Assessment of medical students' shared decision-making skills in simulated physician-patient encounters
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Assessment of medical students' shared decision-making skills in simulated physician-patient encounters. / Waschwill, Alexander; Bittner, Anja; Harendza, Sigrid.
In: PATIENT EDUC COUNS, Vol. 103, No. 3, 03.2020, p. 500-504.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Assessment of medical students' shared decision-making skills in simulated physician-patient encounters
AU - Waschwill, Alexander
AU - Bittner, Anja
AU - Harendza, Sigrid
N1 - Copyright © 2019 Elsevier B.V. All rights reserved.
PY - 2020/3
Y1 - 2020/3
N2 - OBJECTIVE: To compare shared decision-making skills of medical students who voluntarily translate medical documents into plain language with students who do not participate in this voluntary task.METHODS: 29 medical students who voluntarily translated medical documents for patients into plain language on the online-platform https://washabich.de (WHI group) and 29 medical students who did not (non-WHI group) participated in a simulated virtual consultation hour. Via skype, participants communicated with six simulated patients. All conversations were transcribed and a blinded rater assessed them with the OPTION scale for shared decision-making.RESULTS: The WHI group received significantly (p < .001) higher total scores for shared decision-making with the OPTION scale than the non-WHI group. The greatest differences in scores were found for the items "The clinician checks that the patient has understood the information." (WHI: 2.98 ± 0.77 vs. non-WHI: 2.61 ± 0.89, p < .001) and "The clinician offers the patient explicit opportunities to ask questions during the decision-making process." (WHI: 2.83 ± 1.00 vs. non-WHI: 2.40 ± 1.07, p < .001).CONCLUSION: Written translation of medical documents is associated with significantly better OPTION scores for shared decision-making in simulated physician-patient encounters.PRACTICE IMPLICATIONS: To use written medial translation exercises in general to improve medical students' shared decision-making skills.
AB - OBJECTIVE: To compare shared decision-making skills of medical students who voluntarily translate medical documents into plain language with students who do not participate in this voluntary task.METHODS: 29 medical students who voluntarily translated medical documents for patients into plain language on the online-platform https://washabich.de (WHI group) and 29 medical students who did not (non-WHI group) participated in a simulated virtual consultation hour. Via skype, participants communicated with six simulated patients. All conversations were transcribed and a blinded rater assessed them with the OPTION scale for shared decision-making.RESULTS: The WHI group received significantly (p < .001) higher total scores for shared decision-making with the OPTION scale than the non-WHI group. The greatest differences in scores were found for the items "The clinician checks that the patient has understood the information." (WHI: 2.98 ± 0.77 vs. non-WHI: 2.61 ± 0.89, p < .001) and "The clinician offers the patient explicit opportunities to ask questions during the decision-making process." (WHI: 2.83 ± 1.00 vs. non-WHI: 2.40 ± 1.07, p < .001).CONCLUSION: Written translation of medical documents is associated with significantly better OPTION scores for shared decision-making in simulated physician-patient encounters.PRACTICE IMPLICATIONS: To use written medial translation exercises in general to improve medical students' shared decision-making skills.
U2 - 10.1016/j.pec.2019.09.013
DO - 10.1016/j.pec.2019.09.013
M3 - SCORING: Journal article
C2 - 31543355
VL - 103
SP - 500
EP - 504
JO - PATIENT EDUC COUNS
JF - PATIENT EDUC COUNS
SN - 0738-3991
IS - 3
ER -