Medical student and faculty perceptions of volunteer outpatients versus simulated patients in communication skills training

Research output: Contribution to journalArticle

Abstract

Purpose: To determine whether medical students and faculty perceive differences in the effectiveness of interactions with real patients versus simulated patients (SPs) in communication skills training. Method: In 2008, the authors recruited volunteer outpatients (VOs) from the Johns Hopkins University School of Medicine internal medicine practice to participate in communication skills training for all first-year medical students. VOs and SPs were assigned to clinic rooms in the simulation center. Each group of five students and its preceptor rotated through randomly assigned rooms on two of four session days; on both days, each student interviewed one patient for 15 minutes, focusing on past medical and family history or social history. Patients used their own histories, not scripts; students were not blinded to patient type. Students and faculty then rated aspects of the interview experience. Generalized linear latent and mixed-models analysis was used to compare ratings of communication skills training with VOs versus SPs. Results: All 121 first-year students participated in 242 interviews, resulting in 237 usable questionnaires (98%). They rated their experiences with VOs significantly higher than those with SPs on comfort, friendliness, amount of learning, opportunity to build relationships, and overall meeting of communication skills training needs. The 24 faculty preceptors' ratings of the 242 interactions did not differ significantly between VOs and SPs. Conclusions: Use of VOs was well received by students and faculty for teaching communication skills. Expanding and further studying VOs' participation will allow greater understanding of their potential role in communication skills training of preclinical medical students.

Original languageEnglish (US)
Pages (from-to)1437-1442
Number of pages6
JournalAcademic Medicine
Volume86
Issue number11
DOIs
StatePublished - Nov 2011

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Medical Faculties
communication skills
Medical Students
medical student
Volunteers
Outpatients
Communication
Students
first-year student
student
rating
medicine
Medical History Taking
social history
model analysis
Interviews
interaction
interview
genealogy
experience

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

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title = "Medical student and faculty perceptions of volunteer outpatients versus simulated patients in communication skills training",
abstract = "Purpose: To determine whether medical students and faculty perceive differences in the effectiveness of interactions with real patients versus simulated patients (SPs) in communication skills training. Method: In 2008, the authors recruited volunteer outpatients (VOs) from the Johns Hopkins University School of Medicine internal medicine practice to participate in communication skills training for all first-year medical students. VOs and SPs were assigned to clinic rooms in the simulation center. Each group of five students and its preceptor rotated through randomly assigned rooms on two of four session days; on both days, each student interviewed one patient for 15 minutes, focusing on past medical and family history or social history. Patients used their own histories, not scripts; students were not blinded to patient type. Students and faculty then rated aspects of the interview experience. Generalized linear latent and mixed-models analysis was used to compare ratings of communication skills training with VOs versus SPs. Results: All 121 first-year students participated in 242 interviews, resulting in 237 usable questionnaires (98{\%}). They rated their experiences with VOs significantly higher than those with SPs on comfort, friendliness, amount of learning, opportunity to build relationships, and overall meeting of communication skills training needs. The 24 faculty preceptors' ratings of the 242 interactions did not differ significantly between VOs and SPs. Conclusions: Use of VOs was well received by students and faculty for teaching communication skills. Expanding and further studying VOs' participation will allow greater understanding of their potential role in communication skills training of preclinical medical students.",
author = "Sarah Clever and Dudas, {Robert A} and Barry Solomon and Yeh, {Hsin Chieh} and David Levine and Amanda Bertram and Goldstein, {Mitchell A} and Nicole Shilkofski and Joseph Cofrancesco",
year = "2011",
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