Fostering professional communication skills of future physicians and teachers: effects of e-learning with video cases and role-play

This study investigated the effectiveness of three different versions of a training programme on physician–patient and teacher–parent conversations for medical students and student teachers. The research questions concerned the differential effects of e-learning featuring contrastive video cases, role-play including video feedback and their combination. The training effects were tested to determine whether they were similar across both professional domains. In a randomised controlled trial (N = 168), three training conditions were prepared using a wait-list control group. The assessment of communication competence was based on videotaped communications between the participants and simulated patients/parents (i.e., trained actors). The results of planned contrast analyses corroborated the study expectations: first, a strong overall treatment effect was observed. Second, the combined condition was more effective than e-learning and role-play alone when controlling for prior knowledge and cognitive ability. Third, e-learning proved more effective than role-play. Exploring interaction effects indicated that student teachers benefited more from the training than medical students.

[1]  Stephen Rollnick,et al.  The use of simulated patients and role-play in communication skills training: a review of the literature to August 2005. , 2007, Patient education and counseling.

[2]  Allard J van der Beek,et al.  Effective training strategies for teaching communication skills to physicians: an overview of systematic reviews. , 2011, Patient education and counseling.

[3]  R. Fukkink,et al.  Video Feedback in Education and Training: Putting Learning in the Picture , 2011 .

[4]  K. Aspegren.  BEME Guide No. 2: Teaching and learning communication skills in medicine-a review with quality grading of articles. , 1999, Medical teacher.

[5]  Rainer Bromme,et al.  Adaptivity and Anticipation in Expert-Laypeople Communication , 2000 .

[6]  W. Baile,et al.  SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer. , 2000, The oncologist.

[7]  J. Bensing,et al.  Evaluation of communication training programs in nursing care: a review of the literature. , 2000, Patient education and counseling.

[8]  W. Shadish,et al.  Experimental and Quasi-Experimental Designs for Generalized Causal Inference , 2001 .

[9]  Herbert H. Clark,et al.  Grounding in communication , 1991, Perspectives on socially shared cognition.

[10]  Matthew S. Prewett,et al.  A systematic review of the reliability of objective structured clinical examination scores , 2011, Medical education.

[11]  Alexander Renkl,et al.  Instructional strategies for using video in teacher education , 2013 .

[12]  Richard J. Shavelson,et al.  Assessing Student Learning Responsibly: From History to an Audacious Proposal , 2007 .

[13]  M. G. Sherin,et al.  Effects of Video Club Participation on Teachers' Professional Vision , 2009 .

[14]  W. Langewitz,et al.  Recipients' perspective on breaking bad news: how you put it really makes a difference. , 2005, Patient education and counseling.

[15]  M. Henninger,et al.  Kommunikation und Führung , 2009 .

[16]  Michael G. Moore,et al.  Handbook of distance education , 2007 .

[17]  F. Wolf,et al.  Teaching Patient Communication Skills to Medical Students , 2007, Evaluation & the health professions.

[18]  Jacob Cohen,et al.  Applied multiple regression/correlation analysis for the behavioral sciences , 1979 .

[19]  Jacob Cohen,et al.  Applied multiple regression/correlation analysis for the behavioral sciences , 1979 .

[20]  Roger C. Schank,et al.  Dynamic Memory Revisited , 1999 .

[21]  Stephanie D. Teasley,et al.  Perspectives on socially shared cognition , 1991 .

[22]  B. Keysar,et al.  When do speakers take into account common ground? , 1996, Cognition.

[23]  M. Fischer,et al.  Modellierung und Assessment professioneller Gesprächsführungskompetenz von Lehrpersonen im Lehrer-Elterngespräch , 2011 .

[24]  R. Rosenthal,et al.  Contrast Analysis: Focused Comparisons in the Analysis of Variance , 1985 .

[25]  Alexander Renkl,et al.  Five research-based heuristics for using video in pre-service teacher education , 2013 .

[26]  R W Sanson-Fisher,et al.  Simulated patients and the assessment of medical students' interpersonal skills , 1980, Medical education.

[27]  R. Shavelson,et al.  Scientific Research in Education , 2002 .

[28]  Benjamin Dotger,et al.  Because Wisdom Can’t Be Told , 2012 .

[29]  H. Winefield,et al.  Evaluating the outcome of communication skill teaching for entry‐level medical students: does knowledge of empathy increase? , 2000, Medical education.

[30]  I. Higginson,et al.  Communication training for health professionals who care for patients with cancer: a systematic review of training methods , 2005, Supportive Care in Cancer.

[31]  D. Clarke,et al.  An experimental comparison of three courses in history‐taking skills for medical students , 1977, Medical education.

[32]  James M. LeBreton,et al.  Answers to 20 Questions About Interrater Reliability and Interrater Agreement , 2008 .

[33]  Hilda Borko,et al.  Using video representations of teaching in practice-based professional development programs , 2011 .

[34]  John Sweller,et al.  The Redundancy Principle in Multimedia Learning , 2005, The Cambridge Handbook of Multimedia Learning.

[35]  J. Boulet,et al.  Validation of the doctor–patient communication component of the Educational Commission for Foreign Medical Graduates Clinical Skills Assessment , 2001, Medical education.

[36]  D. Gibson,et al.  Handbook of Games and Simulations in Teacher Education , 2014 .

[37]  Joan Hanafin,et al.  Peripheral Voices: Parental involvement, social class, and educational disadvantage , 2002 .

[38]  R. Buckman,et al.  How To Break Bad News , 1992 .

[39]  David Carless,et al.  Learning‐oriented assessment: conceptual bases and practical implications , 2003 .

[40]  Benjamin Dotger.  “I had no idea”: Developing dispositional awareness and sensitivity through a cross-professional pedagogy , 2010 .

[41]  Laura M. Desimone,et al.  Improving Impact Studies of Teachers’ Professional Development: Toward Better Conceptualizations and Measures , 2009 .

[42]  K. McGraw,et al.  Forming inferences about some intraclass correlation coefficients. , 1996 .

[43]  P. Sloane,et al.  Physician-patient communication in the primary care office: a systematic review. , 2002, The Journal of the American Board of Family Practice.

[44]  M. Smith,et al.  “Where's the Line?”—Negotiating Simulated Experiences to Define Teacher Identity , 2009 .

[45]  Kenneth R. Rose,et al.  Pragmatics in Language Teaching: Inductive and deductive teaching of compliments and compliment responses , 2001 .

[46]  Kenneth R. Rose,et al.  Pragmatics in Language Teaching: Name index , 2001 .

[47]  A. Bandura.  Social learning theory , 1977 .

[48]  V. Jenkins,et al.  Effective communication skills are the key to good cancer care. , 1999, European journal of cancer.

[49]  W. Jonas,et al.  Physician Communication with Patients: Research Findings and Challenges , 2012 .

[50]  R. Buckman.  How to break bad news : a guide for health care professionals , 1992 .

[51]  Jürgen Schneider,et al.  What do teachers think and feel when analyzing videos of themselves and other teachers teaching , 2013 .

[52]  C. Charles,et al.  Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model. , 1999, Social science & medicine.

[53]  Andy P. Field,et al.  Discovering Statistics Using Ibm Spss Statistics , 2017 .

[54]  R. Abelson.  Statistics As Principled Argument , 1995 .

[55]  Robert Rosenthal,et al.  Evaluating Theories Efficiently: The Nuts and Bolts of Contrast Analysis , 2003 .

[56]  The role of self explanations in fostering reflection: multimedia communication training for preservice teachers , 2007 .

[57]  J. Bransford,et al.  Preparing Teachers for a Changing World: What Teachers Should Learn and Be Able to Do. , 2005 .

[58]  George A. Marcoulides,et al.  Introduction to Psychometric Theory , 2010 .

[59]  C. Fertleman,et al.  Video improved role play for teaching communication skills , 2005, Medical education.

[60]  I. Deary,et al.  Intelligence and educational achievement , 2007 .

[61]  E. Brähler,et al.  Parameters influencing health variables in a sample of 949 German teachers , 2008, International archives of occupational and environmental health.

[62]  T. Brown,et al.  Confirmatory Factor Analysis for Applied Research , 2006 .

[63]  B. Stelmach.  The Essential Conversation: What Parents and Teachers Can Learn From Each Other by Sara Lawrence-Lightfoot , 2004 .

[64]  Richard Mayer,et al.  Multimedia Learning , 2001, Visible Learning Guide to Student Achievement.

[65]  C. Rogers,et al.  Client-Centered Therapy , 1951 .

[66]  Sharon Dotger,et al.  Examining how preservice science teachers navigate simulated parent–teacher conversations on evolution and intelligent design , 2010 .

[67]  D. Cicchetti.  Guidelines, Criteria, and Rules of Thumb for Evaluating Normed and Standardized Assessment Instruments in Psychology. , 1994 .

[68]  C. Vleuten.  Programmatic assessment: From assessment of learning to assessment for learning , 2011 .

[69]  D. Gentner,et al.  Learning and Transfer: A General Role for Analogical Encoding , 2003 .

[70]  D. Nestel,et al.  Role-play for medical students learning about communication: Guidelines for maximising benefits , 2007, BMC medical education.