Comparison of Assessment by Teacher Standard Patients and Peer Role Play of Medical Students’ History-Taking Skills
crossref(2024)
摘要
Abstract OBJECTIVE This study aimed to compare the differences between the teaching models of teacher standardized patient (TSP) and peer role play (pRP) in training students’ history-taking skills and to further analyze the differences between scripted and non-scripted pRP. METHODS From May to June 2023, 630 undergraduate third-year medical students majoring in clinical medicine participated in the study. Students were randomly divided into either the TSP or pRP group (both scripted pRP (spRP) and non-scripted pRP (non-spRP)). All groups participated in the same half-hour theory lecture before practicing history taking. After class, we analyzed students’ course behavior and recorded their writing performance and patient history-taking scores when consulting with real patients. Students’ satisfaction with the course was analyzed through a questionnaire. Pre- and post-course self-assessment forms enabled understanding of students’ cognition and self-perceived confidence in their interview skills. RESULTS There were statistically significant differences in the scores of the TSP, spRP, and non-spRP groups in group-based consultation assessment (p < 0.05), whereas there were no statistically significant differences in the scores of medical record writing (p > 0.05). The mean scores of students' overall attitudinal evaluation of the course had no statistically significant differences (p > 0.05). The mean scores of students' attitudes toward clinical skills development had no statistically significant differences (p > 0.05); the mean scores of students' attitudes towards teamwork had a statistically significant difference (p < 0.05). The pre-simulation self-assessment of all three groups was higher than their post-simulation elf-assessment, and the differences were statistically significant (all p < 0.05). CONCLUSION RP is more suitable for a history-taking practical course for junior students, which can mobilize the classroom atmosphere, increase students' interest and motivation, and develop students' sense of teamwork; spRP’s performance on the interrogation skills test was higher. Students' self-confidence and attention to the course had an impact on their self-assessment evaluation.
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