DOI QR코드

DOI QR Code

The Efficiency of a Patient & Doctor Role-play as a Participatory Clinical Clerkship in Korean Dermatology Department

  • Chang, You-Jin (Dept. of Korean Medical Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Dongguk University) ;
  • Hong, Seung-Ug (Dept. of Korean Medical Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Dongguk University)
  • Received : 2013.11.19
  • Accepted : 2013.12.03
  • Published : 2013.12.30

Abstract

Objectives: The purpose of this study was to evaluate the efficiency of patient and doctor role-play on participatory clinical clerkship by surveying student's satisfaction and assessing the improvement of skill and consultation ability after conducting a role-play in a Korean dermatology department. Methods: In 2013, 79 seniors participated in the clinical clerkship of the dermatology department at the college of Korean medicine. Two students were randomly selected and paired up. After a brief instruction, one student played the role of doctor and the other took the role of patient. After finishing the $1^{st}$ role-play, they swapped roles and conducted a $2^{nd}$ role-play, using another clinical case. When the two role-plays were completed, the students filled in a questionnaire about their satisfaction with the role-play as clinical clerkship. Also, we compared the scores of the $1^{st}$ role-play with those of the $2^{nd}$ role-play measured by a medical resident to assess improvements of students' skill and interview ability. Results: It appears that students' satisfaction with the role-play was quite high, considering that the overall mean score of the questionnaire was 4.30. According to the result of a t-test on 15 assessment questions, the $2^{nd}$ role-play had a higher mean score than the $1^{st}$ role-play in 12 questions, though this difference was not statistically significant. Conclusions: These results demonstrate that role-play is helpful to improve students' satisfaction and clinical performance ability in clinical clerkship. Further research and continuous development are necessary for better clinical clerkship.

Keywords

References

  1. Park JH. Medical Students' Attitudes Toward the Patient-Doctor Relationship. Korean Journal of Medical Education. 2007;19(3):215-23. https://doi.org/10.3946/kjme.2007.19.3.215
  2. McManus IC, Richards P, Winder BC. Clinical experience of UK medical students. The Lancet. 1998;351:802-3.
  3. Cartwright MS, Reynolds PS, Rodriguez ZM, Breyer WA, Cruz JM. Lumbar puncture experience among medical school graduates: the need for formal procedural skills training. Medical education. 2005;39:437. https://doi.org/10.1111/j.1365-2929.2005.02118.x
  4. Ringsted C, Schroeder TV, Henriksen J, Ramsing B, Lyngdorf P, Jnsson V, et al. Medical students' experience in practical skills is far from stakeholders' expectations. Medical Teacher. 2001;23:412-6. https://doi.org/10.1080/01421590120043017
  5. Weinberger M, Greene JY, Mamlin JJ. The impact of clinical encounter events on patient and physician satisfaction. Soc Sci Med E. 1981;15:239-44.
  6. Korsch BM, Gozzi E K, Francis V. Gaps in doctor-patient communication. I . Doctor-patient interaction and patient satisfaction. Pediatrics 1968;42:855.
  7. Lehmann F, Fontaine D, Bourque A, Cote L. Measurement of patient satisfaction: The Smith-Falvo patient-doctor interaction scale. Can Fam-Physician. 1988;34:2641-5.
  8. Hiltin TF, Butler MC, Nice DS. Patient and provider satisfaction in Navy family practice and non-family practice clinics. J Fam Prac. 1984;18(4);569-73.
  9. Makoul G. Communication skills education in medical school and beyond. JAMA. 2003;289-93.
  10. Janicik RW, Kalet A, Schwartz M, Lipkin, M, Zabar S. Using bedside rounds compared with other methods to teach communication skills in clinical clerkships. JGIM. 2002;17:228-32.
  11. Bradley P. The history of simulation in medical education and possible future directions. Medical education. 2006;40:254-62. https://doi.org/10.1111/j.1365-2929.2006.02394.x
  12. Barzansky B, Etzel SI. Educational programs in US medical schools, 2004-2005. JAMA. 2005;294:1068-74. https://doi.org/10.1001/jama.294.9.1068
  13. Kim KS, Kim KH, Choi CH, Lee SJ, Kim BS. Study on Pulse Simulator of Korean Medicine for Objective Structured Clinical Examination (OSCE). J Korean Korean Med. 2011; 32(1):1-11.
  14. Lee HW, Hong SW. Study of Standardized Patient Program Using Case Report of Atopic Dermatitis. J Korean Korean Med. 2011; 32(5):78-89.
  15. Song MK, Hong SW. A Survey of Students' Satisfaction on Participation Learning Using Role-play in Clerkship. The Journal of Korean Korean Medical Ophthalmology & Otolaryngology & Dermatology. 2012;25(3):65-77. https://doi.org/10.6114/jkood.2012.25.3.065
  16. Beeson SA, Kring DL. The effects of two teaching methods on nursing students' factual knowledge and performance of psychomotor skills. J Nurs Educ. 1999;38(8):357-9.
  17. You EY. Medical Simulation. J Korean Med Assoc. 2005;48(3):267-76. https://doi.org/10.5124/jkma.2005.48.3.267
  18. Gomez GE, Gomez EA. Learning of psychomotor skills: Laboratory versus patient care setting. J Nurs Educ. 1987;26:20-24.
  19. Jarzemsky PA, McGrath J. Look Before You Leap: Lessons Learned When Introducing Clinical Simulation. Nurse Educator. 2008;33(2):90-95. https://doi.org/10.1097/01.NNE.0000299513.78270.99
  20. Lasater K. High-Fidelity Simulation and the Development of Clinical Judgment: Students' Experiences. J Nurs Educ. 2007;46(6):269-276.
  21. Lee JH, Sgin JS, Suh DH, Eun HC. Evaluation of the Outcome of Communication Skill Training Using a Role Play Model in the Dermatological Clerkship. Korean J Dermatology. 2004;42(11):1440-48.