Completing the picture on student performances in OSCEs: A mixed-methods study on integration of a standardized patient rating |
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| Authors: | Andrea Lörwald Felicitas-Maria Lahner Daniel Stricker Sören Huwendiek |
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| Institution: | 1. Institute for Medical Education, University of Bern, Bern, Switzerland;2. Department of Health Professions, University of Applied Sciences, Bern, Switzerland;1. Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, USA;2. Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, USA;3. Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, USA;4. Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, USA;5. Division of Cancer Prevention, National Cancer Institute, Rockville, USA;6. Office of the Director, National Institutes of Health, Bethesda, USA;1. Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester MA, United States;2. Department of Allied Health Sciences, University of Connecticut, Storrs CT, United States;3. Department of Pharmacy and Health Systems Sciences, School of Pharmacy, Northeastern University, Boston MA, United States;1. School of Rehabilitation Therapy, 31 George Street, Queen’s University, Kingston, Ontario, K7L 3N6, Canada;2. C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, 43 Bruyère Street, Annex E, Ottawa, ON, K1N 5C8, Canada;3. Ottawa Hospital Research Institute, 501 Smyth Box 511, Ottawa, ON, K1H 8L6, Canada;4. University of Ottawa Brain and Mind Research Institute, Faculty of Medicine, University of Ottawa, Roger Guindon Hall, 451 Smyth Road, Ottawa, ON, K1J 8M5, Canada;5. Department of Family Medicine, University of Ottawa, 600 Peter Morand Cres. Suite 201, Ottawa, ON, K1G 5Z3, Canada;1. Derner School of Psychology, Adelphi University, Garden City, NY 11530, USA;2. Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, 11549 USA;3. Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USA |
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| Abstract: | ObjectiveGood physician communication skills increase patient satisfaction and improve healing processes. Although physicians and patients appear to value communicative competencies differently, students are often evaluated solely by physicians. This study examines whether additional assessment of students by ‘standardized patients’ (SPs) is useful.MethodsDuring their Objective Structured Clinical Examination (OSCE) 238 medical students were additionally rated by SPs at 9 stations according to two items that defined the ‘physician–patient relationship’ and ‘communication’. SPs were informed that their assessment was for research purposes only, with no impact on the assessment of the students. SPs also had the opportunity to comment on their rating of the students.ResultsThe SPs rated the communicative competencies of students differently than physicians. The two parts of the SP rating are closely related. Inclusion of SP rating in the OSCE would provide higher measurement precision, with more students failing. SPs considered five factors relevant in their rating: ‘human connection’, ‘information flow’, ‘professionalism’, ‘competence’, and ‘exam situation’.ConclusionOur study suggests inclusion of SP rating as additional assessment of student communication skills.Practice ImplicationsAddition of SP rating in assessments is worthwhile, as it appears to complete the picture of the student performance in their OSCEs. |
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| Keywords: | Standardized patient Objective structured clinical examination Communication Communicative competency |
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