Web-based objective structured clinical examination with remote standardized patients and Skype: resident experience.

Abstract:

OBJECTIVE:Using Skype and remote standardized patients (RSPs), investigators sought to evaluate user acceptance of a web-based objective structured clinical examination (OSCE) among resident physicians. METHODS:After participating in four web-based clinical encounters addressing pain with RSPs, 59 residents from different training programs, disciplines and geographic locations completed a 52-item questionnaire regarding their experience with Skype and RSPs. Open-ended responses were solicited as well. RESULTS:The majority of participants (97%) agreed or strongly agreed the web-based format was convenient and a practical learning exercise, and 90% agreed or strongly agreed the format was effective in teaching communication skills. Although 93% agreed or strongly agreed they could communicate easily with RSPs using Skype, 80% preferred traditional face-to-face clinical encounters, and 58% reported technical difficulties during the encounters. Open-ended written responses supported survey results. CONCLUSION:Findings from this study expose challenges with technology and human factors, but positive experiences support the continued investigation of web-based OSCEs as a synchronous e-learning initiative for teaching and assessing doctor-patient communication. Such educational programs are valuable but unlikely to replace face-to-face encounters with patients. PRACTICE IMPLICATIONS:This web-based OSCE program provides physician learners with additional opportunity to improve doctor-patient communication.

journal_name

Patient Educ Couns

authors

Langenau E,Kachur E,Horber D

doi

10.1016/j.pec.2014.04.016

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

55-62

issue

1

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(14)00177-3

journal_volume

96

pub_type

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