Award Date


Degree Type


Degree Name

Doctor of Philosophy (PhD)



First Committee Member

Howard Gordon

Second Committee Member

Xue Xing

Third Committee Member

Chia-Liang Dai

Fourth Committee Member

Cecilia Maldonado-Daniels

Number of Pages



The effect communication has on a patient’s healthcare experience has received increased attention in the past few decades. As a result, a larger emphasis on communication training is being incorporated into the curriculum of healthcare education programs. A student’s attitude toward learning communication skills largely determines the adoption of those skills. The radiologic technologist is a vital member of the healthcare team, yet little research has been done on their attitude toward learning communication skills. A quantitative cross-sectional study was conducted to determine the impact clinical education has on the attitude radiology students have toward learning communication skills. A total of 236 radiology students completed the Communication Skills Attitude Scale (CSAS) at various stages of training. Four additional open-ended questions explored the communication differences found in classroom training and those being modeled in clinics. Results showed there is an initial increase in attitude toward learning communication skills once students start clinical training which then decreases as they gain more experience. Students indicated interpersonal behaviors such as empathy and listening are part of good communication skills. However, procedural communication is most modeled in clinics. Consistent with the theory of situated cognition that knowledge cannot be separated from doing, students indicated the clinical environment and supervising technologists are most influential to the development of students’ communication behaviors.


Healthcare; Communication; Communication skills; Clinical education


Curriculum and Instruction | Curriculum and Social Inquiry | Education | Educational Methods

File Format


File Size

1.3 MB

Degree Grantor

University of Nevada, Las Vegas




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