Abstract:
CONTEXT:Effective communication skills are at the core of good health care. Simulated patients (SPs) are increasingly engaged as an interactive means of teaching, applying and practising communication skills with immediate feedback. There is a large body of research into the use of manikin-based simulation but a gap exists in the body of research on the effectiveness of SP-based education to teach communication skills that impact patient outcomes. The aim of this systematic review was to critically analyse the existing research, investigating whether SP-based communication skills training improves learner-patient communication, how communication skill improvement is measured, and who measures these improvements. METHODS:The databases Medline, ProQuest (Health & Medical Complete, Nursing and Allied Health Source) and CINAHL (EBSCOhost) Education Resources Information Centre (ERIC) were searched for articles that investigated the effects of SP-based education on the communication skills of medical, nursing and allied health learners. RESULTS:There were 60 studies included in the review. Only two studies reported direct patient outcomes, one reporting some negative impact, and no studies included an economic analysis. Many studies reported statistically significant third-party ratings of improved communication effectiveness following SP-based education; however, studies were unable to be pooled for meta-analysis because of the outcome collection methods. There were a small number of studies comparing SP with no training at all and there were no differences between communication skills, contradicting the results from studies reporting benefits. Of the 60 studies included for analysis, 54 (90%) met the minimum quality score of 7/11, with four articles (7%) scoring 11/11. CONCLUSION:SP-based education is widely accepted as a valuable and effective means of teaching communication skills but there is limited evidence of how this translates to patient outcomes and no indication of economic benefit for this type of training over another method.
journal_name
Med Educjournal_title
Medical educationauthors
Kaplonyi J,Bowles KA,Nestel D,Kiegaldie D,Maloney S,Haines T,Williams Cdoi
10.1111/medu.13387subject
Has Abstractpub_date
2017-12-01 00:00:00pages
1209-1219issue
12eissn
0308-0110issn
1365-2923journal_volume
51pub_type
杂志文章,评审abstract:CONTEXT:Twitter is a social media platform on which users post very brief messages that can be rapidly communicated across wide geographical areas and audiences. Many doctors use Twitter for personal as well as professional communications and networking. The #TipsForNewDocs hashtag is used on Twitter to give advice to ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13589
更新日期:2018-07-01 00:00:00
abstract:CONTEXT:Simulated patients (SPs) are extensively used in the teaching of medical communication, both for students and doctors. They occupy a unique middle ground between patients and physicians: although free from the prejudices that medical training brings, they work closely with clinical tutors to promote the princip...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13547
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVES:Doctors make many transitions whilst they are training and throughout their ensuing careers. Despite studies showing that transitions in other high-risk professions such as aviation have been linked to increased risk in the form of adverse outcomes, the effects of changes on doctors' performance and conseque...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.04048.x
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVES:Interprofessional education (IPE) aims to provide students with the opportunity to develop and demonstrate the team working behaviors and skills that will lead to positive patient outcomes. This systematic review aims to identify and critically appraise the assessment tools used after a pre-licensure IPE int...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.14453
更新日期:2021-01-13 00:00:00
abstract::The academic performance of 104 fourth-year medical students was assessed in relation to their sleep habits reported in a questionary and their scores on the Minnesota Multiphasic Personality Inventory. Poorer academic performance was related significantly to later times of waking up in the morning, particularly at we...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb00432.x
更新日期:1976-05-01 00:00:00
abstract:CONTEXT:'Transfer' is the application of a previously learned concept to solve a new problem in another context. Transfer is essential for basic science education because, to be valuable, basic science knowledge must be transferred to clinical problem solving. Therefore, better understanding of interventions that enhan...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.13519
更新日期:2018-06-01 00:00:00
abstract:CONTEXT:Admissions interviews are unreliable and have poor predictive validity, yet are the sole measures of non-cognitive skills used by most medical school admissions departments. The low reliability may be due in part to variation in conditional reliability across the rating scale. OBJECTIVES:To describe an empiric...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02634.x
更新日期:2007-01-01 00:00:00
abstract:CONTEXT:Authentic early experience (AEE) describes experiences provided to new medical students to undertake 'human contact' to enhance learning. Although the concept of AEE is not new, and was commonplace prior to the Flexner Report of 1910, little is known about how or why meaning and knowledge are constructed throug...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2012.04287.x
更新日期:2013-01-01 00:00:00
abstract::This report describes the results of the project 'Assessment of Undergraduate Medical Education: Re-inventing the Wheel?' funded by the Nuffield Trust. The project was initiated in order to obtain information on current assessment practices in medical schools across the UK, to determine the extent of change as a conse...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.0340s1001.x
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the impact of 3 years' ethics teaching (30 hours mainly small group teaching in year 1, 14 hours mainly lecture-type teaching in years 2 and 3) on students' proposed behaviour on encountering ethical dilemmas. DESIGN:Cohort design. SETTING:University of Glasgow Medical School. SUBJECTS:A cohort...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01176.x
更新日期:2002-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.37.s1.5.x
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The training of caring physicians represents an important goal of medical education. Little is known however, on whether medical faculty constitute good role models for teaching humanistic skills to medical students. In this study, we examined to what extent medical students at innovative and ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00543.x
更新日期:2000-08-01 00:00:00
abstract:CONTEXT:Reflection has been considered crucial to learning. Engaging in reflection while solving problems is expected to foster identification of knowledge gaps and interest in learning more about them, the latter being a major motivational force in learning. Although theoretically sound, this assumption still lacks em...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13491
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:Objective structured clinical examination (OSCE) standard-setting procedures are not well developed and are often time-consuming and complex. We report an evaluation of a simple 'contrasting groups' method, applied to an OSCE conducted simultaneously in three separate schools. SUBJECTS:Medical students unde...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.01041.x
更新日期:2001-11-01 00:00:00
abstract:CONTEXT:Script concordance test (SCT) scores are intended to reflect respondents' competence in interpreting clinical data under conditions of uncertainty. The validity of inferences based on SCT scores has not been rigorously established. OBJECTIVES:This study was conducted in order to develop a structured validity a...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2010.03863.x
更新日期:2011-04-01 00:00:00
abstract::In September 1974 candidates who had taken a computerized patient managment problem examination (CPMP), as part of the certification process in paediatrics required by the Royal College of Physicians and Surgeons of Canada, completed a questionnaire designed to elicit their reactions to CPMPs. The results indicated th...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb01494.x
更新日期:1976-09-01 00:00:00
abstract:CONTEXT:Resources for medical education are becoming more constrained, whereas accountability in medical education is increasing. In this constrictive environment, medical schools need to consider and justify their selection procedures in terms of costs and benefits. To date, there have been no studies focusing on this...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13698
更新日期:2018-12-01 00:00:00
abstract:CONTEXT:Accreditation of medical education programmes is becoming increasingly prevalent worldwide, but beyond the face validity of these quality assurance methods, data linking accreditation to improved student outcomes are limited. Mexico and the Philippines both have voluntary systems of medical education accreditat...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.04212.x
更新日期:2012-06-01 00:00:00
abstract:CONTEXT:In health professions education, tests have traditionally been used to assess the skills and knowledge of learners. More recently, research in psychology and education has shown that tests can also be used to enhance student memory; a phenomenon called the 'testing effect'. Much of the research in this domain h...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12302
更新日期:2014-02-01 00:00:00
abstract:INTRODUCTION:Globally, people with the academic and personal attributes to successfully study medicine experience disadvantages associated with sociodemographic factors. Governments have attempted to address this issue via macrolevel policies aimed at widening participation (WP) to medicine. These policies differ by co...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14442
更新日期:2020-12-21 00:00:00
abstract:CONTEXT:Electives are part of most Western medical school curricula. It is estimated that each year 3000-4000 undergraduate medical students from the UK alone undertake an elective in a developing country. The impact of these electives has given some cause for concern, but the views of elective hosts are largely missin...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12727
更新日期:2015-06-01 00:00:00
abstract::South Africa is undergoing tremendous political and social change affecting every sphere of society, including medical education and the delivery of health services. The legacy of its history created a health system that in some respects can be compared to the best in the world, but one also characterized by inequity,...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00545.x
更新日期:1999-10-01 00:00:00
abstract::It is important to provide an epidemiological presence when teaching clinical medicine to undergraduate medical students in order to supply the underlying facts about disease. A series of pictorial or tabular presentations which together make up a 'master set' of Data Boards has been designed to give the medical stude...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb00480.x
更新日期:1976-11-01 00:00:00
abstract:CONTEXT:Clinical context may act as both an aid to decision making and a source of bias contributing to medical error. The effect of clinical history, a form of clinical context, on the diagnostic accuracy of the physical examination is unknown. METHODS:We randomised internal medicine residents to receive either no hi...
journal_title:Medical education
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2923.2010.03896.x
更新日期:2011-04-01 00:00:00
abstract:APPROACH:Theme-oriented discourse analysis looks at how language constructs professional practice. Recordings of naturally occurring interactions are transcribed and combined with ethnographic knowledge. Analytic themes drawn primarily from sociology and linguistics shed light on how meaning is negotiated in interactio...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02171.x
更新日期:2005-06-01 00:00:00
abstract::This paper describes a strategy for helping students to learn about laboratory and radiological investigations in diagnosis and management, and to make decisions about the use of investigations, taking into account such features as safety, patient comfort and cost. Learning takes place through the use of a programmed ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02310.x
更新日期:1981-01-01 00:00:00
abstract::This study was undertaken to clarify the goals of the clinical general practitioner attachment scheme at the University of Queensland. Emphasis was placed on comparing the aims of the academics, the general practitioner preceptors and the students. Prior to the 2-week attachments students selected a different set of g...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1980.tb02392.x
更新日期:1980-11-01 00:00:00
abstract:OBJECTIVE:To investigate the relationship between psychological constructs related to professional and research integrity and moral reasoning among medical students. METHODS:Medical students, 2nd-year (n = 208, 85.6% of 243 enrolled students), answered the moral reasoning test-defining issues test 2 (DIT2) and the Mac...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02391.x
更新日期:2006-03-01 00:00:00
abstract:CONTEXT:A student's academic success in graduate and professional school may depend on prior knowledge. However, these students may not see important and necessary material for extended periods of time between their pre-requisites and their new course work. As such, they are more prone to being unable to access availab...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14162
更新日期:2020-10-01 00:00:00
abstract:CONTEXT:Despite evidence for the predictive value of both pre-admission characteristics and past performance at medical school, their relative contribution to predicting medical school performance has not been thoroughly investigated. OBJECTIVES:This study was designed to determine the relative importance of pre-admis...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12779
更新日期:2015-09-01 00:00:00