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Related Experiment Videos

Using simulated consultations to develop communications skills for neurology trainees.

Philip E M Smith1, Geraint N Fuller, Paul Kinnersley

  • 1Department of Neurology, School of Postgraduate Studies, University of Wales College of Medicine, Cardiff, UK. smithpe@cardiff.ac.uk

European Journal of Neurology
|January 11, 2002
PubMed
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Neurology trainees found simulated patient consultations valuable for improving clinical communication and information delivery. This videotaped method enhances history-taking skills and is recommended for neurology training and assessment.

Area of Science:

  • Medical Education
  • Clinical Skills Training
  • Neurology

Background:

  • Effective communication is crucial in clinical medicine.
  • Formal communication skills training is lacking for specialist and general medicine trainees.
  • Neurology specialist registrars require enhanced communication training.

Purpose of the Study:

  • To evaluate the acceptability and usefulness of videotaped simulated consultations for training neurology specialist registrars.
  • To assess the impact of video recording and simulated patients on communication skills.
  • To determine the value of this training method for improving clinical skills and information impartation.

Main Methods:

  • Twelve neurology specialist registrars participated in simulated consultations.

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  • Videotaped recordings of these consultations were used for evaluation.
  • Trainees' perceptions were assessed using quantified scales (visual analogue scores) and focus groups.

    • Main Results:

    • 11 out of 12 trainees found the exercise useful for improving clinical skills and imparting information.
    • Median usefulness scores for history taking and information impartation were 91% and 90%, respectively.
    • Perceived usefulness for communication skills significantly increased after using video and simulated patients (P < 0.02).

    Conclusions:

    • Videotaped consultations with simulated patients are highly valued by most neurology trainees.
    • The technique effectively improves history-taking and information delivery skills.
    • This method is suitable for wider use in neurology training and potentially for assessment.