Interacción verbal que los estudiantes de medicina de la Universidad Técnica particular de Loja establecen durante la consulta médica con pacientes estandarizados en el periodo julio 2012 a enero 2013

Abstract

Objective: The main objective of the study was to describe the characteristics of verbal interaction that medical students of the Technical University of Loja establish with their patients during medical consultation. Methods: It was evaluated using the OPTION scale Participatory Decision-Making audio recordings from a group of queries made by undergraduate students of the degree in medicine from the Universidad Técnica Particular de Loja four trained standardized patients to provide information on medical conditions related dysuria , dyspepsia or family planning methods . Results: We collected and analyzed 3 hours audio, corresponding to twenty medical consultations for twenty undergraduate students. The average score on the OPTION scale was 4.05 out of 48 possible points, with a median of 2.0 (Q1- Q3 = 0.0-6.5) and a range of scores from 0 to 20 points. 45% of participants had an overall score of zero. The best scores were obtained from family planning consultations and choice of contraceptive method (p < 0.001), mean global scores of 7.9, 6.5 median (Q1- Q3 = 4.0-10.0). No significant differences between the overall scores were observed by sex of student.

Conclusions: The results of this study suggest that verbal interaction that provide medical students with patients during medical consultation does not promote shared decision making.