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dc.contributor.authorGude, Tore
dc.contributor.authorGrimstad, Hilde
dc.contributor.authorHolen, Are
dc.contributor.authorAnvik, Tor
dc.contributor.authorBaerheim, Anders
dc.contributor.authorFasmer, Ole Bernt
dc.contributor.authorHjortdahl, Per
dc.contributor.authorVaglum, Per Jørgen Wiggen
dc.date.accessioned2016-03-10T10:39:15Z
dc.date.available2016-03-10T10:39:15Z
dc.date.issued2015-12-18
dc.description.abstractBackground: In medical education, teaching methods offering intensive practice without high utilization of faculty resources are needed. We investigated whether simulated patients’ (SPs’) satisfaction with a consultation could predict professional observers’ assessment of young doctors’ communication skills. <p>Methods: This was a comparative cross-sectional study of 62 videotaped consultations in a general practice setting with young doctors who were finishing their internship. The SPs played a female patient who had observed blood when using the toilet, which had prompted a fear of cancer. Immediately afterwards, the SP rated her level of satisfaction with the consultation, and the scores were dichotomized into satisfaction or dissatisfaction. Professional observers viewed the videotapes and assessed the doctors’ communication skills using the Arizona Communication Interview Rating Scale (ACIR). Their ratings of communication skills were dichotomized into acceptable versus unacceptable levels of competence. <p>Results: The SPs’ satisfaction showed a predictive power of 0.74 for the observers’ assessment of the young doctors and whether they reached an acceptable level of communication skills. The SPs’ dissatisfaction had a predictive power of 0.71 for the observers’ assessment of an unacceptable communication level. The two assessment methods differed in 26 % of the consultations. When SPs felt relief about their cancer concern after the consultation, they assessed the doctors’ skills as satisfactory independent of the observers’ assessment. <p>Conclusions: Accordance between the dichotomized SPs’ satisfaction score and communication skills assessed by observers (using the ACIR) was in the acceptable range. These findings suggest that SPs’ satisfaction scores may provide a reliable source for assessing communication skills in educational programs for medical trainees (students and young doctors). Awareness of the patient’s concerns seems to be of vital importance to patient satisfaction.en_US
dc.descriptionPublished Version, also available at <a href=http://dx.doi.org/10.1186/s12909-015-0508-x>http://dx.doi.org/10.1186/s12909-015-0508-x</a>en_US
dc.identifier.citationBMC Medical Education 2015, 15:225en_US
dc.identifier.cristinIDFRIDAID 1303201
dc.identifier.doi10.1186/s12909-015-0508-x
dc.identifier.issn1472-6920
dc.identifier.urihttps://hdl.handle.net/10037/8835
dc.identifier.urnURN:NBN:no-uit_munin_8409
dc.language.isoengen_US
dc.publisherBioMed Centralen_US
dc.rights.accessRightsopenAccess
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Andre klinisk medisinske fag: 799en_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Other clinical medical disciplines: 799en_US
dc.subjectCommunication skillsen_US
dc.subjectSimulated patientsen_US
dc.subjectMedical traineesen_US
dc.subjectYoung doctorsen_US
dc.subjectMedical studentsen_US
dc.titleCan we rely on simulated patients' satisfaction with their consultation for assessing medical students' communication skills? A cross-sectional studyen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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