Using Technology to Enhance Teaching of Patient-Centered Interviewing for Early Medical Students
| Autor: | Nicholas Talisman, Eleri Syverson, Susan Pennestri, Stacey Kaltman, Yianna Vovides, Paige Arthur |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Educational measurement 020205 medical informatics Interview Epidemiology Interactive video education Medicine (miscellaneous) Pilot Projects 02 engineering and technology Education law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Patient-Centered Care 0202 electrical engineering electronic engineering information engineering Humans 030212 general & internal medicine Curriculum Self-efficacy Physician-Patient Relations Medical education Communication Self Efficacy Present illness Modeling and Simulation Female Educational Measurement Psychology Computer-Assisted Instruction Education Medical Undergraduate Patient centered |
| Zdroj: | Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 13:188-194 |
| ISSN: | 1559-713X 1559-2332 |
| DOI: | 10.1097/sih.0000000000000304 |
| Popis: | Introduction Effective strategies for teaching communication skills to health professions students are needed. This article describes the design and evaluation of immersive and interactive video simulations for medical students to practice basic communication skills. Methods Three simulations were developed, focusing on patient-centered interviewing techniques such as using open-ended questions, reflections, and empathic responses while assessing a patient's history of present illness. First-year medical students were randomized to simulation or education-as-usual arms. Students in the simulation arm were given access to three interactive video simulations developed using Articulate Storyline, an e-learning authoring tool, to practice and receive feedback on patient-centered interviewing techniques to prepare for their Observed Structured Clinical Examination (OSCE). Trained raters evaluated videos of two OSCE cases for each participant to assess specific communication skills used during the history of present illness component of the interview. Results Eighty-seven percent of the students in the simulation arm interacted with at least one simulation during the history of present illness. For both OSCE cases, students in the simulation arm asked significantly more open-ended questions. Students in the simulation arm asked significantly fewer closed-ended questions and offered significantly more empathic responses in one OSCE case. No differences were found for reflections. Students reported that the simulations helped improve their communication skills. Conclusion The use of interactive video simulations was found to be feasible to incorporate into the curriculum and was appealing to students. In addition, students in the simulation arm displayed more behaviors consistent with the patient-centered interviewing model practiced in the simulations. Continued development and research are warranted. |
| Databáze: | OpenAIRE |
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