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dc.contributor.authorGude, Tore
dc.contributor.authorGrimstad, Hilde
dc.contributor.authorHolen, Are
dc.contributor.authorAnvik, Tor
dc.contributor.authorBaerheim, Anders
dc.contributor.authorFasmer, Ole Bernt
dc.contributor.authorHjortdahl, Per
dc.contributor.authorVaglum, Per Jørgen Wiggen
dc.date.accessioned2016-02-17T10:15:39Z
dc.date.accessioned2016-05-11T08:53:23Z
dc.date.available2016-02-17T10:15:39Z
dc.date.available2016-05-11T08:53:23Z
dc.date.issued2015-12-18
dc.identifier.citationBMC Medical Education 2015, 15:225nb_NO
dc.identifier.issn1472-6920
dc.identifier.urihttp://hdl.handle.net/11250/2389028
dc.description.abstractBackground In medical education, teaching methods offering intensive practice without high utilization of faculty resources are needed. We investigated whether simulated patients’ (SPs’) satisfaction with a consultation could predict professional observers’ assessment of young doctors’ communication skills. Methods This was a comparative cross-sectional study of 62 videotaped consultations in a general practice setting with young doctors who were finishing their internship. The SPs played a female patient who had observed blood when using the toilet, which had prompted a fear of cancer. Immediately afterwards, the SP rated her level of satisfaction with the consultation, and the scores were dichotomized into satisfaction or dissatisfaction. Professional observers viewed the videotapes and assessed the doctors’ communication skills using the Arizona Communication Interview Rating Scale (ACIR). Their ratings of communication skills were dichotomized into acceptable versus unacceptable levels of competence. Results The SPs’ satisfaction showed a predictive power of 0.74 for the observers’ assessment of the young doctors and whether they reached an acceptable level of communication skills. The SPs’ dissatisfaction had a predictive power of 0.71 for the observers’ assessment of an unacceptable communication level. The two assessment methods differed in 26 % of the consultations. When SPs felt relief about their cancer concern after the consultation, they assessed the doctors’ skills as satisfactory independent of the observers’ assessment. Conclusions Accordance between the dichotomized SPs’ satisfaction score and communication skills assessed by observers (using the ACIR) was in the acceptable range. These findings suggest that SPs’ satisfaction scores may provide a reliable source for assessing communication skills in educational programs for medical trainees (students and young doctors). Awareness of the patient’s concerns seems to be of vital importance to patient satisfaction.nb_NO
dc.language.isoengnb_NO
dc.publisherBioMed Centralnb_NO
dc.rightsNavngivelse 3.0 Norge*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/no/*
dc.titleCan we rely on simulated patients' satisfaction with their consultation for assessing medical students' communication skills? A cross-sectional studynb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.date.updated2016-02-17T10:15:39Z
dc.source.volume15nb_NO
dc.source.journalBMC Medical Educationnb_NO
dc.source.issue225nb_NO
dc.identifier.doi10.1186/s12909-015-0508-x
dc.identifier.cristin1303201
dc.description.localcode© 2015 Gude et al. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://​creativecommons.​org/​licenses/​by/​4.​0/​), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://​creativecommons.​org/​publicdomain/​zero/​1.​0/​) applies to the data made available in this article, unless otherwise stated.nb_NO


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Navngivelse 3.0 Norge
Except where otherwise noted, this item's license is described as Navngivelse 3.0 Norge