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EQClinic: a platform for learning communication skills in clinical consultations

机译：EQClinic：在临床咨询中学习交流技巧的平台

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BackgroundDoctors’ verbal and non-verbal communication skills have an impact on patients’ health outcomes, so it is important for medical students to develop these skills. Traditional, non-verbal communication skills training can involve a tutor manually annotating a student's non-verbal behaviour during patient–doctor consultations, but this is very time-consuming. Tele-conference systems have been used in verbal communication skills training.MethodsWe describe EQClinic, a system that enables verbal and non-verbal communication skills training during tele-consultations with simulated patients (SPs), with evaluation exercises promoting reflection. Students and SPs can have tele-consultations through the tele-consultation component. In this component, SPs can provide feedback to students through a thumbs-up/ thumbs-down tool and a comments box. EQClinic automatically analyses communication features in the recorded consultations, such as facial expressions, and provides graphical representations. Our 2015 pilot study investigated whether EQClinic helped students be aware of their non-verbal behaviour and improve their communication skills, and evaluated the usability of the platform. Students received automated feedback, and SP and tutor evaluations, and then completed self-assessment and reflection questionnaires. ResultsEight medical students and three SPs conducted 13 tele-consultations using EQClinic. More students paid attention to their non-verbal communication and students who were engaged in two consultations felt more confident in their second consultation. Students rated the system positively, felt comfortable using it (5.9/7), and reported that the structure (5.4/7) and information (5.8/7) were clear. This pilot provides evidence that EQClinic helps, and positively influences, medical students practise their communication skills with SPs using a tele-conference platform.DiscussionIt is not easy to improve non-verbal communication skills in a short time period. Further evaluation of EQClinic with larger numbers will ascertain learning gains and application in health professional training. Developing a standard model for the assessment of non-verbal behaviour in tele-consultations and providing students with more valuable evaluation and suggestions are part of our future work.
机译：BackgroundDoctors的口头和非口头交流技巧会影响患者的健康状况，因此对医学生来说，发展这些技巧很重要。传统的非语言交流技能培训可能需要在患者-医生会诊期间由导师手动注释学生的非语言行为，但这非常耗时。电话会议系统已用于言语交流技能培训中。方法我们介绍EQClinic，该系统可在与模拟患者（SP）进行电话咨询时进行口头和非言语交流技巧培训，并通过评估练习促进反思。学生和SP可以通过远程咨询组件进行远程咨询。在此组件中，SP可以通过大拇指/大拇指朝下工具和评论框向学生提供反馈。 EQClinic会自动分析记录的咨询中的交流功能，例如面部表情，并提供图形表示。我们2015年的初步研究调查了EQClinic是否可以帮助学生意识到他们的非语言行为并提高他们的沟通技巧，并评估了该平台的可用性。学生收到自动反馈，SP和导师评估，然后完成自我评估和反思问卷。结果8名医学生和3名SP使用EQClinic进行了13次远程咨询。越来越多的学生注意他们的非语言交流，参加两次咨询的学生对第二次咨询更有信心。学生对系统进行了正面评价，感到使用起来很舒适（5.9 / 7），并报告其结构（5.4 / 7）和信息（5.8 / 7）清晰。该飞行员提供的证据表明，EQClinic可以帮助并积极影响医学生使用电话会议平台通过SP练习他们的沟通技巧。讨论在短时间内提高非语言沟通技巧并不容易。对EQClinic进行更大数量的进一步评估将确定学习成果并将其应用于卫生专业培训。开发用于评估远程咨询中非语言行为的标准模型并为学生提供更有价值的评估和建议是我们未来工作的一部分。

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