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 ( < 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 ( < 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.
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http://dx.doi.org/10.1007/s40670-019-00764-8 | DOI Listing |
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Austin DesJardin, MSN, RN, CNE, is PhD Student at Saint Louis University and Faculty at Watts College of Nursing Durham, North Carolina.
Palliative care, a beacon of relief and comfort, ensures the best quality of life for patients nearing death, a patient population that often presents to emergency departments, by providing interventions to promote comfort and support final wishes. The purpose of this literature review was to examine the outcomes of palliative care interventions for adult patients with chronic illnesses who have died in emergency departments. The literature review was conducted in CINAHL, PubMed, SCOPUS, OVID, and APA Psych using the keywords "palliative," "emergency department," "adult," and "chronic disease.
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Department of Computer and Information Science, Konstanz University, Konstanz, Baden-Württemberg, Germany.
A major challenge of our time is reducing disparities in access to and effective use of digital technologies, with recent discussions highlighting the role of AI in exacerbating the digital divide. We examine user characteristics that predict usage of the AI-powered conversational agent ChatGPT. We combine behavioral and survey data in a web tracked sample of N = 1376 German citizens to investigate differences in ChatGPT activity (usage, visits, and adoption) during the first 11 months from the launch of the service (November 30, 2022).
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January 2025
Computer Science and Engineering, SA Engineering College, Poonamallee, India.
The optimization on the cloud-based data structures is carried out using Adaptive Level and Skill Rate-based Child Drawing Development Optimization algorithm (ALSR-CDDO). Also, the overall cost required in computing and communicating is reduced by optimally selecting these data structures by the ALSR-CDDO algorithm. The storage of the data in the cloud platform is performed using the Divide and Conquer Table (D&CT).
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December 2024
Department of Community and Family Medicine, All India Institute of Medical Sciences-Guwahati, Guwahati, IND.
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January 2025
Department of Surgery, University of California San Francisco, 513 Parnassus Avenue S-321, San Francisco, CA, 94143, USA.
The rise of robotic surgery has been accompanied by numerous educational challenges as surgeons and trainees learn skills unique to the robotic platform. Remote instruction is a solution to provide surgeons ongoing education when in-person teaching is not feasible. However, surgical instruction faces challenges from unclear communication.
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