Comparing student self-assessments of global communication with trained faculty and standardized patient assessments

2018 ◽  
Vol 10 (6) ◽  
pp. 779-784 ◽  
Author(s):  
Shane Ashley Pawluk ◽  
Monica Zolezzi ◽  
Daniel Rainkie
Keyword(s):  
Standardized Patient ◽  
Global Communication ◽  
Patient Assessments ◽  
Self Assessments

Comparison of resident self-assessments with trained faculty and standardized patient assessments of clinical and technical skills in a structured educational module

2008 ◽  
Vol 195 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Luke P. Brewster ◽  
Donald A. Risucci ◽  
Raymond J. Joehl ◽  
Fred N. Littooy ◽  
Barbara K. Temeck ◽  
...  
Keyword(s):  
Technical Skills ◽  
Standardized Patient ◽  
Educational Module ◽  
Patient Assessments ◽  
Self Assessments

The Use of Standardized Patient Assessments for Certification and Licensure Decisions

2009 ◽  
Vol 4 (1) ◽  
pp. 35-42 ◽  
Author(s):  
John R. Boulet ◽  
Sydney M. Smee ◽  
Gerard F. Dillon ◽  
John R. Gimpel
Keyword(s):  
Standardized Patient ◽  
Patient Assessments

scholarly journals Investigating the relation between self-assessment and patients’ assessments of physicians-in-training empathy: a multicentric, observational, cross-sectional study in three teaching hospitals in Brazil

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e029356 ◽  
Author(s):  
Mônica Oliveira Bernardo ◽  
Dario Cecilio-Fernandes ◽  
Alba Regina de Abreu Lima ◽  
Julian Furtado Silva ◽  
Hugo Dugolin Ceccato ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Teaching Hospitals ◽  
Reactivity Index ◽  
Secondary Outcome ◽  
Sectional Study ◽  
Self Assessment ◽  
Cross Sectional ◽  
Patient Assessments ◽  
Self Assessments ◽  
Physician Empathy

ObjectivesThis study investigated the associations between self-assessed empathy levels by physicians in training and empathy levels as perceived by their patients after clinical encounters. The authors also examined whether patient assessments were valid and reliable tools to measure empathy in physicians in training.DesignA multicentric, observational, cross-sectional study.SettingThis study was conducted in three public teaching hospitals in Brazil.ParticipantsFrom the 668 patients invited to participate in this research, 566 (84.7%) agreed. Of these, 238 (42%) were male and 328 (58%) were female. From the invited 112 physicians in training, 86 (76.8%) agreed. Of the 86 physicians in training, 35 (41%) were final-year medical students and 51 (59%) were residents from clinical and surgical specialties. The gender distribution was 39 (45%) males and 47 (51%) females.Primary and secondary outcome measuresPhysicians in training filled the Jefferson Scale of Physician Empathy (JSE) and the Interpersonal Reactivity Index. Patients answered the Jefferson Scale of Patient’s Perceptions of Physician Empathy (JSPPPE) and the Consultation and Relational Empathy Scale (CARE).ResultsThis study found non-significant correlations between patient and physicians-in-training self-assessments, except for a weak correlation (0.241, p<0.01) between the JSPPPE score and the JSE compassionate care subscore. CARE and JSPPPE scales proved to be valid and reliable instruments.ConclusionsPhysicians-in-training self-assessments of empathy differ from patient assessments. Knowledge about empathy derived from self-assessment studies probably does not capture the perspective of the patients, who are key stakeholders in patient-centred care. Future research on the development of physician empathy or on outcomes of educational interventions to foster empathy should include patient perspectives.

Validation of computer-mediated open-ended standardized patient assessments

1998 ◽  
Vol 50 (1-3) ◽  
pp. 235-241 ◽  
Author(s):  
L HEUN ◽  
D BRANDAU ◽  
X CHI ◽  
P WANG ◽  
J KANGAS
Keyword(s):  
Standardized Patient ◽  
Computer Mediated ◽  
Patient Assessments

Best Practices: The Feasibility of Standardized Patient Assessments as a Best Practice in an Academic Training Program

2013 ◽  
Vol 64 (3) ◽  
pp. 209-211 ◽  
Author(s):  
Melissa R. Arbuckle ◽  
Michael Weinberg ◽  
Kelli Jane K. Harding ◽  
Abby J. Isaacs ◽  
Nancy H. Covell ◽  
...  
Keyword(s):  
Best Practices ◽  
Training Program ◽  
Best Practice ◽  
Academic Training ◽  
Standardized Patient ◽  
Patient Assessments ◽  
Academic Training Program

scholarly journals Assessing the Acquisition of Core Clinical Skills through the Use of Serial Standardized Patient Assessments

2000 ◽  
Vol 75 (5) ◽  
pp. 480-483 ◽  
Author(s):  
Michael D. Prislin ◽  
Mark Giglio ◽  
Ellen M. Lewis ◽  
Sue Ahearn ◽  
Stephen Radecki
Keyword(s):  
Clinical Skills ◽  
Standardized Patient ◽  
Patient Assessments

scholarly journals Practice Makes Perfect: Training Residents in Difficult Encounters

PRiMER ◽  
2020 ◽  
Vol 4 ◽  
Author(s):  
Jack Wells ◽  
Nikole J. Cronk
Keyword(s):  
Clinical Skills ◽  
Deliberate Practice ◽  
Clinical Encounter ◽  
Simulated Patient ◽  
Standardized Patient ◽  
Difficult Patient ◽  
University Of Missouri ◽  
Resident Performance ◽  
Clinical Encounters ◽  
Self Assessments

Introduction: A significant number of patient encounters are perceived to be difficult. Residents receive little training in managing difficult clinical encounters, and lectures or traditional simulated patient encounters may not provide the opportunity to practice learned skills. Deliberate practice has been shown to be effective in training clinical skills. We used simulation with deliberate practice and feedback to train residents in difficult patient encounters. Methods: Twelve second-year residents in the University of Missouri Family and Community Medicine residency program participated in simulated patient encounters with difficult patients. The patients represented challenging personalities identified in a resident focus group. Resident performance was scored by the standardized patient, resident observers, and faculty instructor. Following debriefing with feedback, the residents repeated the clinical encounter incorporating the feedback. The sessions were scored again by the same individuals. Results: All scores improved from the first to second clinical encounter, except those that were at 100% for both encounters. The most improvement seen was in standardized patient scores. The smallest improvement was in provider self-scores. Conclusion: Resident performance improved according to all observers and their own self-assessments. These results are consistent with other studies that have demonstrated the effectiveness of deliberate practice in improving skills in other areas of medical education. Simulation-based learning with deliberate practice has the potential to improve resident management of difficult patient encounters.

scholarly journals LO78: Frailty Assessments of Older Canadians Using Emergency Health Services: The FOCUS Study

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S55 ◽  
Author(s):  
J.S. Lee
Keyword(s):  
Kappa Statistic ◽  
Adverse Outcomes ◽  
Future Research ◽  
Clinical Frailty Scale ◽  
Patient Assessments ◽  
Observational Cohort ◽  
Self Assessments ◽  
Research Assistants ◽  
Moca Score ◽  
Emergency Health Services

Introduction: The Clinical Frailty Scale (CFS) has been validated internationally to predict adverse outcomes and mortality. Frailty assessments in the Emergency Departments (ED) are challenging to due to a lack of training and time. We studied the use of a tablet-based CFS that used graphics and short descriptors to assist choice of the 9 frailty categories. Methods: We conducted a prospective observational cohort study of people &gt;65 years seen in the ED of 3 Canadian academic centers. We excluded critically ill patients, and those with significant visual impairment or inability to communicate in English or French. We compared agreement on the tablet-based CFS between 4 categories of assessors: Patients, ED Physicians, trained Research Assistance and Caregivers using the kappa statistic. Results: We enrolled 274/380 eligible patients who provided complete data (72.1%). Their average age was 75.8 years, and 48.9% were female. Their median MOCA score was 23/30 (IQR=17-26) and their median OARS was 26/28 (IQR 22-28). Agreement between physicians and research assistants was good (κ=0.60, 95% CI 0.50-0.70), as was physician-caregiver agreement and patient-caregiver agreement (κ=0.66, 95% CI 0.40-0.93). Agreement between physicians and patients was only moderate (κ=0.47, 95% CI 0.36-0.58). Conclusion: There was less agreement between physicians and patient self-assessments for the CFS compared to physicians-research assistant agreement and care-giver patient assessments of frailty. Future research should validate whether MD, patient, or caregiver rated CFS have higher predictive validity.

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