An investigation of professionalism reflected by student comments on formative virtual patient encounters

Autor: William F. Kelly, Meredith Hays, Norman B. Berman, Steven J. Durning, Ting Dong
Jazyk: angličtina
Rok vydání: 2017
Předmět:
medicine.medical_specialty
Students
Medical
020205 medical informatics
Statement (logic)
Attitude of Health Personnel
government.form_of_government
education
02 engineering and technology
Education
Formative assessment
03 medical and health sciences
0302 clinical medicine
Virtual patient
0202 electrical engineering
electronic engineering
information engineering
Internal Medicine
Medicine
Humans
030212 general & internal medicine
Association (psychology)
Patient summary
Medicine(all)
Medical education
business.industry
Clinical Clerkship
Program director
Reproducibility of Results
General Medicine
United States
Patient Simulation
Professionalism
Virtual patient encounter
Education
Medical
Graduate
Family medicine
Residency evaluation
government
Clinical Competence
Educational Measurement
business
Professional Misconduct
Incident report
Research Article
Zdroj: BMC Medical Education
ISSN: 1472-6920
Popis: Background This study explored the use of virtual patient generated data by investigating the association between students’ unprofessional patient summary statements, which they entered during an on-line virtual patient case, and detection of their future unprofessional behavior. Method At the USUHS, students complete a number of virtual patient encounters, including a patient summary, to meet the clerkship requirements of Internal Medicine, Family Medicine, and Pediatrics. We reviewed the summary statements of 343 students who graduated in 2012 and 2013. Each statement was rated with regard to four features: Unprofessional, Professional, Equivocal (could be construed as unprofessional), and Unanswered (students did not enter a statement). We also combined Unprofessional and Equivocal into a new category to indicate a statement receiving either rating. We then examined the associations of students’ scores on these categories (i.e. whether received a particular rating or not) and Expertise score and Professionalism score reflected by a post-graduate year one (PGY-1) program director (PD) evaluation form. The PD forms contained 58 Likert-scale items designed to measure the two constructs (Expertise and Professionalism). Results The inter-rater reliability of statements coding was high (Cohen’s Kappa = .97). The measure of receiving an Unprofessional or Equivocal rating was significantly correlated with lower Expertise score (r = −.19, P
Databáze: OpenAIRE
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