Table 5

Synopsis of factors influencing the evolution of confidence in clinical skills and patient communication
Factors and stages in which they appeared
Clinical skills Patient communication
Interaction with clinicians (stages 1, 2, 3) Meet and greet the patient (stage 1)
A help and hindrance with verbal (positive and negative comments) and non-verbal (demonstrating skill) feedback being key elements Allowing students to initiate meeting and greeting the patient provides them to make a quick and helpful initial assessment
Audible noise (stage 1, 2, 3) Interaction with clinicians (stage 1, 2, 3)
Students relying on this as an indicator of success; forgoing other indicators such as pain, range of motion, activities of daily living Non-challenging conditions (stage 1, 2, 3)
Perceived limited skills (stage 2, 3) Patient conditions which do not challenge the student limits their ability to mature
Linked with lack of audible obtained with manipulation Personal agency (stage 2, 3)
Personal agency (stage 3) Maturing as a student clinician (stage 2, 3)
Students seeking way to improve is an indicator of maturity Building rapport with patients and recognizing why they seek care
Patient conflicts (stage 3)
Lack of maturity and personal agency result in poor patient encounters
Perceptions of the profession (stage 3)
Questioning the profession

Hecimovich and Volet

Hecimovich and Volet BMC Medical Education 2012 12:42   doi:10.1186/1472-6920-12-42

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