title: Assessment of dental students' communication skills with patients.
abstract: BACKGROUND
  Establishment of effective communication between the clinician and patient is essential in order to increase the effectiveness of treatment. These skills have been less investigated among dental students. This study aimed to evaluate communication skills of dental students in Shiraz with patients through direct observation, patients' perspectives and students' self-assessments.
  
  
  METHODS
  This cross-sectional study enrolled the fifth and sixth year dental students and one of each student's patients who was chosen using simple random sampling method. We used a checklist for data collection. Students' communication skills were assessed at three steps of the student-patient interview - at the beginning of the interview, during the interview, and at the end of the interview. The checklist was completed by three groups: 1) an observer, 2) the patient and 3) the student, as self-assessment. The validity of the checklist was confirmed by clinical professors and the reliability was determined by Cronbach's alpha test. Data were analyzed using descriptive statistics and Student's t test. A repeated measure MANOVA was used to compare the mean communication skills in the researcher, patients, and students at each step of the patient interviews.
  
  
  RESULTS
  There were 110 students (mean age: 22.3±8.4 years) and 110 patients (mean age: 32±8.8 years) who completed the checklists. Overall, the communication skills of dental students were rated as good according to the patients. However, the observer and student participants rated the skills at the moderate level. We observed significant differences between communication skills in all three groups and in the three steps of the patient interviews (p<0.001). According to patients' beliefs and students' self assessments, there were no differences between male and female students in communication skills in the three steps of the patient interviews (all p>0.05). However from the observer's viewpoint, female students showed better communication skills during the interviews (p=0.001).
  
  
  CONCLUSIONS
  There was a degree of failure in communication skills of dental students with patients in the interview process. It will be necessary that communication skills be taught, particularly for students involved in clinical practice.
authors.affiliation: Prevention of Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran;
authors.forename: Mahtab
authors.initials: M
authors.lastname: Memarpour
authors.affiliation: Quality Improvement in Clinical Education Research Center, Education Development Center, Shiraz University of Medical Sciences, Shiraz, Iran;
authors.forename: Leila
authors.initials: L
authors.lastname: Bazrafkan
authors.affiliation: Student Research Committee, School of Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Zarei
keywords: Communication skill; Dental Student; Relationship