Impact of two types of Internet-based information on medical students' performance in an Objective Structured Clinical Exam (OSCE).

Abstract:

OBJECTIVES:Internet-based information has potential to impact physician-patient relationships. This study examined medical students' interpretation and response to such information presented during an objective clinical examination. METHOD:Ninety-three medical students who had received training for a patient centered response to inquiries about alternative treatments completed a comprehensive examination in their third year. In 1 of 12 objective structured clinical exams, a SP presented Internet-based information on l-theanine - an amino acid available as a supplement. In Condition A, materials were from commercial websites; in Condition B, materials were from the PubMed website. RESULTS:Analyses revealed no significant differences between Conditions in student performance or patient (SP) satisfaction. Students in Condition A rated the information less compelling than students in Condition B (z=-1.78, p=.037), and attributed less of the treatment's action to real vs. placebo effects (z=-1.61, p=.053). CONCLUSIONS:Students trained in a patient centered response to inquiries about alternative treatment perceived the credibility of the two types of Internet-based information differently but were able to respond to the patient without jeopardizing patient satisfaction. Approach to information was superficial. Training in information evaluation may be warranted.

journal_name

Patient Educ Couns

authors

Elder WG Jr,Dassow PL,Bruckner GG,Stratton TD

doi

10.1016/j.pec.2008.12.014

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

5-9

issue

1

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(08)00656-3

journal_volume

76

pub_type

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