Effect of novel patient interaction on students’ performance of pregnancy options counseling

Shaddeau, Angela K.; Nimz, Abigail; Sheeder, Jeanelle; Tocce, Kristina

doi:10.3402/meo.v20.29401

Cited by 12 publications

(19 citation statements)

References 13 publications

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“…For example, interventions targeting counselling for changing unhealthy habits can improve students' adherence to recommended protocols [28,29]. Likewise, those focused on breaking bad news or other specific content areas improve students' adherence to recommended approaches and skills in dealing with related scenarios [30][31][32]. Communication with patients in clinical settings is varied however, and dealing with this variability requires flexibility on the part of the clinician.…”

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confidence: 99%

Assessing the training needs of medical students in patient information gathering

2020

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Background: Effective communication is at the heart of good medical practice but rates of error, patient complaints, and poor clinician job satisfaction are suggestive of room for improvement in this component of medical practice and education. Methods: We conducted semi-structured interviews with experienced clinicians (n = 19) and medical students (n = 20) to explore their experiences associated with teaching and learning clinical communication skills and identify targets for improvements to addressing these skills in medical curricula. Results: Interviews were thematically analysed and four key themes emerged; the importance of experience, the value of role-models, the structure of a consultation, and confidence. Conclusions: The findings reinforce the need for improvement in teaching and learning communication skills in medicine, with particular opportunity to target approaches to teaching foundational skills which can establish a strong grounding before moving into more complex situations, thus preparing students for the flexibility required in medical interviewing. A second area of opportunity and need is in the engagement and training of clinicians as mentors and teachers, with the findings from both groups indicating that preparation for teaching and feedback is lacking. Medical programs can improve their teaching of communication skills and could learn from other fields s to identify applicable innovative approaches.

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confidence: 99%

Assessing the training needs of medical students in patient information gathering

2020

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“…In a study by Shaddeau et al 135 students participated in a 1 h small group session, or "Novel Patient Interaction" (NPI) with a patient who discussed her own experience with her decision to have an abortion [15]. Students participated in a standardized patient exam that utilized the pregnancy options counseling, Objective Structured Clinical Exam (OSCE), before and after their experience.…”

Section: Instructional Methodsmentioning

confidence: 99%

The Status of Medical Student Education in Pregnancy Options Counseling: a Review

Farmer

Clare

2021

Med.Sci.Educ.

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Background The Association of Professors of Gynecology and Obstetrics (APGO) has acknowledged the importance of pregnancy options counseling by listing it as a “shows how” skill for all undergraduate medical students. Unfortunately, there is no standard curriculum utilized to teach medical students pregnancy options counseling or to assess skill sustainability over time. Objectives To review and summarize the literature on pregnancy options counseling in undergraduate medical education. Methods We performed a structured literature review searching Google Scholar, PubMed, and EMBASE for articles between 2000 and February 2020. Inclusion criteria were English language studies of M. D. and D.O. programs in North America with a discussion of pregnancy options counseling as it relates to medical student education. Results There is a small but growing body of literature on pregnancy options counseling in medical student education. The common themes across the 17 papers reviewed include the status of pregnancy options counseling in undergraduate medical education, barriers to teaching options counseling, the timing of education, utilization of the options counseling Objective Structured Clinical Examination (OSCE), learner challenges, and novel strategies for implementing education in options counseling and subsequent learning outcomes. Conclusions There is no standardized pregnancy options counseling curriculum in undergraduate medical education (UME). The landscape in which this important skill is being taught is one of random, insufficient, and uncoordinated curricular interventions. This is the only review on this subject, making it a unique summary on pregnancy options counseling in UME.

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“…Simulation-based training (SBT) could be a useful tool to improve CS [3][4][5]. Several studies have reported improvements of CS by SBT and when taught early in undergraduate medical curricula [6][7][8][9][10]. However, evidence remains scarce about the potential lasting effect of SBT [4].…”

Section: Introductionmentioning

confidence: 99%

Improved clinical communication OSCE scores after simulation-based training: Results of a comparative study

et al. 2020

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Objectives Simulation-based training (SBT) is increasingly used to teach clinical patient-doctor communication skills (CS) to medical students. However, the long-lasting impact of this training has been poorly studied. Methods In this observational study we included all fourth-year undergraduate medical students from a French medical school who undertook a CS objective structured clinical examination (OSCE) and who answered a post-examination survey. OSCE scores and students' feedback were compared by whether students had received a specific CS-SBT or not 12 months prior to the OSCE. Results A total of 173 students were included in the study. Of them, 97 (56%) had followed the CS-SBT before the OSCE. Students who had undergone CS-SBT had significantly higher CS-OSCE scores in the multivariate analysis compared to untrained students (mean score 7.5/ 10 ±1.1 vs. 7.0/10 ±1.6, respectively, Cohen's d = 0.4, p<0.01). They also tended to experience less nervousness during the OSCE (p = 0.09) and increased motivation to further train in "real-life" internships (p = 0.08). However, they overall expressed a general lack of CS in therapeutic patient education, delivering bad news, and disclosing medical errors. Conclusions Fourth-year medical students who benefited from a CS-SBT 12 months before examination displayed higher CS-OSCE scores than their counterparts.

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Effect of novel patient interaction on students’ performance of pregnancy options counseling

Cited by 12 publications

References 13 publications

Assessing the training needs of medical students in patient information gathering

Assessing the training needs of medical students in patient information gathering

The Status of Medical Student Education in Pregnancy Options Counseling: a Review

Improved clinical communication OSCE scores after simulation-based training: Results of a comparative study

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