'Difficult Conversations with Patients'-A Modified Group Objective Structured Clinical Experience for Medical
Piotr Przymuszała1, Patrycja Marciniak-Stępak2,3, Magdalena Cerbin-Koczorowska1
1Department of Medical Education, Poznan University of Medical Sciences, 60-806 Poznan, Poland.
Summary
A modified Group Objective Structured Clinical Experience (GOSCE) improved medical students' communication skills and attitudes. The intervention was effective for both active participants and observers, despite some motivation score decreases.
Area of Science:
- Medical Education
- Communication Skills Training
Background:
- Limited resources often challenge effective medical education.
- Difficult conversations are a critical area for communication skills development in medical students.
Purpose of the Study:
- To evaluate a modified Group Objective Structured Clinical Experience (GOSCE) for teaching difficult conversations.
- To assess differences in outcomes between active student participants and observers.
Main Methods:
- A pre-post analysis of attitudes and self-efficacy was conducted on 126 sixth-year medical students.
- The study involved a modified GOSCE intervention focused on communication skills.
- Data were collected through questionnaires assessing communication skills, attitudes, and opinions.
Main Results:
- Significant improvements were observed in self-efficacy and attitudes towards communication learning for both active participants and observers.
- A decrease in motivation scores was noted, particularly among female students.
- Students reported positive opinions regarding the GOSCE intervention and its components.
Conclusions:
- The modified GOSCE is an effective and enjoyable learning experience for medical students, particularly under resource constraints.
- Curriculum adjustments may be needed to enhance the perceived importance of communication learning.
- Further investigation into motivation score changes is warranted.
Keywords:
delivering bad news to patientsdifficult conversations with patientsgroup objective structured clinical experiencemedical studentssimulated patientsMore Related Videos
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