Table 1 Subdivided outpatient skills evaluation by the different groups
From: Multisource feedback analysis of pediatric outpatient teaching
Teacher mean (SD) | Students | Assistant | Nurses | Average | p value | ||
|---|---|---|---|---|---|---|---|
Giving recommendation | Clearly tell the patient examination and treatment plan can be selected | 75.5 (14.5) | 73.2 (14.1) | 76.1 (11.4) | 79.0 (14.9) | 76.0 (14.7) | 0.199 |
Clear description of the procedures of the entire treatment plan | 74.8 (13.3) | 72.5 (15.9) | 76.1 (12.0) | 78.0 (16.8) | 75.4 (15.4) | 0.269 | |
Medical services to provide disease prevention or health promotion (vaccines, diet, exercise …) | 66.6 (15.6) | 70.2 (14.5) | 71.5 (14.2) | 75.3 (16.6) | 70.9 (16.8) | 0.040 | |
When should I seek further medical care or back to the outpatient | 71.0 (14.6) | 73.2 (15.8) | 70.8 (14.9) | 79.0 (16.2) | 73.5 (14.3) | 0.020 | |
Taking into account the holistic care of the physical, psychological and social | 71.0 (12.5) | 73.6 (14.7) | 70.2 (11.9) | 74.0 (16.6) | 72.2 (14.9) | 0.413 | |
Listen | Patients understand the words to communicate | 87.6 (10.5) | 81.0 (12.4) | 84.9 (9.4) | 87.0 (12.1) | 85.1 (12.6) | 0.018 |
Asking about chief complaints | 81.0 (10.9) | 99.7* (13.3) | 93.4* (10.2) | 88.0* (9.9) | 90.5* (8.4) | 0.673 | |
Know the patient’s entire medical history | 80.3 (9.5) | 79.0 (12.1) | 81.0 (6.8) | 87.7 (9.8) | 82.0 (11.4) | 0.001 | |
Encourage patients to express the suffering of all physical symptoms | 79.3 (7.5) | 80.0 (11.1) | 80.0 (8.2) | 85.7 (12.3) | 81.2 (11.5) | 0.007 | |
Deep ask the patient’s main problem | 79.0 (8.7) | 76.9 (14.1) | 75.4 (12.3) | 84.0 (12.6) | 78.8 (13.4) | 0.003 | |
Encourage patients to express their concerns about physical symptoms | 71.4 (15.0) | 74.6 (14.3) | 69.8 (14.9) | 81.7 (10.6) | 74.4 (11.5) | 0.001 | |
Deep understanding of the patient to the clinic | 73.4 (13.7) | 72.5 (14.1) | 67.5 (6.4) | 79.7 (10.4) | 73.3 (11.2) | 0.001 | |
Know the emotional needs of the patients | 64.5 (15.0) | 71.2 (12.8) | 66.6 (7.4) | 78.0 (7.9) | 70.1 (11.3) | 0.001 | |
Deep understanding of the patient to the clinic grounds | 80.7 (11.2) | 78.3 (12.7) | 77.7 (7.7) | 86.3 (11.3) | 80.8 (13.4) | 0.001 | |
Ask the decision-makers and caregivers of the patient’s disease | 94.5* (9.8) | 77.6 (13.2) | 73.8 (10.0) | 86.0 (10.6) | 83.0 (14.4) | 0.001 | |
Asking about life/school burden | 59.7** (12.7) | 66.4** (17.3) | 62.3** (15.5) | 74.0** (8.9) | 65.6** (15.1) | 0.001 | |
Family or personal life effect | 60.0 (14.0) | 78.3 (7.9) | 65.6 (15.5) | 75.7 (8.8) | 69.9 (12.6) | 0.066 | |
Explaining | Self-introduction | 90.0 (18.1) | 83.1 (17.5) | 83.6 (14.4) | 85.7 (15.2) | 85.6 (17.3) | 0.120 |
To do a complete description of the patient’s condition | 77.6 (13.5) | 77.3 (15.8) | 79.7 (9.3) | 83.7 (13.5) | 79.6 (13.3) | 0.055 | |
Acknowledge | Encourage the patient to have questions about what had explained | 79.0 (8.7) | 76.3 (15.0) | 74.4 (11.0) | 86.0 (12.9) | 78.9 (13.8) | 0.001 |
Allow patients to fully ask questions related to their symptoms | 78.6 (8.3) | 75.9 (14.7) | 72.8 (7.7) | 85.0 (12.6) | 78.1 (14.2) | 0.001 | |
Get a consensus with patient in different views | 67.2 (13.9) | 69.2 (16.4) | 63.3 (16.4) | 77.0 (15.5) | 69.2 (12.6) | 0.001 | |
Negotiate | Encourage patients to present themselves for examination or treatment | 76.2 (10.9) | 71.2 (17.1) | 69.8 (14.0) | 78.3 (7.8) | 73.9 (14.2) | 0.010 |
Ask the patient’s view about physician’s examination or treatment | 72.4 (13.9) | 71.2 (15.3) | 71.1 (12.4) | 80.0 (16.1) | 73.7 (14.6) | 0.003 | |
Discussed with the patient about the examination or treatment plan and get the patient's consent | 75.5 (12.4) | 75.6 (14.1) | 68.2 (12.8) | 81.0 (14.9) | 75.1 (13.2) | 0.001 | |
Patient center | Patient center | 79.0 (6.9) | 75.6 (12.8) | 78.0 (8.7) | 83.0 (12.2) | 78.9 (12.3) | 0.010 |