文章基本信息

标题：Strengthening student communication through pediatric simulated patient encounters
本地全文：下载
作者：Ryan Whitt ; Gregory Toussaint ; S.Bruce Binder 等
期刊名称：Journal of Educational Evaluation for Health Professions
电子版ISSN：1975-5937
出版年度：2014
卷号：11
期号：1
页码：1-5
DOI：10.3352/jeehp.2014.11.21
语种：English
出版社：Korea Health Insurance Licensing Examination Institute
摘要：As medical students enter the role of physician,clinical outcomes not only rely on their mastery of clinical knowledge,but also on the effectiveness in which they can communicate with patients and family members.While students typically have numerous opportunities to practice clinical communication with adult patients,such practice in pediatric settings is limited.This study examines if simulated patient (SP) encounters strengthen third-year medical students’ communication skills during the pediatrics clerkship.During 2011-2013,three SP encounters (comprising 3 pediatric scenarios) were in_x0002_corporated into a pediatrics clerkship at one United States medical school to give students a safe venue to practice ad?vanced communication with observation and direct feedback.Third-year medical students engaged in the scenarios and received both written and oral feedback from an evaluator observing the encounter.With IRB approval,students’ self?perceived confidence and abilities at performing the advanced communication skills were measured using an eightitem,Likert scale questionnaire administered pre and post the SP encounter.Pre- and post-questionnaires (n= 215;response rate,96%) analyzed using a Wilcoxon-matched pairs signed-rank test demonstrated statistically significant in?creases in students’ perception of their confidence and abilities regarding their performance (P< 0.05;Bonferroni correction,P< 0.006).There was an increases in student confidence and self-perceived ability in:first,communicating with chil?dren and family members of young patients;second,managing confrontational situations involving parents;third,per?forming a thorough psychosocial history with an adolescent;and fourth,using Evidence Based Medicine to motivate parents.
关键词：As medical students enter the role of physician,clinical outcomes not only rely on their mastery of clinical knowledge,but also on the effectiveness in which they can communicate with patients and family members.While students typically have numerous opportunities to practice clinical communication with adult patients,such practice in pediatric settings is limited.This study examines if simulated patient (SP) encounters strengthen third-year medical students’ communication skills during the pediatrics clerkship.During 2011-2013,three SP encounters (comprising 3 pediatric scenarios) were in_x0002_corporated into a pediatrics clerkship at one United States medical school to give students a safe venue to practice ad?vanced communication with observation and direct feedback.Third-year medical students engaged in the scenarios and received both written and oral feedback from an evaluator observing the encounter.With IRB approval,students’ self?perceived confidence and abilities at performing the advanced communication skills were measured using an eightitem,Likert scale questionnaire administered pre and post the SP encounter.Pre- and post-questionnaires (n= 215;response rate,96%) analyzed using a Wilcoxon-matched pairs signed-rank test demonstrated statistically significant in?creases in students’ perception of their confidence and abilities regarding their performance (P< 0.05;Bonferroni correction,P< 0.006).There was an increases in student confidence and self-perceived ability in:first,communicating with chil?dren and family members of young patients;second,managing confrontational situations involving parents;third,per?forming a thorough psychosocial history with an adolescent;and fourth,using Evidence Based Medicine to motivate parents.