ePoster
Students perception of the clinical communication course.

Authors

  1. Anna Kocurek
  2. Michal Nowakowski

Theme

9AA Teaching and assessing communication skills

INSTITUTION

Jagiellonian University Medical College - Department of Medical Education - Kraków - Poland

Background

This academic year (2014/2015) we have introduced a course in Clinical Communication, based on simulation and role-playing, for students of our faculty. The course runs at the beginning of the third year of studies, in parallel with clinical introductions to internal medicine, paediatrics and surgery, and complements their content in the area of history taking and basics of patient counselling. We were curious of students’ attitudes towards the course content and format, which is totally new in Poland.

Summary of Work

At the end of the course in Clinical Communication, students were asked to fill in a questionnaire, anonymously. The questionnaire included a student satisfaction test, assessed by a Likert-type five point scale, and open-ended questions about areas for possible improvement. The results were collected and analysed using descriptive statistics and a Spearman’s rank correlation. 

Summary of Results

We collected a total number of 179 answers from students of the third year of medical studies (return ratio 83%). Student satisfaction during the course was high: 70% of the students liked the way, in which the course was conducted; in 12% of the cases our course scored the highest mark, whilst in 6% of the cases it scored the worst one (Fig. 1). Answers correlate with perception of the quality of the course (Spearman’s rank 0,61; p<0,000001) and additional materials (Spearman’s rank 0,36; p<0,000001). By 80% of the students the difficulty level of the scenarios was perceived as appropriate (Fig. 2). 62% of the respondents considered that the course is important or very important in the curriculum (Fig. 3). Students indicated some technical areas for improvement and very precisely identified more difficult topics, which should be addressed in the future teaching.

Fig. 1 Students’ opinion about the way, in which the course was conducted. 

Fig. 2 Difficulty of scenarios.

Fig. 3 Importance in curriculum

Conclusion

A majority of the students was satisfied with our approach. Further development of the course requires reflection over cultural factors specific for Polish conditions. Good coordination with clinical classes is essential. In our case this goal is realised mainly throughout OSCE exam, which is common for all clinical introductory subjects.

References

Bosse, H.M. et al., 2012. The effect of using standardized patients or peer role play on ratings of undergraduate communication training: A randomized controlled trial. Patient Education and Counseling, 87(3), pp.300–306.

Koponen, J., Pyörälä, E. & Isotalus, P., 2012. Comparing three experiential learning methods and their effect on medical students’ attitudes to learning communication skills. Medical Teacher, 34(3), pp.e198–e207.

Kurtz, S., Silverman, J. & J, D., 1998. Teaching and Learning Communication Skills in Medicine., Oxford, UK: Radcliffe Medical Press.

Luttenberger, K. et al., 2014. From board to bedside - training the communication competences of medical students with role plays. BMC medical education, 14(1), p.135. Available at: http://www.biomedcentral.com/1472-6920/14/135.

Silverman, J., Kurtz, S. & Draper, J., 2005. Skills for communicating with patients, Oxford, UK: Radcliffe Medical Press.

Background

Up to recent years, teaching of communication skills for medical undergraduates in Polish conditions was represented only by history taking and isolated courses in psychological skills, weakly connected to the actual clinical work (data obtained through the intranet resources for faculty members, especially syllabuses in the University’s Service System and students’ feedback). None of the teaching was dedicated to enabling students to gain a holistic insight into the patient’s perspective. On the other hand, the ability of recognising patient’s expectations, views and feelings, as well as knowledge about the significance of illness in his/her particular life is essential for building a patient-doctor relation and achieving shared understanding (as stated in the Calgary-Cambridge Guides, Silverman et al. 2005; Kurtz et al. 1998 ). 

Summary of Work

Examples of questions:

  1. What is you general perception of the course „Laboratory practice in teaching of clinical skills (doctor-patient communication)”?

 

5. 

4.

3.

2. 

  1.  

 

Cool!

 

 

 

 

 

Waste of time 

 

2. Were the classes interesting?

 

5. 

4. 

3. 

2. 

  1.  

 

Very much so

 

 

 

 

 

Not at all

 

3. Do you consider that this type of subjects is needed in the curriculum of medical studies?

Yes, definitely              ž Yes     ž I am not sure                 ž No                      ž Definitely not

 

4. Were the teaching materials (movies, presentations) used during the classes useful for understanding of the topic?

Yes, definitely              ž Yes     ž I am not sure                 ž No                      ž Definitely not

 

5. How do you perceive the difficulty of the prepared scenarios?

Way too difficult         ž Difficult            ž Just fine          ž Easy                   ž Too easy

 

6. How did you like the way in which the classes were conducted?

Cool                  ž OK      ž So-so                 ž Room for improvement            ž Waste of time

Summary of Results

Although some authorities are critical of the usefulness of role playing in teaching of communication (Luttenberger et al. 2014), in the randomised controlled trials (Bosse et al. 2012; Koponen et al. 2012) this method worked as good as the use of simulated patients. Moreover, due to the opportunity to stand in the shoes of the potential patient, this approach offers a possibility to learn more empathy and better understanding of the patient (Luttenberger et al. 2014).

Conclusion

Many of the skills required for effective doctor-patient communication can be successfully trained by experiential learning. The task of transferring the acquired knowledge to higher levels of the Miller’s triangle (Miller 1990) and thus the ability to use this knowledge in everyday situations remains challenging.

References
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