期刊名称：African Journal of Health Professions Education
印刷版ISSN：2078-5127
电子版ISSN：2078-5127
出版年度：2015
卷号：7
期号：2
页码：165-169
出版社：African Journals Online
摘要：Background. An effective patient-centred consultation requires the seamless integration of procedural (technical) and communication skills. Research has shown that the two sets of skills should not be taught or assessed separately; yet, clinical communication education has become separated from other parts of medical education. Objectives . To assess students’ performance of integrated procedural and clinical communication skills in a simulated consultation, and analyse and interpret their reflections on the value and challenges of these integrated assessments. Methods . A mixed-method study was conducted to assess a convenience sample of 207 third-year medical students’ integration of procedural and consultation skills in a simulated patient consultation and explore their self-assessment and reflections on the value of the assessment. Results . The average percentages scored for procedural and communication checklist items were compared. Facilitators and participants scored procedural skills significantly higher, indicating poor integration of communication skills. A thematic analysis of written reflections revealed that students learned by: (i) experiencing an authentic consultation; (ii) integrating their procedural and communication skills as well as their knowledge and skills; (iii) experiencing the assessment as learning; and (iv) becoming aware of the effects of emotion. Conclusion . Although the majority of students were not able to integrate their skills in performing a simulated consultation, they nonetheless appreciated the value of the assessment as a learning experience.
