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Oksana Yefremova, Vasyl Humeniuk, Olha Kalinichenko, Liudmyla Fomina, Diana Kokhan
DOI: https://doi.org/10.46502/issn.1856-7576/2024.18.01.9
Cómo citar:
Yefremova, O., Humeniuk, V., Kalinichenko, O., Fomina, L., & Kokhan, D. (2024). The significance of digital technologies in
fostering the development of communicative competence among the prospective doctors. Revista Eduweb, 18(1), 124-138.
https://doi.org/10.46502/issn.1856-7576/2024.18.01.9
The significance of digital technologies in fostering the
development of communicative competence among the
prospective doctors
La importancia de las tecnologías digitales para fomentar el desarrollo de la
competencia comunicativa entre los futuros médicos
Oksana Yefremova
WoS Researcher ID: AAE-9491-2021
https://orcid.org/0000-0002-5149-2151
Associate Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Danylo Halytsky Lviv National
Medical University, Lviv, Ukraine.
Vasyl Humeniuk
WoS Researcher ID: F-6585-2019
https://orcid.org/0000-0003-2736-3875
Associate Professor, Department of Disaster Medicine and Military Medicine, Medical Faculty No. 2, Danylo
Halytsky Lviv National Medical University, Lviv, Ukraine.
Olha Kalinichenko
WoS Researcher ID: JGE-0911-2023
https://orcid.org/0000-0002-3392-6083
Associate Professor, Department of the Ukrainian Language, Principles of Psychology and Pedagogics, Kharkiv
National Medical University, Kharkiv, Ukraine.
Liudmyla Fomina
WoS Researcher ID: JGM-1468-2023
https://orcid.org/0000-0001-5191-3596
Head of the Department of the Ukrainian Language, Principles of Psychology and Pedagogics, Kharkiv National
Medical University, Kharkiv, Ukraine.
Diana Kokhan
WoS Researcher ID: JGL-9948-2023
https://orcid.org/0000-0001-7201-0839
Lecturer, Department of the Ukrainian Language, Principles of Psychology and Pedagogics, Kharkiv National
Medical University, Kharkiv, Ukraine.
Recibido: 01/01/24
Aceptado: 02/02/24
Abstract
Future doctors are expected to possess a high level of professional skills, as reflected by their acquisition
of proficient communication competence. The purpose of the article is to determine the role of digital
technologies in the formation of communicative competence of prospective doctors. The objective was
attained through the use of observation, analysis and weight coefficient, efficiency coefficient, Spearman's
correlation coefficient. It was established that the development of communicative competence skills
The significance of digital technologies in fostering the development of
communicative competence among the prospective doctors. - Eduweb, 2024,
enero-marzo, v.18, n.1. /124-138
Revista de Tecnología de Información y Comunicación en Educación • Volumen 18, N° 1. Enero-marzo 2024
Eduweb, 2024, enero-marzo, v.18, n.1. ISSN: 1856-7576
primarily allows to ensure the relevant orientation to the communication conditions (1.6) as well as
informativity (1.53). To cultivate the communication proficiencies of prospective medical professionals, the
authors developed corresponding approaches that included the use of digital technologies. The study of
theoretical material involved the use of the SlideDog application; conducting practical classes via Medvoice
Platform. The formation of professional competence involved the role-playing of relevant situations, based
on the materials of the Pediatric Dentistry Academy, CARE-NExT-PG. After determining the level of students’
communication skills development in Group 1 (40.2) and Group 2 (40.1), it was established that they
attained a high level. The development of communication skills contributed to the formation of students’
communication and social skills, as well as skills of abstract thinking and statistical information processing.
The practical significance of the study lies in the elaboration of effective approaches to the development of
prospective doctors’ communication skills drawing on the use of digital technologies. Research perspectives
may be linked to the comparison of the level of communicative competence among medical students across
various academic levels.
Keywords: communicative and competency skills, digital applications, professional terminology, role-
playing the professional situation, transfer of content.
Resumen
Se espera que los futuros médicos posean un alto nivel de habilidades profesionales, como lo refleja la
adquisición de una competencia comunicativa competente. El objetivo del artículo es determinar el papel
de las tecnologías digitales en la formación de la competencia comunicativa de los futuros médicos. El
objetivo se logró mediante el uso de observación, análisis y coeficiente de ponderación, coeficiente de
eficiencia, coeficiente de correlación de Spearman. Se estableció que el desarrollo de las habilidades de
competencia comunicativa permite principalmente asegurar la orientación adecuada a las condiciones de
comunicación (1.6) así como a la informatividad (1.53). Para cultivar las habilidades comunicativas de los
futuros profesionales médicos, los autores desarrollaron enfoques correspondientes que incluían el uso de
tecnologías digitales. El estudio del material teórico implicó el uso de la aplicación SlideDog; Realización de
clases prácticas a través de la Plataforma Medvoice. La formación de la competencia profesional implicó la
dramatización de situaciones relevantes, con base en los materiales de la Academia de Odontología
Pediátrica, CARE-NExT-PG. Luego de determinar el nivel de desarrollo de las habilidades comunicativas de
los estudiantes del Grupo 1 (40.2) y Grupo 2 (40.1), se estableció que alcanzaron un nivel alto. El desarrollo
de habilidades comunicativas contribuyó a la formación de habilidades sociales y comunicativas de los
estudiantes, así como habilidades de pensamiento abstracto y procesamiento de información estadística.
La importancia práctica del estudio radica en la elaboración de enfoques eficaces para el desarrollo de las
habilidades comunicativas de los futuros médicos basándose en el uso de tecnologías digitales. Las
perspectivas de investigación pueden estar vinculadas a la comparación del nivel de competencia
comunicativa entre estudiantes de medicina en varios niveles académicos.
Palabras clave: aplicaciones digitales, habilidades comunicativas y competenciales, role-playing de la
situación profesional, terminología profesional, transferencia de contenidos.
1. Introduction
The utilization of information technologies has a significant impact on the enhancement of the educational
process, as evidenced by communication advances, knowledge acquisition, etc.. This is largely attributed
to the wider availability of scientific resources and integration of diverse materials into academic curriculum.
By implementing digital technologies in a well-structured learning environment, one can effectively foster
communicative competence among future medical professionals (Zhao et al., 2019; Silkens et al., 2023).
Such competency is instrumental in enabling doctors to accurately diagnose patients and perform
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professional responsibilities proficiently. Therefore, probing deeper into this topic remains pertinent for
further research endeavors.
The concept of communicative competence is aimed at establishing contacts with people, taling into
considering the attained knowledge and expertise to ensure effective communication (Gummesson et al.,
2023). The formation of communicative competence is indispensable in ensuring professional success as a
result of professional interpersonal contacts. Communication facilitates the assistance provision on any
subject matter, as well as enables efficient engagement with colleagues, availability of resources for
effective interaction (Chaban et al., 2021; Babinets et al., 2022). High-profile communication can be
ensured as a result of high-quality use of language tools, development of communication culture. Moreover,
maintaining efficient interaction allows to ensure the formation of professional competence. To that end,
one needs to have general communication skills, a developed outlook, as well as specialized expertise in a
specific area. During communication, it is important to engage emotionally, thus contributing to people's
commitment to establish appropriate contact. The cultivation of effective communication skills in aspiring
medical professionals must be closely linked to the refinement of articulate speech, as well as the mastery
of language tools (Muller & Konecny, 2023; Kawamura et al., 2023). Furthermore, it necessitates the
capacity to reproduce the former communication subjects in order to construct a comprehensive
understanding, furnish proficient suggestions, etc. However, professional communication should rely on
the appropriate medical terminology that is scientifically substantiated.
The utilization of digital technologies, which serve as instruments for producing and storing data in a
digitalized format, enables the attainment of an elevated degree of professional aptitude. Digital
technologies are technical means that promote rationality in education and ensure the development of the
competitiveness of the future qualified specialist (Lisetska, 2020). One of the digital technologies that can
enhance the learning process is electronic coursebooks, study program complexes, tools for online control,
etc. The effectiveness of digital technologies in education is related to the formation of independence,
logical thinking, the development of new knowledge, interaction with other students (Marler & Ditton,
2021). The successful professional activity of the future doctor should be associated with the formation of
ethical values that will contribute to ensuring a holistic practical implementation. Digital technologies
promote teamwork, which is reflected in value orientation, formation of professional paradigms and so
forth (Sodomora et al., 2021). Given the above, the development of communication skills of future doctors
is indispensable for obtaining professional information, ensuring cooperation, forming scientific
achievements, etc.
The exploration of the theoretical framework made it possible to identify the overarching significance of
communication in fostering future doctors’ professional growth, with particular emphasis on leveraging
digital technologies. Research gaps pertain to devising tailored training mechanisms for prospective medical
professionals using digital tools that allow for the development of their communication skills. The purpose
of the current study is to ascertain how digital technologies contribute towards cultivating effective
communicative competence among future doctors.
The authors established the following objectives to achieve their goal:
to ascertain the necessity of cultivating communication proficiencies among prospective doctors by
emphasizing the significance of predetermined criteria through the weighting factor;
to devise the applicable approaches to enhancing the communicative proficiency of prospective dentists
and military medical officers with a specialization in "Medical business" through the utilization of digital
technologies;
to determine the level of students' acquired communication skills as a result of using the efficiency
factor;
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to determine the development level of additional skills in medical students as a result of orientation
towards approaches to the formation of communicative competence of prospective medical
professionals.
2. Literature review
Digital technologies have become widespread in the education of prospective medical professionals, which
contributes to the development of their professional skills. The feasibility of the process is attributed to the
use of appropriate tools that are seamlessly incorporated into the training program. Typical strategies
pertaining to digital technologies include the advancement of computer systems for data processing and
communication purposes. As noted by Esposito et al. (2023), digital technologies promote flexibility in
learning that is not limited to specific frameworks. The application of artificial intelligence is important not
only for practicing medical professionals., but also for future doctors. To work with artificial intelligence,
relevant skills should be developed in the medical education system. The analysis of medical students
questionnaires completed at the University of beck and the University Hospital of Tübingen made it
possible to determine their positive attitude towards chatbots. Current research has it that the use of
artificial intelligence not only enables the identification of potential risks, but also reflects the provision of
structured learning (Moldt et al., 2023). In this light, the development of digital technologies contributes to
the systematization of medical care, which allows for remote diagnostics. Ensuring high-quality
communication makes it possible to enhance the accuracy of information collection, which will contribute
to timely decision-making. This is evidenced by the development of individual and societal competencies
stemming from the dynamic delivery of information and prompt decision-making. Therefore, digital
competence should be developed in the learning process, which will ensure the formation of professional
skills (Salem et al., 2022).
Information technologies contribute to the improvement of medical students communication skills. Yet, it
is expedient to ensure reframing and recalibration of perception, as well as to form experiential learning.
In the realm of medical training, it is imperative to prioritize certain objectives that will guarantee the
automation of healthcare services and ultimately enhance patient well-being. The incorporation of digital
technologies must be closely connected to one's professional duties. This makes it possible to substantiate
the relevance of such training, which is reflected in the motivation of students (Garling, 2022). The
formation of medical students communication skills contributes to the development of empathy and
professional development, as it provides a more personal approach to each patient. The creation of
discussion groups presents an opportunity for the enhancement and refinement of medical students’
communication abilities, which provide for the discussion of the read text, a lecture, or a film on a
professional topic. Such an approach to education made it possible to ensure the development of reflection
among students at a professional level, the use of applicable communication strategies. When conducting
research, it is crucial to consider the principle of prioritizing patient needs and preferences, which
contributes to the development of mindfulness, self-reflection in students (Leijenaar et al., 2023). The
development of communication skills in the framework of interaction between the future doctor and the
patient in training is a limited issue. With that in mind, it is necessary to develop a science-based educational
training program, which will be focused on the communicative interaction of future doctors. This can be
achieved through blended learning online and offline approaches that promote an effective hands-on
interaction with patients (Houwen et al., 2022).
It is worthy of note that it is feasible to enhance the communication skills of prospective doctors through
their involvement in general practice, namely during outpatient appointments. This is due to the possibility
of providing face-to-face meetings between the doctor and the patient, which is related to obtaining and
providing professional information. During the training, the level of medical subjects in the area of
humanities should be raised and the number of practical classes should be expanded (Zhao et al., 2023).
Evidently, the Chat Generative Pre-Trained Transformer (ChatGPT) can be used in medical education. This
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Oksana Yefremova, Vasyl Humeniuk, Olha Kalinichenko, Liudmyla Fomina, Diana Kokhan
pertains to the development of personalized methodologies in pedagogy, the design of practical classes,
the solution of clinical problems, which contributes to more effective learning. However, the use of digital
technologies should be moderate, excluding their mindless overuse. Nevertheless, digital technologies can
have a positive impact on the development of clinical reasoning skills, independent learning, practical skills,
and systemic logical thinking. ChatGPT allows ensuring the development of humanistic skills of students,
to improve the accuracy of diagnosis due to the development of communication skills (Qu et al., 2023).
After the analysis of a substantial body of scholarly literature, a number of studies was identified highlighting
the significance of cultivating effective communication skills in prospective medical practitioners. However,
among the gaps in this field of inquiry, one can distinguish the lack of relevant methodologies for
ascertaining communication skills through employment of specialized digital technologies.
3. Methods
3.1. Research Procedure
The research procedure involved three interrelated stages. At the first stage of the research, the benefits
arising from the acquisition of communication skills were investigated. Also, among the highlighted
advantages, the research identified the most significant ones that must be taken into account during
training. At the second stage of the research, it was envisaged to develop additional approaches to learning
that will contribute to the development of communicative competence. The elaborated approaches
presented an additional element to the adopted research program, which included an emphasis on the
development of communicative competence. Approaches to learning provided for the development of
communicative competence for students who studied at the Department of Pediatric Dentistry. The same
approach was applicable to the students of the department of emergency medicine and military medicine,
specialization "Medical business". The duration of the training with the development of communication
technologies comprised 5 months.
At the third stage of the research, the level of communication skills development in students of various
specialties was established. Furthermore, this stage provided for the determination of additional skills of
students, which were related to the formation of communicative competence of medical professionals.
3.2. Formation of the Sample
A total of 115 individuals, who were enrolled in a program to pursue a career as pediatric dentists and were
assigned to Group 1, participated in the study. Additionally, there were 108 students specializing in "Medical
business" from Lviv National Medical University named after Danylo Halytskyi and Kharkiv National Medical
University, who took part in the research as Group 2 and pursued a career of military doctors. For the
selection of respondents, the analysis method was utilized, which provided abstraction regarding the sample
of respondents, taking into account the relevant and non-relevant criteria. Using the evaluation of individual
characteristics, it was possible to determine the preferences of some respondents of the sample over others.
The inclusion criteria involved a cohort of second-year students to establish uniformity among all
participants. Moreover, as for the sample of research participants, it was envisaged that they would obtain
a medical specialization to develop professional communicative competence. Limitations were related to
specialization, which involved the selection of particular digital technologies that would contribute to that
line of research. The exclusion criteria involved the restrictions on the sample of first-year students in view
of the fact that their training program included many general subjects that do not affect the formation of
professional competence. Respondents had a conscious choice to participate in the study and were
informed about the provision of statistical observation of the learning process by independent researchers.
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3.3. Methods
Determining the advantages of communicative competence of prospective doctors became possible due to
the use of the general theoretical method of observation. The observation method consisted in determining
the level of professional communication among first-year, fifth-year students, as well as internship students.
As a result of observing students, it was intended to ascertain the factors that influence the establishment
of effective communication as well as how is it related to the development of professional skills. It was also
planned to determine which of the criteria were more significant in the formation of professional
competence using a weighting factor. The authors determined the weighting factor with a particular
emphasis on the specific research characteristics.

, (1)
the weight of the selected preference in comparison with other criteria;
the highest weight of established advantages, which was determined by the authors of the article
(equal to 10);
the complexity of achieving a separate indicator during the development of communication skills.
The elaboration of approaches aimed at the development of communicative competence of future doctors
in the basic education system involved the analysis of various sources (Son et al., 2018; Hagiwara et al.,
2019; Ortega et al., 2021; Sekar et al., 2021).
In the course of elaborating of the approaches, the criteria that are interrelated with the development of
professional competence of future doctors were taken into account. Upon analysis, it was determined that
the attainment of a higher level of communication skills is possible due to the use of digital technologies.
The utilization of digital technologies was also aimed at motivating the future doctors. The choice of digital
technologies primarily involved a focus on professional specialization. Among 74 different digital
applications, SlideDog, Medvoice Platform, Pediatric Dentistry Academy, CARE-NExT-PG, Kahoot were
selected. Their selection was aimed not only at professional information acquisition, but also at the
development of communication skills.
Determining the overall level of communication skills involved the use of the efficiency coefficient formula
as follows, which was prepared by the authors. The level of communication skills was determined among
students of different groups. The level of communication skills was determined drawing upon the
observation of students during the entire study period and during the control exam. At the control exam,
the students were given the task of role-playing a specific situation that needed to be addressed by the
doctors. Additional skills were also identified that were developed among students during the development
of communication skills
   , (2)
 future doctors are awarded points for the development of communication skills during the entire period
of study;
 future doctors were awarded points for the development of communication skills on the basis of a
control exam;
 the level of professional competence of future doctors.
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Oksana Yefremova, Vasyl Humeniuk, Olha Kalinichenko, Liudmyla Fomina, Diana Kokhan
3.4. Data Analysis
To verify the obtained numerical results, additional statistical calculations were performed in the study
based on the Spearman rank correlation coefficient (Barabash et al., 2021). A statistical comparison of the
obtained numerical results was carried out when determining the importance of the advantages of the
communication skills development, ascertaining the level of their formation. A statistical comparison of the
skills held by students was also carried out. If the calculated value is within the range of less than 0.3, then
a low level of relationship between the presented values is present:
󰇛󰇜, (3)
the quantity of research metrics available for comparison purposes;
the sum of squares between rank indicators.
3.5. Ethical Criteria
Adherence to ethical standards was a fundamental prerequisite for the research. In accordance with the
ethical criteria of the Guidelines for Research Ethics in Science and Technology (Mikkelsen et. al, 2016), it
was planned to ensure correct data collection, which does not contradict the requirements of international
communications. The authors confirm the absence of data falsification that is not related to the conducted
research.
4. Results and discussion
At the initial stage of the study, an evaluation was conducted to identify potential advantages that could
result from enhanced communicative competence among prospective doctors. The said research phase
entailed identifying the most notable benefits associated with improving communication skills, which require
the greatest emphasis during training (Figure 1).
Figure 1.
The significance of benefits derived from the development of future doctorscommunicative
professional skills.
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Eduweb, 2024, enero-marzo, v.18, n.1. ISSN: 1856-7576
The development of communicative competence
of future doctors primarily affects the relevant orientation
to the conditions of communication. This enables efficient navigation of pertinent subjects, facilitating the
preparation of a competent professional conversation. The relevant orientation to the communication
conditions also contributes to the determination of the accurate diagnosis, focusing on the patient's
complaints, which allows prescribing high-quality treatment.
Informativity
is also important, which affects
the quality of the speech process and allows one to master professional vocabulary. From this perspective,
it can enable the doctor to regulate the psychological impact on the patient and professionally inform about
the diagnosis, which ensures productivity and effectiveness of professional activity. Informativity is reflected
in the formation of the doctorsprofessional culture.
The conveyance of accurate information
is linked to
its informativeness and serves as a reflection of the doctor's actions. Such conveyance must be rooted in
the physician's awareness and composure, which impact their ability to regulate any sensual aspects. This
indicator enables the adjustment of knowledge and appropriate response to patient diagnoses. Additionally,
it fosters a positive outlook towards the treatment regimen among patients.
The development of a creative and personal approach
during communication allows to increase the
efficiency of the doctor-patient interaction. Moreover, this approach is reflected in the improvement of the
quality of activities in medical practice. A personal approach contributes to obtaining positive dynamics
during the interaction with the patient. For a medical practitioner,
cultivating competitiveness
is crucial and
this can be demonstrated through effective communication with patients. Utilizing appropriate language
facilitates the acquisition of essential knowledge, which affects the professional motivation and
improvement of the doctor's qualification level.
Focusing on the established advantages of the future doctorscommunicative competence development,
the authors identified specific approaches to ensure the students’ relevant training. The elaborated learning
approaches involved the use of digital technologies as follows (Figure 2).
Figure 2.
Approaches to the development of prospective doctorscommunicative competence based on
the use of digital technologies
I. The study of theoretical material became possible due to the use of the SlideDog application. The
application is aimed at conducting classes in the form of presentations, which allows for visual
perception of materials. In addition, information can be provided not only with the help of text, but
also with charts, drawings, video materials. The study of theoretical concepts necessitated the
incorporation of practical applications, including comprehensive comprehension of specialized jargon
and medical apparatus. Theoretical classes for dentists involve studying the criteria of intraoral
scanning, studying approaches to radiological methods, understanding approaches to digital design of
teeth. Furthermore, during the perception of theoretical information, it is necessary to determine the
approaches to the rehabilitation of simple and complex cases. For students of the specialization
I. Study of theoretical material during student interaction (SlideDog
application)
II. Conducting practical classes (Medvoice Platform)
III. Formation of professional competence (Pediatric Dentistry
Academy, CARE-NExT-PG)
IV. Digital assessment of future doctor’s knowledge (Kahoot online
service)
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Oksana Yefremova, Vasyl Humeniuk, Olha Kalinichenko, Liudmyla Fomina, Diana Kokhan
"Medical business" there is a definition of approaches to the diagnostic function, patient care,
preventive, rehabilitation function; ensuring the principles of high-quality emergency care during
accidents. Understanding patient diagnostic approaches during training is aimed at predicting possible
consequences, carrying out invasive interventions. In order to cultivate effective communication skills,
it was envisaged that collaboration within the team would be prioritized. Learning information using
the SlideDog application involved discussing it in groups of students. The students were presented with
a separate situation that needed to be solved on the basis of the acquired knowledge. The approach
allowed not only the development of general erudition, but also the solution of non-standard situations
in groups, which contributes to the development of communication skills.
II. Practical classes during the training of future doctors involve an orientation to interactivity within the
framework of laboratory classes. Practical classes were conducted in specialized laboratories with the
availability of appropriate tools, which contributed to the consolidation of the acquired theoretical
knowledge. The use of interactive Medvoice Platform technology provides a visual perception of
determining the approaches to the stages of conducting laboratory classes. Dividing students into
groups allows to enhance the communication between them, including focusing on the stages of
conducting laboratory work using the Medvoice Platform. After performing the laboratory work, the
group of students was expected to present its results, which was aimed at the development of
professional speaking competence. Facilitating hands-on sessions entails the cultivation of conceptual
reasoning and comprehension of professional activity.
III. The formation of professional competence involved conducting a role play among future doctors. This
involved the role-playing of a relevant situation from professional medical activity with the distribution
of students' roles. The training stage was aimed at mastering professional skills, as well as behavioral
reactions and professional communication. The formation of professional competence involved
conducting theoretical classes by students and the development of practical skills. During training,
students could use the Pediatric Dentistry Academy and CARE-NExT-PG applications. The focus on
applications contributed to a better perception of educational information, which made it possible to
conduct theoretical classes while fluently possessing professional knowledge. During the staging of the
corresponding situation, the applications facilitated orientation to professional materials for determining
clinical diagnosis, approaches to treatment, etc. Additionally, at this stage students had to comply with
relevant ethical and legal norms. Completing professional documentation was one of the elements of
training.
IV. During training, it was also planned to provide digital assessment of the future doctorsknowledge.
The training stage was implemented utilizing the Kahoot online service. The service offers the creation
of quizzes, discussions in learning conditions that develop teamwork. It also provides for testing
knowledge in a test format, which contributes to the facilitation of scientific, methodical, and
organizational activities. The knowledge assessment is aimed at determining the level of knowledge
regarding the understanding of individual diseases, features of the human body. Moreover, the
assessment involves studentsunderstanding of the specifics while determining the patient's condition,
including and psychological, which is related to the development of communication skills.
Conducting the research involved determining the general level of development of students' communication
skills as a result of orientation to the developed approaches to learning. The results were obtained among
future dentists (Group 1) and military doctors (specialization "Medical business") (Group 2) (Figure 3).
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