Dataset Information

Videotaped Unannounced Standardized Patient Encounters to Evaluate Interpersonal and Communication Skills in Emergency Medicine Residents.

ABSTRACT: Background:Communication and interpersonal skills are important for effective patient care but are difficult to measure. Unannounced standardized patient encounters (USPEs) have the benefit of providing a standardized situation and provide a representation of usual care rather than best behavior, while also allowing for video recording without violating patient privacy. We conducted a feasibility pilot study to examine the use of videotaped USPEs in resident education of interpersonal and communication skills and specifically empathy. Methods:This was a pilot study conducted at an urban community teaching hospital. About 16 first-year emergency medicine engaged in four videotaped USPEs during their normal clinical shifts during 1 academic year. All visible recording equipment was concealed from the residents. The standardized patients completed two assessment forms after each encounter to measure empathy. Results:All 16 residents engaged in four videotaped USPEs for a total of 64 encounters. Conclusions:We were able to successfully demonstrate the feasibility of using USPEs for assessment of resident interpersonal and communication skills.

SUBMITTER: Chung AS

PROVIDER: S-EPMC7592816 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Videotaped Unannounced Standardized Patient Encounters to Evaluate Interpersonal and Communication Skills in Emergency Medicine Residents.

Chung Arlene S AS Bogoch Sally S Mody Shivani S Smith Colleen C Pushkar Illya I Drapkin Jefferson J Saloum David D

AEM education and training 20191115 4

<h4>Background</h4>Communication and interpersonal skills are important for effective patient care but are difficult to measure. Unannounced standardized patient encounters (USPEs) have the benefit of providing a standardized situation and provide a representation of usual care rather than best behavior, while also allowing for video recording without violating patient privacy. We conducted a feasibility pilot study to examine the use of videotaped USPEs in resident education of interpersonal an ...[more]

PMID: 33150286

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Project description:BACKGROUND: To date, no standardized presentation format is taught to emergency medicine (EM) residents during patient handoffs to consulting or admitting physicians. The Situation-Background-Assessment-Recommendation (SBAR) is a common format that provides a consistent framework to communicate pertinent information. OBJECTIVE: The objective of this study was to describe and evaluate the feasibility of using SBAR to teach interphysician communication skills to first-year EM residents to use during patient handoffs. METHODS: An educational study was designed as part of a pilot curriculum to teach first-year EM residents handoff communication skills. A standardized SBAR reporting format was taught during a 1-hour didactic intervention. All residents were evaluated using pretest/posttest simulated cases using a 17-item SBAR checklist initially, and then within 4 months to assess retention of the tool. A survey was distributed to determine resident perceptions of the training and potential clinical utility. RESULTS: There was a statistically significant improvement from the resident scores on the pretest/posttest of the first case (P = .001), but there was no difference between posttest of the first case and pretest of the second case (P = .34), suggesting retention of the material. There was a statistically significant improvement from the pretest and posttest scores on the second case (P = .001). The survey yielded good reliability for both sessions (Cronbach alpha = 0.87 and 0.89, respectively), demonstrating statistically significant increases for the perceived quality of training, presentation comfort level, and the use of SBAR (P = .001). CONCLUSION: SBAR was acceptable to first-year EM residents, with improvements in both the ability to apply SBAR to simulated case presentations and retention at a follow-up session. This format was feasible to use as a training method and was well received by our resident physicians. Future research will be useful in examining the general applicability of the SBAR model for interphysician communications in the clinical environment and residency training programs.

Dataset Information

Videotaped Unannounced Standardized Patient Encounters to Evaluate Interpersonal and Communication Skills in Emergency Medicine Residents.

Publications

Videotaped Unannounced Standardized Patient Encounters to Evaluate Interpersonal and Communication Skills in Emergency Medicine Residents.

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