gms | German Medical Science

Research in Medical Education – Chances and Challenges International Conference

20.05. - 22.05.2009, Heidelberg

Development of an Objective Structured Clinical Examination for Medical Psychology and Medical Sociology: assessing physician-patient communication

Meeting Abstract

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  • corresponding author presenting/speaker Sabine Fischbeck - Universität Mainz, Medizinische Psychologie und Medizinische Soziologie, Mainz, Germany
  • author Marianne Mauch - Universität Mainz, Medizinische Psychologie und Medizinische Soziologie, Mainz, Germany
  • author Wilfried Laubach - Universität Mainz, Medizinische Psychologie und Medizinische Soziologie, Mainz, Germany

Research in Medical Education - Chances and Challenges 2009. Heidelberg, 20.-22.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09rmeE6

DOI: 10.3205/09rme26, URN: urn:nbn:de:0183-09rme265

Published: May 5, 2009

© 2009 Fischbeck et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Poster

Medical students should be trained for an effective and patient oriented communication in typical physician-patient interactions. In Mainz best practice in those situations is been discussed and acquired on the basis of role plays in the course of Medical Psychology and Medical Sociology in the second semester. In a former study we didn’t find any correlation between a written exam and practical achievement [1]. This leads us to plan a practical exam. For this objective, we aimed at developing an Objective Structured Clinical Examination OSCE for the Medical Psychology courses. Communication skills of the students should be tested with seven stations related to main topics of physician-patient communication: anamnesis, compliance, informing about high blood pressure, side effects of medical treatment, enhancing health behaviour, stress and coping, information about diagnosis in the case of cancer (each 10 minutes). Standardized actors were instructed in written and verbally for these seven role plays. The candidates will be present a short written scenario to explaining the problem they have to solve. A ten point standardized checklist was developed for each station where the examiners register the demanded interaction elements. In January and February 2009 the examination will be performed by N = 190 students. Item difficulty, discrimination and reliability of the whole test as like as determinants of the students´ competence (e. g. age, sex, points in two short written exams) will be analysed. First results will be presented and discussed.


References

1.
Fischbeck S, Deister T, Schneider S. Qualifizierung Medizinstudierender zu patientenorientierter Kommunikation: Pilotprojekt zur Entwicklung und Anwendung einer Kompetenzprüfung. Z Med Psychol. 2009;18:2-12.