Shared Decision-Making With a Virtual Patient in Medical Education: Mixed Methods Evaluation Study

Area of Science:

• Medical Education
• Health Professions Education
• Clinical Communication Skills Training

Background:

• Shared decision-making (SDM) is crucial for patient-centered care, requiring specific communication skills.
• Virtual patients (VPs) offer a simulated environment for practicing clinical skills, including communication.
• The application of VPs specifically for SDM skill development is an emerging area with limited research.

Purpose of the Study:

• To evaluate a virtual patient (VP) workshop designed to enhance medical students' SDM communication skills.
• To assess the usability and impact of a multiple-choice VP on practicing SDM.

Main Methods:

• A mixed-methods approach using pre- and post-intervention questionnaires and semistructured interviews.
• Quantitative data from questionnaires assessed participant views on the VP.
• Qualitative data from interviews explored participants' experiences and perceptions in depth.

Main Results:

• Participants found the VP enjoyable and user-friendly.
• A shift in priority was observed, with 'respecting patient choices' moving from second to first rank post-intervention.
• The VP provided a unique practice environment, bridging theoretical knowledge with patient-focused application.

Conclusions:

• The VP workshop was positively received by medical students.
• The multiple-choice interaction format was perceived as both beneficial and limiting.
• Further research is recommended to refine VP interaction modes and assess behavioral changes.