The impact of personality traits on attitudes toward learning communication skills
Aims: The aim of this study was to investigate the association between personality traits and attitudes toward learning communication skills in undergraduate medical students. The relation between students’ attitudes and personality trait could help us identify those who those who will need more support to develop communication skills, based on their personality traits.
Methods: The data was collected data from an intentional and cross-sectional sample composed of 204 students from three Brazilian universities. The students answered questionnaires containing the Communication Skills Attitude Scale (CSAS-BR) and the Big Five Mini-Markers (BFMM) for personality. Data were analyzed using frequency calculations, principal components analysis, and the multiple linear regression model.
Results: Seven among 26 items of the original Communication Skills Attitude Scale (CSAS) presented factor loads lower than |0.30| and must be excluded in the CSAS -BR that showed one domain including positive and negative attitudes. The value of Cronbach’s alpha of the 19-item scale was 0.894. The BFMM showed similar dimensional results with five domains with Cronbach’s alpha values of 0.804 for Extroversion, 0.753 for agreeableness, 0.755 for conscientiousness, 0.780 for neuroticism and 0.668 for openness. There were positive and statically significant linear associations with the CSAS-BR and agreeableness (β: 0.230, p<0.001), extraversion (β: 0.150, p=0.030), and openness to experience (β: 0.190, p=0.010). These personality factors drive social interactions and interpersonal relations, which involve the tendency to be friendly, flexible, and cooperative; to show a willing disposition; and the ability to actively engage with others.
Conclusions: Based on the methods applied in this study, the results demonstrated a relation between agreeableness, extraversion and openness to experience with attitudes on communication skills in students from three Brazilian universities. Our results suggest that the evaluation of personality traits can contribute to the recognition of students for whom the establishment of special teaching strategies can improve communication skills.
Mikesell L. Medicinal relationships: Caring conversation. Med Educ 2013;47:443–52. https://doi.org/10.1111/medu.12104
Stiefel F, Favre N, Despland JN. Communication Skills Training in Oncology: It Works! In: Communication in Cancer Care [Internet]. Germany: Springer Berlin Heidelberg; 2006. p. 113–9. Available from: http://link.springer.com/10.1007/3-540-30758-3_11
Fallowfield L, Jenkins V, Farewell V, Saul J, Duffy A, Rebecca E. Efficacy of a Cancer Research UK communication skills training model for oncologists: a randomised controlled trial. Lancet 2002;359:650–6. https://doi.org/10.1016/S0140-6736(02)07810-8
Swing SR. The ACGME outcome project: retrospective and prospective. Med Teach 2007;29:648–54. https://doi.org/10.1080/01421590701392903
Frank JR, Snell LS, Sherbino J, et al. The Draft CanMEDS 2015 Milestones Guide – September 2014 [Internet]. Ottawa: The Royal College of Physicians and Surgeons of Canada. Ottawa; 2014 [cited 2020 Jul 20]. Available from: http://www.royalcollege.ca/rcsite/documents/canmeds/canmeds-2015-framework-series-3-e.pdf
General Medical Council (GMC). Outcomes for graduates 2018 [Internet]. General Medical Council (GMC). 2018 [cited 2020 Jul 20]. p. 26. Available from: https://www.gmc-uk.org/-/media/documents/dc11326-outcomes-for-graduates-2018_pdf-75040796.pdf
Ring M, Brodsky M, Dog TL, Sierpina V, Bailey M, Locke A, Kogan M, James A Rindfleisch J A, Saper R. Developing and Implementing Core Competencies for Integrative Medicine Fellowships. Acad Med 2014;89:421–8. https://doi.org/10.1097/ACM.0000000000000148
Russ JB, McKenney AS, Patel AB. An identity crisis: the need for core competencies in undergraduate medical education. Med Educ Online 2013;18. https://doi.org/10.3402/meo.v18i0.21028
Loureiro E, Severo M, Ferreira MA. Attitudes of Portuguese medical residents’ towards clinical communication skills. Patient Educ Couns 2015;98:1039–43. https://doi.org/10.1016/j.pec.2015.04.009
Anvik T, Gude T, Grimstad H, Baerheim A, Fasmer OB, Hjortdahl P, Holen A, Risberg T, PVaglum P. Assessing medical students’ attitudes towards learning communication skills--which components of attitudes do we measure? BMC Med Educ 2007;7:4. https://doi.org/10.1186/1472-6920-7-4
Rees C, Sheard C. The relationship between medical students’ attitudes towards communication skills learning and their demographic and education-related characteristics. Med Educ 2002;36:1017–27.
Ruiz Moral R, García de Leonardo C, Caballero Martínez F, Martín DM. Medical students’ attitudes toward communication skills learning: comparison between two groups with and without training. Adv Med Educ Pract 2019;Volume 10:55–61. https://doi.org/10.2147/AMEP.S182879
Harlak H, Gemalmaz A, Gurel FS, Dereboy C, Ertekin K. Communication skills training: effects on attitudes toward communication skills and empathic tendency. Educ Health (Abingdon) 2008;21:62.
Svensberg K, Brandlistuen RE, Björnsdottir I, Sporrong SK. Factors associated with pharmacy students’ attitudes towards learning communication skills – A study among Nordic pharmacy students. Res Soc Adm Pharm 2018;14:279–89. https://doi.org/10.1016/j.sapharm.2017.03.055
Manuel RS, Borges NJ, Gerzina HA. Personality and clinical skills: Any correlation? Acad Med 2005;80:S30–3.
Hoerger M, Quirk SW. Affective forecasting and the Big Five. Pers Individ Dif 2010;49:972–6. https://doi.org/10.1016/j.paid.2010.08.007
Rhee J, Parent D, Basu A. The influence of personality and ability on undergraduate teamwork and team performance. Springerplus 2013;2:16. https://doi.org/10.1186/2193-1801-2-16
Costa PTJ, McCrae RR. Normal Personality Assessment in Clinical Practice: The NEO Personality Inventory. Psychol Assess 1992;4:5–13. https://doi.org/10.1037//1040-35184.108.40.206
O’Tuathaigh CMP, Nadhirah Idris A, Duggan E, Costa P, Costa MJ. Medical students’ empathy and attitudes towards professionalism: Relationship with personality, specialty preference and medical programme. PLoS One 2019;14:e0215675. https://doi.org/10.1371/journal.pone.0215675
Hong Z, Lin H. An Investigation of Students’ Personality Traits and Attitudes toward Science. Int J Sci Educ 2011;33:1001–28. https://doi.org/10.1080/09500693.2010.524949
Sims CM. Do the Big-Five Personality Traits Predict Empathic Listening and Assertive Communication? Int J List 2017;31:163–88. https://doi.org/10.1080/10904018.2016.1202770
Kuntze J, van der Molen HT, Born MP. Big Five Personality Traits and Assertiveness do not Affect Mastery of Communication Skills. Heal Prof Educ 2016;2:33–43. https://doi.org/10.1016/j.hpe.2016.01.009
Busch A-K, Rockenbauch K, Schmutzer G, Brähler E. Do medical students like communication? Validation of the German CSAS (Communication Skills Attitude Scale). GMS Z Med Ausbild 2015;32. https://doi.org/http://dx.doi.org/10.3205zma000953
Molinuevo B, Torrubia R. Validation of the Catalan version of the communication skills attitude scale (CSAS) in a cohort of south European medical and nursing students. Educ Health (Abingdon) 2011;24:499.
Ahn S, Yi Y-H, Ahn D-S. Developing a Korean communication skills attitude scale: comparing attitudes between Korea and the West. Med Educ 2009;43:246–53. https://doi.org/10.1111/j.1365-2923.2008.03271.x
Rees C, Sheard C, Davies S. The development of a scale to measure medical students’ attitudes towards communication skills learning: the Communication Skills Attitude Scale (CSAS). Med Educ 2002;36:141–7.
Hauck Filho N, Machado WDL, Teixeira MAP, Bandeira DR Evidências de validade de marcadores reduzidos para a avaliação da personalidade no modelo dos cinco grandes fatores. Psicol Teor e Pesqui 2012;28:417–23.
Poropat AE. A meta-analysis of the five-factor model of personality and academic performance. Psychol Bull 2009;135:322–38. https://doi.org/10.1037/a0014996
Hutz CS, Nunes CH, Silveira AD, et al. O desenvolvimento de marcadores para a avaliação da personalidade no modelo dos cinco grandes fatores. Psicol Reflexão e Crítica 1998;11:395–411. https://doi.org/10.1590/S0102-79721998000200015
Machado WL, Hauck Filho N, Teixeira MP, Ruschel DB. Análise de teoria de resposta ao item de marcadores reduzidos da personalidade. Psico (PUCRS) 2014;:551–8.
Loureiro E, Severo M, Bettencourt P, Ferreira MA. Third year medical students perceptions towards learning communication skills: implications for medical education. Patient Educ Couns 2011;85:e265-71.
Koponen J, Pyörälä E, Isotalus P, et al. Comparing three experiential learning methods and their effect on medical students’ attitudes to learning communication skills. Med Teach 2012;34:e198-207. https://doi.org/10.3109/0142159X.2012.642828
Baharudin N, Badlishah-sham SF, Yuzadi Z, Ramli AS. Validation of the Communication Skills Attitude Scale ( CSAS ) Questionnaire in a Cohort of Malaysian Medical Students. J Clin Heal Sci 2017;2:46–53.
Panczyk M, Iwanow L, Zarzeka A, et al. Communication skills attitude scale: A translation and validation study in asample of registered nurses in Poland. BMJ Open 2019;9:1–9. https://doi.org/10.1136/bmjopen-2018-028691
Plaisant O, Stephens S, Apaydin N, Courtois R, Lignier B, Loukas M, Moxham B. Medical students’ attitudes towards science and gross anatomy, and the relationship to personality. J Anat 2014;224:261–9. https://doi.org/10.1111/joa.12043
Chapman BP, Duberstein PR, Epstein R, Fiscella K, Kravitz RL. Patient Centered Communication During Primary Care Visits for Depressive Symptoms: What is the Role of Physician Personality? Med Care 2008;46:1134–9.
Vermetten YJ, Lodewijks HG, Vermunt JD. The Role of Personality Traits and Goal Orientations in Strategy Use. Contemp Educ Psychol 2001;26:149–70. https://doi.org/10.1006/ceps.1999.1042
Blasi Z Di, Harkness E, Ernst E, et al. Influence of context effects on health outcomes: a systematic review. Lancet 2001;357:757–62. https://doi.org/10.1016/S0140-6736(00)04169-6
Tsou K-I, Lin C-HC-S, Cho S-L, et al. Using personal qualities assessment to measure the moral orientation and personal qualities of medical students in a non-Western culture. Eval Health Prof 2013;36:174–90.
Gao L, Peranson J, Nyhof-Young J, et al. The role of “improv” in health professional learning: A scoping review. Med Teach 2019;41:561–8. https://doi.org/10.1080/0142159X.2018.1505033
Holen A, Manandhar K, Pant DS, et al. Medical students’ preferences for problem-based learning in relation to culture and personality: a multicultural study. Int J Med Educ 2015;6:84–92. https://doi.org/10.5116/ijme.558e.6451
Ryder AJ, Reason RD, Mitchell JJ, et al. Climate for learning and students’ openness to diversity and challenge: A critical role for faculty. J Divers High Educ 2016;9:339–52. https://doi.org/10.1037/a0039766
Ounounou E, Aydin A, Brunckhorst O, et al. Nontechnical Skills in Surgery: A Systematic Review of Current Training Modalities. J Surg Educ 2019;76:14–24. https://doi.org/10.1016/j.jsurg.2018.05.017
Lievens F, Coetsier P, De Fruyt F, Maeseneer JD. Medical students’ personality characteristics and academic performance: a five-factor model perspective. Med Educ 2002;36:1050–6. https://doi.org/10.1046/j.1365-2923.2002.01328.x
Lourinho I, Ferreira MA, Severo M. Personality and achievement along medical training: Evidence from a cross-lagged analysis. PLoS One 2017;12:e0185860. https://doi.org/10.1371/journal.pone.0185860
Koceic A, Mestrovic A, Vrdoljak L, et al. Analysis of the elective curriculum in undergraduate medical education in Croatia. Med Educ 2010;44:387–95. https://doi.org/10.1111/j.1365-2923.2010.03621.x
Agarwal A, Wong S, Sarfaty S, Devaiah A , Hirsch AE. Elective courses for medical students during the preclinical curriculum: a systematic review and evaluation. Med Educ Online 2015;20:26615. https://doi.org/10.3402/meo.v20.26615
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