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Medical Students' Experiences and Outcomes Using a Virtual Human Simulation to Improve Communication Skills: Mixed

Timothy C Guetterman1, Rae Sakakibara2, Srikar Baireddy2

  • 1Creighton University, Omaha, NE, United States.

Journal of Medical Internet Research
|November 28, 2019
PubMed
Summary
This summary is machine-generated.

Virtual human simulations effectively train healthcare providers in empathic communication, significantly improving objective structured clinical exam scores. Learners gained valuable verbal and nonverbal communication skills, with higher performers emphasizing nonverbal aspects.

Keywords:
cancercomputer simulationempathyhealth communicationinformaticsinterprofessional relationsnonverbal communicationphysician-nurse relationsvirtual reality

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Area of Science:

  • Medical Education
  • Health Communication
  • Virtual Reality Simulation

Background:

  • Empathic communication is crucial for reducing medical errors and improving patient outcomes, particularly in cancer care.
  • A virtual human (VH)-based simulation, MPathic-VR, was developed to enhance empathic communication skills in healthcare settings.
  • The effectiveness of MPathic-VR was evaluated through a randomized controlled trial involving healthcare providers.

Purpose of the Study:

  • To investigate the differential effects of a VH-based simulation on empathic communication skills.
  • To assess improvements in patient-provider and interprofessional communication through simulation.
  • To compare simulation-based scores with objective clinical performance measures.

Main Methods:

  • A mixed methods intervention design was used, comparing MPathic-VR scores with Objective Structured Clinical Exam (OSCE) scores.
  • Medical students (n=206) at three US institutions participated in the simulation to improve empathic communication.
  • Quantitative analysis of variance and qualitative thematic text analysis were performed.

Main Results:

  • Learners in the intervention group showed significantly improved OSCE scores compared to the control group (P=.01).
  • Qualitative analysis revealed themes of enhanced communication skills, awareness of nonverbal cues, and increased motivation to learn.
  • Mixed methods analysis indicated that nonverbal behaviors most significantly differentiated performance levels.

Conclusions:

  • Virtual human simulations offer a promising approach to enhance empathic communication in healthcare.
  • Higher-performing learners demonstrated increased engagement, particularly with nonverbal communication skills.
  • MPathic-VR simulation is effective in improving both objective performance and learner motivation in communication skills training.