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Comparison of self and simulated patient assessments of first-year medical students’ Interpersonal and Communication Skills (ICS) during Objective Structured Clinical Examinations (OSCE)

机译:一年医学院人际关系和沟通技巧(ICS)在客观结构化临床考试中的自我和模拟患者评估比较(欧安组织)

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Interpersonal and communication skills (ICS) are important core competencies in medical education and certification. In this study, we identified self- and simulated patient (SP)-reported ratings of US first-year medical students’ ICS and the influence of age and gender on performance appraisal during the Objective-Structured Clinical Examination (OSCE). OSCE participants, including 172 first-year medical students and 15 SPs were asked to evaluate the students’ ICS using the American Board of Internal Medicine–Patient-Satisfaction Questionnaire (ABIM–PSQ), electronically and via paper, respectively. Self- and SP-reported ratings of students’ ICS were presented as the median on a 5-point Likert-scale and as three categories defined as “good,” “very good,” and “inadequate.” SPs assessed all 172 students in the OSCE, while 43.6% of students assessed their own performance. The majority of students and SPs evaluated the students’ ICS as very good. 23.3% of SPs and 5.3% of students rated the medical students’ ability to encourage patient question-asking and answer questions as inadequate (P? 0.002). Neither age nor gender influenced the medical students’ self-assessment of ICS. Female SPs assigned lower scores to students in regard to respecting patients and encouraging patient question-asking and answering. Older SPs was more likely to assign lower scores on all survey questions. In the present study, self- and SP-reported ratings of first-year medical students’ ICS were mainly “very good” with no influence of students’ age or gender. Older age and female gender among the SPs were associated with a reduction in SP-reported ratings of students’ ICS.
机译:人际关系和沟通技巧(IC)是医学教育和认证的重要核心竞争力。在这项研究中,我们确定了自我和模拟的患者(SP) - 在客观结构化临床检查期间(欧安组织)期间,我们第一年医学院医学生IC的自我和模拟评级和年龄和性别对绩效评估的影响。欧安组织参与者,包括172名第一年的医学生和15个SPS,分别使用美国内部医学患者 - 患者满意问卷(Abim-PSQ),电子和通过纸张来评估学生的IC。作为5分Likert-scale的中位数,作为“良好”的三类“很好”,“非常好”和“不充分”,向学生IC的自我和SP报告的评级被呈现为中位数。 SPS在欧安组织中评估了所有172名学生,而43.6%的学生评估了自己的表现。大多数学生和SPS评估了学生的IC,非常好。 23.3%的SPS和5.3%的学生评估了医学生鼓励患者质疑和回答问题的能力(p?<0.002)。两年龄也不是性别影响医学生对IC的自我评估。女性SPS为学生指定了较低的成绩,尊重患者,并鼓励患者问答和回答。较旧的SPS更有可能在所有调查问题上分配更低的分数。在本研究中,自我和SP报告的第一年医学学生IC的评级主要​​是“非常好”,没有学生的年龄或性别的影响。 SPS中的年龄和女性性别与SP报告的学生IC评级的减少有关。

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