Optimizing the utility of communication OSCEs: Omit station-specific checklists and provide students with narrative feedback

Autor: Marc Van Nuland, Wim Van Den Noortgate, Jo Goedhuys, Cees P. M. van der Vleuten
Přispěvatelé: Onderwijsontw & Onderwijsresearch, RS: SHE School of Health Professions Education
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Male
Students
Medical
Writing
Applied psychology
computer.software_genre
Doctor patient communication
Belgium
Utility
Medicine
Reliability (statistics)
Observer Variation
general practice
Narration
Multimedia
Communication
Effective primary care and public health [NCEBP 7]
General Medicine
Faculty
Checklist
Generalizability
Scale (social sciences)
Costs and Cost Analysis
OSCE
Female
Clinical Competence
Curriculum
Education
Medical
Undergraduate
Adult
student feedback
Assessment
doctor-patient communication
Feedback
Educational impact
Humans
Generalizability theory
Narrative
Aged
Physician-Patient Relations
business.industry
ITEC
Common ground
Reproducibility of Results
Assessment scale
Costs
Patient Simulation
Feasibility Studies
Educational Measurement
measurement
business
medical education
computer
Zdroj: Patient Education and Counseling, 88, 106-12
Patient Education and Counseling, 88(1), 106-112. Elsevier Ireland Ltd
Patient Education and Counseling, 88, 1, pp. 106-12
ISSN: 0738-3991
Popis: OBJECTIVE: To evaluate how the utility (reliability, validity, acceptability, feasibility, cost and educational impact) of a communication-OSCE was influenced by whether or not station-specific (StSp) checklists were used together with a generic instrument and whether or not narrative feedback was provided to students. METHODS: At ten stations, faculty members rated standardized patient-student interactions using the Common Ground (CG) instrument (at all stations) and StSp-checklists. Both raters and patients provided written feedback. The impact of changing the design on the various utility parameters was assessed: reliability by means of a generalizability study, cost using the Reznick model and the other utility parameters by means of a survey. RESULTS: Use of the generic instrument (CG) proved more reliable (G coefficient=0.67) than using the StSp-checklists (G=0.47) or both (G=0.65) while there was a high correlation between both scale scores (Pearsons'r=0.86). The cost was 6.5% higher when StSp-checklists were used and 5% higher when narrative feedback was provided. CONCLUSION: The utility of a communication OSCE can be enhanced by omitting StSp-checklists and by providing narrative feedback to students. PRACTICE IMPLICATIONS: The same generic assessment scale can be used in all stations of a communication OSCE. Providing feedback to students is promising but it increases the costs ispartof: Patient Education and Counseling vol:88 issue:1 pages:106-112 ispartof: location:Ireland status: published
Databáze: OpenAIRE
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