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http://dx.doi.org/10.17496/kmer.2011.13.1.035

Does Practicing Communication Skills with Standardized Patients or Completion of Elective Course of Communication Skills Affect the Scores of Clinical Performance Examination?  

Kim, Jong Hoon (Office of Medical Education, Inha University, School of medicine)
Publication Information
Korean Medical Education Review / v.13, no.1, 2011 , pp. 35-43 More about this Journal
Abstract
Purpose: Communication skills are considered as one of the essential requirements in medical education, and the training often involves exercising medical interviews with standardized patients(SP) or role play. This study investigated the helpfulness of the communication skills training programs for students' performance on the clinical performance examination (CPX). Methods: Fourth-year students who have taken one of two communication skills programs(exercising communication skills with SP or elective communication skill course with role play) completed a questionnaire on their evaluation of the helpfulness of communication skills programs immediately after finishing the CPX. Then, the programs were objectively assessed by comparing all fourth-year students' CPX scores between program participants and non-participants. Results: About 70% of participants answered that the programs were helpful to perform clinical clerkship and CPX. However, there was no difference in either the total CPX score or 2 categorical scores(integrated clinical encounter, communication and interpersonal skill) between program participants and non-participants. Conclusion: Although the students felt that the communication skills programs were helpful to their clinical activities, this study failed to find objective evidence of any effect of the programs on the CPX results. Communication skills training should be continued during clinical clerkship to maintain or enhance the skills, and it is necessary to introduce more effective methods for precise evaluation of students' communication skills.
Keywords
Clinical skill; Communication; Physician-patient relations; Role playing;
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1 Anvik, T., Grimstad, H., Baerheim, A., Bernt Fasmer, O., Gude, T., Hjortdahl, P., Holen. A., Risberg, T., & Vaglum, P.(2008) Medical students' cognitive and affective attitudes towards learning and using communication skills: a nationwide cross-sectional study. Med Teach, 30(3), 272-279.   DOI   ScienceOn
2 Aspegren, K.(1999) Teaching and learning communication skills in medicine-a review with quality grading of articles. Med Teach, 21(6), 563-70 [BEME guide no. 2].   DOI   ScienceOn
3 Blue, A.V., Stratton, T.D., Plymale, M., DeGnore, L.T., Schwartz, R.W., & Sloan, D.A.(1998) The effectiveness of the structured clinical instruction module. Am J Surg, 176(1), 67-70.   DOI   ScienceOn
4 Burchard, K.W., Rowland, P.A., Berman, N.B., & Hanissian, P.D, Carney PA.(2005) Clerkship enhancement of interpersonal skills. Am J Surg, 189(6), 643-6.   DOI   ScienceOn
5 Colletti, L., Gruppen, L., Barclay, M., & Stern, D.(2001) Teaching students to break bad news. Am J Surg, 182(1), 20-23.   DOI   ScienceOn
6 Eagles, J.M., Calder, S.A., Nicoll, K.S., & Walker, L.G.(2001) A comparison of real patients, simulated patients and videotaped interview in teaching medical students about alcohol misuse. Med Teach, 23(5), 490-3.   DOI
7 Haist, S.A., Wilson, J.F., Pursley, H.G., Jessup, M.L., Gibson, J.S., Kwolek, D.G., Stratton, T.D., & Griffith, C.H.(2003) Domestic violence: Increasing knowledge and improving skills with a four-hour workshop using standardized patients. Acad Med, 78(10 suppl), S24-6.   DOI
8 Kurtz, S., Silverman, J., Benson, J., & Draper, J.(2003) Marrying content and process in clinical method teaching: enhancing the Calgary-Cambridge guides. Acad Med, 78(8), 802-809.   DOI   ScienceOn
9 Lee, Y.M., & Kim, B.S.(2008) Association between student Performance in a medical communication skills course and patient-physician interaction scores on a clinical performance examination. Korean J Med Educ, 20(4), 313-320.   DOI
10 Lee, Y.M., Oh, Y.J., Ahn, D.S., & Yoon, S.M.(2007). Implementing a communication skills course for undergraduate medical students. Korean J Med Educ, 19(2), 171-175.   DOI
11 Levinson, W., Roter, D.L., Mulloly, J.P., Dull, V,T., & Frankel, R.M.(1997) Physician-patient communication: the relationship with malpractice claims among primary care physicians and surgeons. JAMA, 277(7), 553-559.   DOI   ScienceOn
12 Littlefield, J.H., Hahn, H.B., & Meyer, A.S.(1999) Evaluation of a role-play learning exercise in an ambulatory clinic setting. Adv Health Sci Educ, 4(2), 167-73.   DOI   ScienceOn
13 Madan, A.K., Caruso, B.A., Lopes, J.E., & Gracely, E.J.(1998) Comparison of simulated patient and didactic methods of teaching HIV risk assessment to medical residents. Am J Prev Med, 15(2), 114-9.   DOI   ScienceOn
14 Mukohara, K., Kitamura, K., Wakabayashi, H., Abe, K., Sato, J., & Ban, N.(2004) Evaluation of a communication skills seminar for students in a Japanese medical school: A randomized controlled study. BMC Med Educ, 4, 24.
15 O' Brien, M., Freemantle, N., Oxman, A, Wolf, F., Davis, D., & Herrin, J.(2001) Continuing education meetings and workshops: effects on professional practice and health care outcomes(review). Cochrane Database Syst Rev, 2, CD003030.
16 Pfeiffer, C.A., Ardolin,o A.J., & Madray, H.(2001) The impact of a curriculum renewal project on students' performances on a fourth-year clinical skills assessment. Acad Med, 76(2), 173-175.   DOI   ScienceOn
17 Pfeiffer, C., Madray, H., Ardolino, A., & Willms, J.(1998) The rise and fall of students' skill in obtaining a medical history. Med Educ, 32(3), 283-288.   DOI   ScienceOn
18 Prislin, M.D., Giglio, M., Lewis, E., Ahearn, S., & Radecki, S.(2000) Assessing the acquisition of core clinical skills through the use of serial standardized patient assessments. Acad Med, 75(5), 480-483.   DOI   ScienceOn
19 Rees, C., Sheard, C., & McPherson, A.(2004) Medical students' views and experiences of methods of teaching and learning communication skills. Patient Educ Couns, 54(1), 119-21.   DOI   ScienceOn
20 Rosenbaum, M.E., & Ferguson, K.J.(2006) Using patientgenerated cases to teach students skills in responding to patients' emotions. Med Teach, 28(2), 180-182.   DOI   ScienceOn
21 Sasson, V.A., Blatt, B., Kallenberg, G., Delane,y M., & White, F.S.(1999) "Teach 1, do 1... better": superior communication skills in senior medical students serving as standardized patient-examiners for their junior peers. Acad Med, 74(8), 932-7.   DOI   ScienceOn
22 Stewart, M.A.(1995). Effective physician-patient communication and health outcomes: a review. CMAJ, 152(9), 1423-1433.
23 Stillman, P.L., Wang, Y., Ouyang, Q., Zhang, S., Yang, Y., & Sawyer, W.D.(1997) Teaching and assessing clinical skills: a competency-based program in China. Med Educ, 31(1), 33-40.   DOI   ScienceOn
24 Zraick, R.I., Allen, R.M., & Johnson, S.B.(2003) The use of standardized patients to teach and test interpersonal and communication skills with students in speechlanguage pathology. Adv Health Sci Educ, 8(3), 237- 48.   DOI   ScienceOn