期刊论文详细信息
BMC Medical Education
‘I wouldn’t get that feedback from anywhere else’: learning partnerships and the use of high school students as simulated patients to enhance medical students’ communication skills
Lena Sanci2  Julia Coffey1  Helen Cahill1 
[1]Youth Research Centre, University of Melbourne, Level 5, 100 Leicester St., Victoria, 3010, Australia
[2]Department of General Practice, The University of Melbourne, 200 Berkeley Street, Carlton 3053, Victoria, Australia
关键词: Youth friendly;    Education;    Clinical skills;    Medical students;    Young people’s perspectives;    HEAADSSS;    Medical education;   
Others  :  1138445
DOI  :  10.1186/s12909-015-0315-4
 received in 2014-05-07, accepted in 2015-02-18,  发布年份 2015
PDF
【 摘 要 】

Background

This article evaluates whether the use of high school students as simulated patients who provide formative feedback enhances the capacity of medical students in their fifth year of training to initiate screening conversations and communicate effectively with adolescents about sensitive health issues.

Methods

Focus group interviews with medical students (n = 52) and school students aged 15–16 (n = 107) were conducted prior to and following involvement in Learning Partnerships workshops. Prior to workshops focus groups with school students asked about attitudes to help-seeking in relation to sensitive health issues, and following workshops asked whether the workshop had made a difference to their concerns. Prior to workshops focus groups with medical students asked about their needs in relation to initiating conversations with adolescents about sensitive health issues, and following workshops asked whether the workshop had made a difference to their concerns. Surveys were also completed by 164 medical students and 66 school students following the workshops. This survey featured 19 items asking participants to rank the usefulness of the workshops out of 10 (1 = not at all useful, 10 = extremely useful) across areas such as skills and understanding, value of learning activities and overall value of the workshop. SPSS software was used to obtain mean plus standard deviation scores for each item on the survey.

Results

The Learning Partnerships workshops assisted medical students to improve their skills and confidence in communicating with adolescents about sensitive health issues such as mental health, sexual health and drug and alcohol use. They also assisted young people to perceive doctors as more likely potential sources for help.

Conclusions

These findings suggest that the innovative methods included in Learning Partnerships may assist in broader education programs training doctors to be more effective helping agents and aid the promotion of adolescent friendly health care. This research provides evidence that a new way of teaching may contribute to enhancing doctors’ capacity and willingness to initiate screening conversations and enhance adolescents’ preparedness to seek help. This has implications for educational design, content and communication style within adolescent health.

【 授权许可】

   
2015 Cahill et al.; licensee BioMed Central.

【 预 览 】
附件列表
Files Size Format View
20150320031941110.pdf 383KB PDF download
【 参考文献 】
  • [1]Sanci L, Young D: Engaging the Adolescent Patient. Aust Fam Physician. 1995, 24(11):2027-31.
  • [2]Ciarrochi J, Deane FP, Wilson CJ, Rickwood D: Adolescents who need help the most are the least likely to seek it: the relationship between low emotional competence and low intention to seek help. 2002; 30(2); 173-188.
  • [3]Rickwood D, Deane FP, Coralie JW, Ciarrochi J: Young people’s help-seeking for mental health problems. Australian e-Journal for the Advancement of Mental Health (AeJAMH) 2005, 4:1-34.
  • [4]Cahill H. Learning Partnerships: the use of poststructuralist drama techniques to improve communication between teachers, doctors and adolescents. PhD Thesis. University of Melbourne, Education; 2008.
  • [5]Taliaferro L, Borowsky IW: Perspective: physician education: a promising strategy to prevent adolescent suicide. Acad Med 2011, 86:342-7.
  • [6]Sawyer SM, Afifi RA, Bearinger LH, Blakemore S-J, Dick B, Ezeh AC, et al.: Adolescence: a foundation for future health. The Lancet 2012, 379:1630-40.
  • [7]Veit F, Sanci LA, Young D, Bowes G: Adolescent health care: perspectives of Victorian general practitioners. Med J Aust 1995, 163:16.
  • [8]Sanci LA, Coffey CMM, Veit FCM, Carr-Gregg M, Patton GC, Day N, et al.: Evaluation of the effectiveness of an educational intervention for general practitioners in adolescent health care: randomised controlled trial. BMJ 2000, 320:224-9.
  • [9]Cahill H, Coffey J: Young people and the Learning Partnerships program: shifting negative attitudes to help-seeking. Youth Studies Australia 2013, 32:1-9.
  • [10]Ambresin A-E, Bennett K, Patton GC, Sanci LA, Sawyer SM: Assessment of youth-friendly health care: a systematic review of indicators drawn from young people’s perspectives. J Adolesc Health 2013, 52:670-81.
  • [11]Bradley P: The history of simulation in medical education and possible future directions. Med Educ 2006, 40:254-62.
  • [12]Sanci LA, Day NA, Coffey CMM, Patton GC, Bowes G: Simulations in evaluation of training: a medical example using standardised patients. Eval Program Plan 2002, 25:25-46.
  • [13]Gunn J, Southern D, Chondros P, Thomson P, Robertson K: Guidelines for assessing postnatal problems: introducing evidence-based guidelines in Australian general practice. Fam Pract 2003, 20:382-9.
  • [14]Gerner B, Sanci L, Cahill H, Ukoumunne OC, Gold L, Rogers L, et al.: Using simulated patients to develop doctors' skills in facilitating behaviour change: addressing childhood obesity. Med Educ 2010, 44:706-15.
  • [15]Schlegel C, Woermann U, Rethans J-J, Vleuten CVD: Validity evidence and reliability of a simulated patient feedback instrument. BMC Med Educ 2012, 12:1472-6920. BioMed Central Full Text
  • [16]Howley LD: Standardized Patients. In The Comprehensive Textbook of Healthcare Simulation. Edited by Levine A, DeMaria S, Schwatrz A, Sim A. Springer, Singapore; 2013:173-90.
  • [17]Moore PM, Wilkinson SSM, Rivera Mercado S: Communication skills training for health care professionals working with cancer patients, their families and/or carers. Cochrane Database Syst Rev 2004, 2:1-23.
  • [18]Sanazaro PJ: Determining Physicians’ performance: continuing medical education and other interacting variables. Eval Health Prof 1983, 6:197-210.
  • [19]Miller W, Rollnick S: Motivational interviewing: preparing people to change addictive behavior. Guilford Press, New York; 1991.
  • [20]Davis D, Lindsay E, Mazmanian P. The effectiveness of CME interventions. In The physician as learner: Linking research to practice. Edited by DA D, RD F. Chicago: American Medical Association; 1994;241–78
  • [21]Howley L, Szauter K, Perkowski L, Clifton M, McNaughton N: on behalf of the Association of Standardized Patient E: Quality of standardised patient research reports in the medical education literature: review and recommendations. Med Educ 2008, 42:350-8.
  • [22]Sanci LA. Adolescent Health Care: Design & Evaluation of an Educational Intervention for General Practitioners. PhD Thesis. University of Melbourne, Paediatrics; 2000.
  • [23]Klein DA, Goldenring JM, Adelman WP: HEEADSSS 3.0: The psychosocial interview for adolescents updated for a new century fueled by media. 2014. Contemporary Pediatrics [serial online]. Available from: Academic OneFile, Ipswich, MA; 2015.
  • [24]Goldenring JM, Cohen E: Getting into adolescent heads. Contemp Pediatr 1998, 5:75.
  • [25]Cahill H, Coffey J, Cahill H, Coffey J: Learning Partnerships. Melbourne Youth Research Centre, University of Melbourne; 2013.
  • [26]Tong A, Sainsbury P, Craig J: Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International J Qual Health Care 2007, 19:349-57.
  • [27]Wilkinson S: Focus group research, in Silverman, D. (2004): Qualitative research: theory, method and practice. SAGE, London; 2004.
  • [28]Foucault M: Power/knowledge: Selected interviews and other writings 1972–1977. Harvester Press, Brighton; 1980.
  • [29]Cahill H, Coffey J: Young people and the Learning Partnerships program: shifting negative attitudes to help-seeking. Youth Studies, Australia; 2013.
  • [30]Sanci LA: Engaging the adolescent patient. Aust Fam Physician 1995, 24(11):2027-31.
  • [31]White B, Viner RM: Improving communication with adolescents. Arch Dis Child Educ Pract 2012, 97:93-7.
  • [32]Boyer C, Sieverding J, Siller J, Gallaread A, Chang Y: Youth United Through Health Education: Community-Level, Peer-Led Outreach to Increase Awareness and Improve Noninvasive Sexually Transmitted Infection Screening in Urban African American Youth. J Adolescent Health 2007, 6:499. Available from: Academic OneFile, Ipswich, MA. Accessed February 23, 2015
  • [33]Cahill H, Coffey J: Learning Partnerships. In Youth Research Centre Report 38. University of Melbourne, Melbourne; 2013.
  • [34]Sanci LA, Coffey C, Patton G, Bowes G: Sustainability of change with quality general practitioner education in adolescent health: a 5-year follow-up. Med Educ 2005, 39:557-60.
  文献评价指标  
  下载次数:6次 浏览次数:11次