Completing the picture on student performances in OSCEs: A mixed-methods study on integration of a standardized patient rating

Lörwald, Andrea; Lahner, Felicitas-Maria; Stricker, Daniel; Huwendiek, Sören (2020). Completing the picture on student performances in OSCEs: A mixed-methods study on integration of a standardized patient rating (In Press). Patient education and counseling Elsevier Ireland 10.1016/j.pec.2020.06.026

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Objective: Good physician communication skills increase patient satisfaction and improve healing processes. Although physicians and patients appear to value communicative competencies differently, students are often evaluated solely by physicians. This study examines whether additional assessment of students by 'standardized patients' (SPs) is useful. Methods: During their Objective Structured Clinical Examination (OSCE) 238 medical students were additionally rated by SPs at 9 stations according to two items that defined the 'physician-patient relationship' and 'communication'. SPs were informed that their assessment was for research purposes only, with no impact on the assessment of the students. SPs also had the opportunity to comment on their rating of the students. Results: The SPs rated the communicative competencies of students differently than physicians. The two parts of the SP rating are closely related. Inclusion of SP rating in the OSCE would provide higher measurement precision, with more students failing. SPs considered five factors relevant in their rating: 'human connection', 'information flow', 'professionalism', 'competence', and 'exam situation'. Conclusion: Our study suggests inclusion of SP rating as additional assessment of student communication skills. Practice implications: Addition of SP rating in assessments is worthwhile, as it appears to complete the picture of the student performance in their OSCEs.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute for Medical Education
04 Faculty of Medicine > Medical Education > Institute for Medical Education > Assessment and Evaluation Unit (AAE)

UniBE Contributor:

Lörwald, Andrea Carolin; Lahner, Felicitas-Maria; Stricker, Daniel and Huwendiek, Sören

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0738-3991

Publisher:

Elsevier Ireland

Language:

English

Submitter:

Eveline Götschmann-Meile

Date Deposited:

09 Jul 2020 15:20

Last Modified:

26 Jul 2020 06:30

Publisher DOI:

10.1016/j.pec.2020.06.026

PubMed ID:

32631649

BORIS DOI:

10.7892/boris.145096

URI:

https://boris.unibe.ch/id/eprint/145096

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