Qualifizierung Medizinstudierender zu patientenorientierter
Kommunikation: Pilotprojekt zur Entwicklung und Anwendung einer
Kompetenzprüfung
Subtitle: Teaching patient-oriented communication skills:
Pilot study for a Development and Evaluation of a Practical Examination in
Preclinical Medical Studies
Affiliations: Teaching patient-oriented communication skills: Pilot
study for a Development and Evaluation of a Practical Examination in
Preclinical Medical Studies
Note: [] Korrespondenzadresse: Dr. rer. physiol. Dipl.-Psych. Sabine
Fischbeck, Klinik und Poliklinik für Psychosomatische Medizin und
Psychotherapie, Medizinische Psychologie und Medizinische Soziologie, Johannes
Gutenberg- Universität Mainz (Campus), Saarstraße 21, D-55099 Mainz.
E-Mail: fischbec@mail.uni-mainz.de; Tel.: 06131-3925939
Abstract: Medical students should be trained in effective communication skills
for interacting with patients. For this objective, we aimed at developing a
role play based examination with an associated paper and pencil test. Seven
role play situations and similar paper and pencil tests (the latter comprising
the "Application Knowledge Questionnaire", FAW) were
constructed using both everyday and specific doctor-patient situations. Best
practice in those situations was discussed in Medical Psychology courses. The
FAW was completed by N = 259 students (age 19 – 49; 56% female) during two
terms at the beginning and the end of Medical Psychology courses. Role play
examinations (RP) took place at the end of the course. Most student
"physician" actors displayed more than 50%of
"best practice actions" in RP. All of the role play
situations brought to light better communication skills than questionnaire
findings would suggest. FAW-achievement and role play achievement were not
correlated. Female students showed better communication skills than male
students. Traditional written and oral examinations are likely to underestimate
students' practical knowledge. Therefore, role play examinations
should be conducted in conjunction with other forms of examinations.
Keywords: Physician-patient communication, Medical Psychology and Medical Sociology course, examination, role play, skills knowledge
