Simulated patient and role play methodologies for communication skills and empathy training of undergraduate medical students
| Autor: | Ianis Cousin, Cristina Bagacean, Philine de Vries, Anne-Helene Ubertini, Mohamed El Yacoubi El Idrissi, Jean-Christophe Ianotto, Lolita Mercadie, Christian Berthou, Anne Bordron, Leonor Canales Garcia |
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| Rok vydání: | 2020 |
| Předmět: |
Students
Medical 020205 medical informatics media_common.quotation_subject Applied psychology education lcsh:Medicine Context (language use) Empathy 02 engineering and technology behavioral disciplines and activities Simulated patient Session (web analytics) Education Task (project management) 03 medical and health sciences Nonverbal communication Non-verbal 0302 clinical medicine 0202 electrical engineering electronic engineering information engineering business.product_line Humans 030212 general & internal medicine media_common lcsh:LC8-6691 Medical education Physician-Patient Relations lcsh:Special aspects of education Communication lcsh:R Perspective (graphical) Role play General Medicine Communication skills training Verbal Clinical Competence business Psychology Research Article Education Medical Undergraduate |
| Zdroj: | BMC Medical Education BMC Medical Education, Vol 20, Iss 1, Pp 1-8 (2020) |
| DOI: | 10.21203/rs.2.23178/v1 |
| Popis: | Background Verbal and non-verbal communication, as well as empathy are central to patient-doctor interactions and have been associated with patients’ satisfaction. Non-verbal communication tends to override verbal messages. The aim of this study was to analyze how medical students use verbal and non-verbal communication using two different educational approaches, student role play (SRP) and actor simulated patient (ASP), and whether the non-verbal behaviour is different in the two different poses. Methods Three raters evaluated 20 students playing the doctor role, 10 in the SRP group and 10 in the ASP group. The videos were analyzed with the Calgary-Cambridge Referenced Observation Guide (CCG) and, for a more accurate evaluation of non-verbal communication, we also evaluated signs of nervousness, and posture. Empathy was rated with the CARE questionnaire. Independent Mann Whitney U tests and Qhi square tests were performed for statistical analysis. Results From the 6 main tasks of the CCG score, we obtained higher scores in the ASP group for the task ‘Gathering information’ (p = 0.0008). Concerning the 17 descriptors of the CCG, the ASP group obtained significantly better scores for ‘Exploration of the patients’ problems to discover the biomedical perspective’ (p = 0.007), ‘Exploration of the patients’ problems to discover background information and context’ (p = 0.0004) and for ‘Closing the session – Forward planning’ (p = 0.02). With respect to non-verbal behaviour items, nervousness was significantly higher in the ASP group compared to the SRP group (p Conclusions Medical students displayed differentiated verbal and non-verbal communication behaviour during the two communication skills training methodologies. These results show that both methodologies have certain advantages and that more explicit non-verbal communication training might be necessary in order to raise students’ awareness for this type of communication and increase doctor-patient interaction effectiveness. |
| Databáze: | OpenAIRE |
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