Kommunikative Kompetenz in der Chirurgie vermitteln und evaluieren: Die Entwicklung, Durchführung und Evaluation eines Unterrichtsmoduls mithilfe von Simulationspatienten im Praktischen Jahr
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Philipps-Universität Marburg
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Abstract
Introduction: It has been shown that communication is an important medical skill that can and must be taught; preferably during medical school. In the study programme of medical studies at Philipps-University Marburg this is realised by the Communication-Curriculum. Nevertheless, additional training is needed during semesters late in the course, specialising in challenging conversational situations.
Methods: To expand the Communication-Curriculum, the module “Communication in Surgical Contexts“ for medical students in their last year (Praktisches Jahr, PJ) was developed.
For evaluating the success of learning in the module, “Catering for the Patient“ was assessed, because empathy, which is expressed by catering for patient, is a core competence of doctor-patient communication. In the absence of a suitable instrument for measuring this aspect of empathy, one needed to be developed, resulting in an additional part of this thesis.
In a first step the evaluation form “Catering for the Patient“ was methodically developed. The form was based on the Calgary-Cambridge Observation Guide (CCOG). Secondly, the course was evaluated within a randomised efficacy study. Students of the intervention group, who participated in the course, as well as those of the control group not participating, underwent standardised Mini Clinical Evaluation Examiniations (Mini-CEX) in the interdisciplinary skills lab of Marburg (Maris). This was done approximately two weeks after the module and was videotaped. These videos were rated by two physicians blinded to randomasation using the developed evaluation form.
Results: The module deals with difficult patients as well as taboo sub jects with a focus on domestic violence. These sub jects were first discussed and then further explored through conversations with simulated patients (SPs).
The evaluation form consists of 11 items which specify aspects of catering to the patient. It is completed by two global ratings, Item 12 from the patient’s perspective and Item 13 from the rater’s perspective. Items are evaluated with the aid of a five-point Likert scale from “fully applies“ to “does not apply at all“.
Reviewing the evaluation form, a very high internal consistency and a correlation between Item 13 and items 1 to 11 close to unity could be detected.
In the statistical evaluation of the videos, a significant difference between the intervention group and control group did not appear. Asked about the integration of the course into the curriculum, 21.4% of the students demanded teaching of physical examination as a requirement, 14.3% disapproved of integration and 64.3% approved of it.
Discussion and conclusion:
All of the the evaluation form items are suitable for teaching or examinations. Further evaluation is required to identify whether Item 13 by itself is suitable for summative examinations.
No learning progress in the area of “Catering for the Patient“ could be shown within the study. Yet most of the students approved of integration into the curriculum. It can be expected that other competencies and knowledge will have been acquired by the students.
Within this work multiple goals were achieved. A module about communication in difficult situations was developed. This course was targeted at students in the surgical trimester of the final year of medical school. This course has been evaluated by the assessment instrument “Catering for the Patient“ which has been developed and reviewed, and can now be used for teaching and examination purposes.
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Dates
Created: 2016Issued: 2016-10-06Updated: 2018-05-07
Faculty
Medizin
Publisher
Philipps-Universität Marburg
Language
ger
Data types
DoctoralThesis
Keywords
SurgeryEducationEmpathyUndergraduate Medical EducationCommunicationEinfühlungsvermögenCurriculumDomestic ViolenceMedicine
DFG-subjects
Praktisches JahrCurriculumEinfühlungChirurgieMedizinLehreHäusliche GewaltKommunikation
DDC-Numbers
610
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Schwörer, Miriam: Kommunikative Kompetenz in der Chirurgie vermitteln und evaluieren: Die Entwicklung, Durchführung und Evaluation eines Unterrichtsmoduls mithilfe von Simulationspatienten im Praktischen Jahr. : Philipps-Universität Marburg 2016-10-06. DOI: https://doi.org/10.17192/z2016.0705.