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Training students with patient actors improves communication: a pilot study.

Heather A Anderson1, Jack Young, Danica Marrelli

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Optometry and Vision Science : Official Publication of the American Academy of Optometry
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PubMed
Summary

Simulated patient encounters with feedback improved optometry students' communication skills. Five interactions enhanced student performance ratings and recommendations, as assessed by masked examiners.

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Area of Science:

  • Medical Education
  • Ophthalmology
  • Communication Skills Training

Background:

  • Effective patient communication is crucial for health outcomes and satisfaction.
  • Training optometric students in challenging communication scenarios, like discussing vision loss, is difficult.
  • Simulated patient encounters offer a potential training solution.

Purpose of the Study:

  • To evaluate the effectiveness of simulated patient encounters using actors for training optometric students.
  • To assess the impact of instructor feedback on communication skill development.

Main Methods:

  • Optometry students participated in simulated patient encounters with actors.
  • An enrichment group (n=6) received five feedback-driven interactions.
  • A control group (n=4) had two interactions without feedback.
  • Performance was assessed via subjective ratings, recommendation likelihood, and American Board of Internal Medicine (ABIM) communication skills assessment.

Main Results:

  • Students receiving enrichment showed significantly greater improvement in performance ratings by masked examiners and self-evaluation.
  • The proportion of students recommended to others increased significantly for masked examiners after enrichment.
  • No significant differences were found in ABIM assessment scores across groups.

Conclusions:

  • Five simulated patient encounters with instructor feedback measurably improve optometric students' patient communication skills.
  • The study highlights the value of simulated patient feedback in medical education.