BackgroundFinding out the effective ways of teaching and assessing communication skills remain a challenging part of medication education. This study aims at exploring the usefulness and effectiveness of having additional feedback using qualitative analysis in assessment of communication skills in undergraduate medical training. We also determined the possibilities of using qualitative analysis in developing tailored strategies for improvement in communication skills training.MethodsThis study was carried out on medical students (n=87) undergoing their final year clinical performance examination on communication skills using standardized patient by video-recording and transcribing their performances. Video-recordings of 26 students were randomly selected for qualitative analysis, and additional feedback was provided. We assessed the level of acceptance of communication skills scores between the study and nonstudy group and within the study group, before and after receiving feedback based on qualitative analysis.ResultsThere was a statistically significant increase in the level of acceptance of feedback after delivering additional feedback using qualitative analysis, where the percentage of agreement with feedback increased from 15.4 to 80.8% (p<0.001).ConclusionsIncorporating feedback based on qualitative analysis for communication skills assessment gives essential information for medical students to learn and self-reflect, which could potentially lead to improved communication skills. As evident from our study, feedback becomes more meaningful and effective with additional feedback using qualitative analysis.

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Recent studies in Korea show that doctors have suffered a severe loss of image among their patients, due to their authoritarian, unempathic, and unfriendly communication behaviour. These findings were confirmed by studies of their communication styles done with conversation analysis. Training courses for medical students in doctor–patient communication have become mandatory, but are short and to date have provided no significant change; the ethical foundations of doctors when dealing with patients remained untouched. This chapter explores how the humanistic concepts of narrative medicine and can provide better understanding between doctors and patients. This ‘narrative spirit’ resonates with traditional values of Buddhism and Confucianism that are deeply rooted in Korean culture. It discusses a training programme for doctors working with text analysis of narrative interviews of patients’ illness experiences and shows how using patients’ stories may evoke this ‘narrative spirit’ and combine traditional ethical values with modern medical education.

As software is varied and grew in size, the importance of clear understanding and representing customer's need, has been emphasized. It is not easy to drive and define critical system needs, since requirements in early stage of the development, is abstract and conceptual. Technical perspective view, Several theoretical analysis methods and validation techniques are introduced, but in practice, it is hard to drive clear customer's requirement. In this paper, to drive clear customer's requirements, Macrostruktur concept of textlinguistics is used. First, Macrostruktur of textlinguistics is used to analysis descriptive requirements. Second, Macrostruktur-rule is applied to analyzed Macrostruktur data in order to derive Macrostruktur-propositions. Finally, it is proposed to generating Use-case model using derived Macrostruktur-propositions.