1 / 23

Assessment of Communication Skills in Medical Education

Assessment of Communication Skills in Medical Education. Dr. med. Claudia Kiessling, MPH Basel. Assessment of Communication Skills in Medical Education February , 18th 2011 Lugano. Assessment of Communication Skills in Medical Education February , 18th 2011 Lugano.

garnet
Download Presentation

Assessment of Communication Skills in Medical Education

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Assessment of Communication Skills in Medical Education Dr. med. Claudia Kiessling, MPH Basel

  2. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano

  3. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Systematic review included 21 randomized controlled and analytic studies between 1983 – 199316 positive results4 negative (i.e. non sign.)1 inconclusive resultsfor a correlation between doctor-patient comm. & health outcomes

  4. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Evidence • Good communication and patient centered care can lead to • Better health outcomes • greater patient satisfaction and adherence • greater symptom improvement • better management of chronic conditions • fewer medication errors • reduction of diagnostic testing and referrals • greater doctor satisfaction (prevention of burn out) • Rider et al. 2007

  5. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Teaching • Best Practice: Experiential Learning • Demonstration of best practice • Observation and feedback • Ongoing training and reinforcement • Fostering self awareness, self reflection, self assessment

  6. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Teaching Methods

  7. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Teaching • Content: Defined by consensus statements and blueprints • Toronto Consensus Statement • Kalamazoo Consensus Statement • Basel Consensus Statement • Swiss Catalogue of Learning Objectives • …

  8. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Assessment • The Kalamazoo II Report (and personal add ons): Five Ways to Assess Interpersonal and Communication Skills: • Ratings of direct observation of interaction with real patients(global ratings of performance, checklist of specific behaviours, Mini-CEX) • Ratings of simulated situations with standardized patients(OSCE, single simulated encounter, unannounced standardized patients) • Ratings of video- and audiotape interaction(Video/audio review, checklist, linguistic-based analysis, RIAS) • Patients questionnaire or survey(general patient analysis, survey following patient visits, patient complaints) • Examination of knowledge, procedural knowledge, scripts, perceptions, and attitudes (MCQ, computer-based exercise, empathy and emotional intelligence scale, Script concordance test, Situational judgement test)

  9. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Assessing

  10. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Maturity of Clinical Communication Skills Teaching (according to J. Silverman 2008) Full integrated multi-methodassessment Longitudinal curriculum with clinical integration Longitudinal curriculum Multiple stand-alone courses throughout years Single stand-alone course in early years

  11. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Longitudinal Curriculum in Basel

  12. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Longitudinal Curriculum in Basel

  13. Does(Action) Shows how (Performance) Knows how (Competence) Knows (Knowledge) Miller GE: The assessment of clinical skills/competence/performance. 1990 Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Objective Structured Clinical Examination • Examination to assess clinical skills: • History taking and physical examination • Communication skills • Clinical Procedures (e.g. suturing, vene puncture) • Clinical reasoning (summarize and interpret findings, define a working hypothesis, develop management plan) • Interpret e.g. x-rays, lab findings, ECG

  14. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Objective Structured Clinical Examination • How to run an OSCE • Students have to manage a parcour with different stations (e.g. 10) • All stations have the same length (e.g. 8 minutes) • All students do the same stations • The student reads the task of the first station in front of a room, after a signal he enters the room and demonstrates the task. • An examiner observes the student’s performance and scores it on a predefined checklist or rating scale • The station ends after a second signal. The student leaves the room and goes to the next station. • and so on … in 80 minutes you can test 10 students with 10 stations

  15. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Objective Structured Clinical Examination

  16. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Weakest graduates Best graduates Low scores in communication skills are predictive for more patient complaints!

  17. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Rating scales for communication skills • How to choose or develop an appropriate instrument • Construct to be measured - objectives and content of teaching • What else will be tested during the station (history taking, etc.)  feasibility • Who will be the examiner (doctor, patient, …) • Checklist or rating scale (yes/no; 1-10; strongly agree – disagree) • Psychometrics (reliability, validity)

  18. Test score Error of measurement Version 1 Version 2 Case 3 Case 1 Case 2 Case 4 Case 5 Rater 1 Rater 2 Rater 2 Rater 4 History taking Communication Item 1 Item 1 Item 2 Item 2 Item 3 Item 3 Item … Item … Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Rating scales for communication skills

  19. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Rating scales for communication skills Hodges 2002

  20. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Calgary Cambridge Guide

  21. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano Calgary Cambridge Guide

  22. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano

  23. Assessment of Communication Skills in Medical EducationFebruary, 18th 2011 Lugano

More Related