Design , Implementation & Evaluation of an Educational Program on Improving the Communication Skills with Patient based on WHO in Interns

Introduction: The effective relationship of physicians with patients has a significant role in effective treatment, reduces stress and establishes satisfaction in the patient. It was shown that many doctors fail to communicate with patients effectively. The aim of present research was designing, implementing, and evaluating the effect of training on improving the communication skills with patients in medical interns of Arak University of Medical Sciences based on the WHO pattern . Methods: This interventional research was done on 74 interns of Arak University of Medical Sciences in 2010. Communication skills of the subjects were directly observed and documented through using a checklist prepared according to basic communication skills developed by WHO. Validity and reliability of the checklist were confirmed. Then through role –playing, the subjects learned how to communicate effectively with patients. After training, their communication skills were checked again.. The data were analyzed using descriptive statistics and t test. Results:. The average score on communication skills before training and after it were 2.53±.47 and 3.25± .34 respectively, which showed a significant difference (P=0.00, t=10.3). The average scores on interpersonal communication skills & skill of obtaining information from & giving information to patients before and after education were 2.62± 0.47& 3.29± 0.37,2.74±0.47 & 3.24±0.3, and 2.42±0.39 & 3.24± 0.3 respectively . The average score on presenting information before and after training were 2.24±0.39 and 3.24 ± 0.3 and on educating patients 2.33 ± 0.52 3.15 ± 0.38, which indicated a significant difference between the scores before and after training(, p = 0/00).There was no significant difference between the scores of males and females(, p = 0/00). Conclusion: Interns’ scores were improved by training, significantly. It is recommended the medical curriculum be revised and some theoretical and practical courses relevant to communication skills accompanied by applying effective methods in teaching communication skills be planned for.