender disparity. BMC Public Health. 2019;19(1):401.
  10. McLaws M-L, Farahangiz S, Palenik CJ, Askarian M. Iranian healthcare workers’ perspective on hand hygiene: A qualitative study. Journal of Infection and Public Health. 2015;8(1):72-9.
  11. Haque M, Sartelli M, McKimm J, Abu Bakar M. Health care-associated infections - an overview. Infect Drug Resist. 2018;11:2321-33.
  12. Shobowale EO, Adegunle B, Onyedibe K. An assessment of hand hygiene practices of healthcare workers of a semi-urban teaching hospital using the five moments of hand hygiene. Niger Med J. 2016;57(3):150-4.
  13. Zakeri H, Ahmadi F, Rafeemanesh E, Saleh LA. The knowledge of hand hygiene among the healthcare workers of two teaching hospitals in Mashhad. Electron Physician. 2017;9(8):5159-65.
  14. Nabavi M, Alavi-Moghaddam M, Gachkar L, Moeinian M. Knowledge, Attitudes, and Practices Study on Hand Hygiene Among Imam Hossein Hospital's Residents in 2013. Iran Red Crescent Med J. 2015;17(10):e19606.
  15. Holbrook AL, Berent MK, Krosnick JA, Visser PS, Boninger DS. Attitude Importance and the Accumulation of Attitude-Relevant Knowledge in Memory. Journal of Personality and Social Psychology. 2005;88(5):749–69.
  16. Rezaee R, Danaei M, Askarian M. The Efficacy of Teaching hand Hygiene to Medical students: An Interventional
  17. Maheshwari V, Kaore NCM, Ramnani VK, Gupta SK, Borle A, Kaushal R. A Study to Assess Knowledge and Attitude Regarding Hand Hygiene amongst Residents and Nursing Staff in a Tertiary Health Care Setting of Bhopal City. J Clin Diagn Res. 2014;8(8):DC04-DC7.
  18. Van De Mortel TF, Kermode S, Progano T, Sansoni J. A comparison of the hand hygiene knowledge, beliefs and practices of Italian nursing and medical students. J Adv Nurs. 2012;68(3):569-79.
  19. Abdoli Oskouei S, Alikhah F, Abdinia B, Abdoli Oskouei Y. Compliance of hand hygiene among physicians and other personnel of Tabriz children hospital. Patient Saf Qual Improv Winter. 2015;3(2), Supplement.
  20. Arianpoor A, Askari E, Zarifian A, Bayat G.N, Dayyani M, Mahdipour S, et al. A report on “the first Concept Map Design Contest on Infection Prevention and Control”. Future Med Educ J. 2018; 8(1): 3-10.