Institute for Medical Education, University of Bern, Bern, Switzerland.
Institute for Medical Education, University of Bern, Bern, Switzerland; Department of Health Professions, University of Applied Sciences, Bern, Switzerland.
Patient Educ Couns. 2021 Jan;104(1):85-91. doi: 10.1016/j.pec.2020.06.026. Epub 2020 Jun 24.
Good physician communication skills increase patient satisfaction and improve healing processes. Although physicians and patients appear to value communicative competencies differently, students are often evaluated solely by physicians. This study examines whether additional assessment of students by 'standardized patients' (SPs) is useful.
During their Objective Structured Clinical Examination (OSCE) 238 medical students were additionally rated by SPs at 9 stations according to two items that defined the 'physician-patient relationship' and 'communication'. SPs were informed that their assessment was for research purposes only, with no impact on the assessment of the students. SPs also had the opportunity to comment on their rating of the students.
The SPs rated the communicative competencies of students differently than physicians. The two parts of the SP rating are closely related. Inclusion of SP rating in the OSCE would provide higher measurement precision, with more students failing. SPs considered five factors relevant in their rating: 'human connection', 'information flow', 'professionalism', 'competence', and 'exam situation'.
Our study suggests inclusion of SP rating as additional assessment of student communication skills.
Addition of SP rating in assessments is worthwhile, as it appears to complete the picture of the student performance in their OSCEs.
良好的医患沟通技巧能提高患者满意度并改善治疗效果。尽管医患双方对沟通能力的重视程度似乎有所不同，但学生的评估往往仅由医生进行。本研究旨在探讨是否可以通过“标准化患者”（SP）对学生进行额外评估。
在他们的客观结构化临床考试（OSCE）中，238 名医学生在 9 个站点根据两个定义“医患关系”和“沟通”的项目接受 SP 的额外评估。告知 SP 他们的评估仅供研究之用，不会影响对学生的评估。SP 还有机会对他们对学生的评分发表评论。
SP 对学生沟通能力的评估与医生不同。SP 评估的两个部分密切相关。在 OSCE 中纳入 SP 评分将提供更高的测量精度，使更多学生不及格。SP 在其评分中考虑了五个因素：“人际交往”、“信息流”、“专业性”、“能力”和“考试情况”。
我们的研究表明，应将 SP 评分纳入学生沟通技巧的额外评估。
增加 SP 评分作为评估的补充是值得的，因为它似乎可以更全面地了解学生在 OSCE 中的表现。
