Medical Students’ Attitudes Towards Communication Skills Learning in Obstetrics and Gynaecology, and Their Perceptions on Role-plays with Reflective Feedback

Abstract

<p>This mixed-methods study is to evaluate local medical students’ attitudes towards communication skills learning (CSL) in obstetrics and gynaecology (O&G). 140 final-year students completed a quantitative questionnaire, with 91 also completed a follow-up questionnaire after two O&G communication skills workshops featuring role-plays with reflective feedback. Ten students were invited for individual semi-structured interviews about their experiences in CSL. Students held generally positive attitudes towards CSL and recognized the importance of good communication skills in medical practice. Some students revealed negative attitudes, mainly related to the tight medical curriculum and lack of time in practising. Some students found communication skills in O&G particularly difficult because of its sensitive nature, but practice helped them overcome these difficulties. Students consistently preferred experiential learning to instructional methods for CSL. They found real clinical encounters most authentic, but agreed that role-plays play a complementary role by allowing a wider range of scenarios. They appreciated feedback that was constructive, specific, and individualized, but disliked feedback that was personal and insulting. Role-play with reflective feedback allows students to complete the experiential learning cycle. After the communication skills workshops, students’ self-assessment of communication skills and career interest in O&G significantly improved, while attitudes towards CSL were maintained.<br></p>