KMID : 1118520200170040299
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Psychiatry Investigation 2020 Volume.17 No. 4 p.299 ~ p.305
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Standardized Patients or Conventional Lecture for Teaching Communication Skills to Undergraduate Medical Students: A Randomized Controlled Study
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Geoffroy Pierre A.
Delyon Julie Strullu Marion Dinh Alexy Tran Duboc Henri Zafrani Lara Lejoyeux Michel Ceccaldi Pierre-Francois Plaisance Patrick Peyre Hugo
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Abstract
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Objective: The conduct of a medical interview is a challenging skill, even for the most qualified physicians. Since a training is needed to acquire the necessary skills to conduct an interview with a patient, we compared role-play with standardized patients (SP) training and a conventional lecture for the acquisition of communications skills in undergraduate medical students.
Methods: An entire promotion of third year undergraduate medical students, who never received any lessons about communications skills, were randomized into 4 arms: 1) SP 2 months before the testing of medical communications skills (SP); 2) conventional lecture 2 months before the testing (CL); 3) two control groups (CG) without any intervention, tested either at the beginning of the study or two months later. Students were blindly assessed by trained physicians with a modified 17-items Calgary-Cambridge scale.
Results: 388 students (98.7%) participated. SP performed better than CL, with significant statistical differences regarding 5 skills: the use of open and closed questions, encouraging patient responses, inviting the patient to clarify the missing items, encouraging of the patient¡¯s emotions, and managing the time and the conduct of the interview. The SP group specifically improved communications skills between the SP training and testing sessions regarding 2 skills: the use of open and closed questions and encouraging patient responses. No improvements in communications skills were observed in CG between the two time points, ruling out a possible time effect.
Conclusion: Role-play with standardized patients appears more efficient than conventional lecture to acquire communication skills in undergraduate medical students.
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KEYWORD
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Undergraduate medical education, Communication training, Standardized patient
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