Is the use of videotape recording superior to verbal feedback alone in the teaching of clinical skills?
Tóm tắt
In recent times, medical schools have committed to developing good communication and history taking skills in students. However, there remains an unresolved question as to which constitutes the best educational method. Our study aims to investigate whether the use of videotape recording is superior to verbal feedback alone in the teaching of clinical skills and the role of student self-assessment on history taking and communication skills. A randomized controlled trial was designed. The study was conducted with 52 of the Dokuz Eylul University Faculty of Medicine second year students. All students' performances of communication and history taking skills were assessed twice. Between these assessments, the study group had received both verbal and visual feedback by watching their video recordings on patient interview; the control group received only verbal feedback from the teacher. Although the self-assessment of the students did not change significantly, assessors' ratings increased significantly for videotaped interviews at the second time. Feedback based on videotaped interviews is superior to the feedback given solely based on the observation of assessors.
Tài liệu tham khảo
Makoul G, Altman M: Early assessment of medical students' clinical skills. Acad Med. 2002, 77 (11): 1156-10.1097/00001888-200211000-00020.
Pfeiffer CA, Ardolino AJ, Madray H: The impact of a curriculum renewal project on students' performances on a fourth-year clinical skills assessment. Acad Med. 2001, 76 (2): 173-5. 10.1097/00001888-200102000-00017.
Mukohara K, Kitamura K, Wakabayashi H, Abe K, Sato J, Ban N: Evaluation of a communication skills seminar for students in a Japanese medical school: a non-randomized controlled study. BMC Med Educ. 2004, 18 (4): 24-10.1186/1472-6920-4-24.
Poirier MK, Clark MM, Cerhan JH, Pruthi S, Geda YE, Dale LC: Teaching motivational interviewing to first-year medical students to improve counseling skills in health behavior change. Mayo Clin Proc. 2004, 79: 327-31. 10.4065/79.3.327.
Vannatta JB, Smith KR, Crandall S, Fischer PC, Williams K: Comparison of standardized patients and faculty in teaching medical interviewing. Acad Med. 1996, 71 (12): 1360-2. 10.1097/00001888-199612000-00022.
Kalet A, Earp JA, Kowlowitz V: How well do faculty evaluate the interviewing skills of medical students?. J Gen Intern Med. 1992, 7 (5): 499-505. 10.1007/BF02599452.
Windish DM, Price EG, Clever SL, Magaziner JL, Thomas PA: Teaching medical students the important connection between communication and clinical reasoning. J Gen Intern Med. 2005, 20: 1108-13. 10.1111/j.1525-1497.2005.0244.x.
O'Keefe M, Sawyer M, Roberton D: Medical student interviewing skills and mother-reported satisfaction and recall. Med Educ. 2001, 35 (7): 637-44. 10.1046/j.1365-2923.2001.00971.x.
Simek-Downing L, Quirk M: Videotape analyses of medical students' interviewing skills. Fam Med. 1985, 17 (2): 57-60.
Nilsen S, Baerheim A: Feedback on video recorded consultations in medical teaching: why students loathe and love it - a focus-group based qualitative study. BMC Med Educ. 2005, 5: 28-10.1186/1472-6920-5-28. doi:10.1186/1472-6920-5-28
Roter DL, Larson S, Shinitzky H, Chernoff R, Serwint JR, Adamo G, Wissow L: Use of an innovative video feedback technique to enhance communication skills training. Med Educ. 2004, 38: 145-157. 10.1111/j.1365-2923.2004.01754.x.
Paul S, Dawson KP, Lanphear JC, Cheema MY: Video recording feedback: a feasible and effective approach to teaching history-taking and physical examination skills in undergraduate pediatric medicine. Med Educ. 1998, 32: 332-6. 10.1046/j.1365-2923.1998.00197.x.
Scheidt PC, Lazoritz S, Ebbeling WL, Figelman AR, Moessner HF, Singer JE: Evaluation of system providing feedback to students on videotaped patient encounters. J Med Educ. 1986, 61 (7): 585-90.
Mason JL, Barkley SE, Kappelman MM, Carter DE, Beachy WV: Evaluation of a self-instructional method for improving doctor-patient communication. J Med Educ. 1988, 63 (8): 629-35.
Shepherd D, Hammond P: Self-assessment of specific interpersonal skills of medical undergraduates using immediate feedback through closed-circuit television. Med Educ. 1984, 18 (2): 80-4. 10.1111/j.1365-2923.1984.tb00977.x.
Menahem S: Interviewing and examination skills in paediatric medicine: videotape analysis of student and consultant performance. J R Soc Med. 1987, 80: 138-42.
Lane JL, Gottlieb RP: Improving the interviewing and self-assessment skills of medical students: is it time to readopt videotaping as an educational tool?. Ambul Pediatr. 2004, 4 (3): 244-8. 10.1367/A03-122R1.1.
Smith PE, Fuller GN, Kinnersley P, Brigley S, Elwyn G: Using simulated consultations to develop communications skills for neurology trainees. Eur J Neurol. 2002, 9: 83-7. 10.1046/j.1468-1331.2002.00339.x.
Eaooskoon W, Sumawong V, Silpakit C: Evaluation of training medical students in patient-interviewing skills by three modes of learning. J Med Assoc Thai. 1996, 79: 526-30.
Del Mar C, Isaacs G: Teaching consultation skills by videotaping interviews: a study of student opinion. Med Teach. 1992, 14 (1): 53-8. 10.3109/01421599209044016.
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