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Erschienen in: European Journal of Trauma and Emergency Surgery 4/2017

11.10.2016 | Original Article

The effect of video-assisted oral feedback versus oral feedback on surgical communicative competences in undergraduate training

verfasst von: M. Ruesseler, J. Sterz, B. Bender, S. Hoefer, F. Walcher

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 4/2017

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Abstract

Purpose

Feedback can significantly improve future performance. Reviewing one’s performance by video is discussed as useful adjunct to debriefing, particularly for non-technical skills. Communicative competencies are an essential part of daily clinical practice; thus should be taught and assessed during undergraduate training. The aim of this study was to compare the educational value of video-assisted feedback versus oral feedback in communicative competencies in the surgical context.

Methods

Fourth-year medical students completed a 210-min training unit of ‘taking patient’s history and obtaining informed consents prior to surgery’ using role plays. Oral feedback was received directly thereafter using agenda-led, outcome-based guidelines (ALOBA). In the study group, the role plays were video-taped and reviewed thereafter. Afterwards, students completed two OSCE stations, where they were assessed regarding their communicative competencies and the content of the clinical scenario.

Results

One-hundred students (49 receiving video-assisted feedback, 51 oral) participated in the study. Those receiving video-assisted feedback performed significantly better in overall score in both OSCE stations (p < 0.001), in all five assessed communicative competencies at taking patient history (p = 0.029 or better), and in 2 of 5 items at obtaining informed consent (p = 0.008, <0.001). The educational effect size for both tasks was large.

Conclusion

Using our methodology, video-assisted feedback offered a significant educational benefit over oral feedback alone during a simulated patient encounter in a surgical context.
Literatur
1.
Zurück zum Zitat CanMEDS. Physician competency framework. Ottawa: Royal College of Physicians and Surgeons of Canada; 2015. CanMEDS. Physician competency framework. Ottawa: Royal College of Physicians and Surgeons of Canada; 2015.
2.
Zurück zum Zitat Shah B, Miler R, Poles M, Zabar S, Gillespie C, Weinshel E, et al. Informed consent in the older adult: OSCEs for assessing fellows’ ACGME and geriatric gastroenterology competencies. Am J Gastroenterol. 2011;106(9):1575–9.CrossRefPubMed Shah B, Miler R, Poles M, Zabar S, Gillespie C, Weinshel E, et al. Informed consent in the older adult: OSCEs for assessing fellows’ ACGME and geriatric gastroenterology competencies. Am J Gastroenterol. 2011;106(9):1575–9.CrossRefPubMed
3.
Zurück zum Zitat Kiehl C, Simmenroth-Nayda A, Goerlich Y, Entwistle A, Schiekirka S, Ghadimi BM, et al. Standardized and quality-assured video-recorded examination in undergraduate education: informed consent prior to surgery. J Surg Res. 2014;191(1):64–73.CrossRefPubMed Kiehl C, Simmenroth-Nayda A, Goerlich Y, Entwistle A, Schiekirka S, Ghadimi BM, et al. Standardized and quality-assured video-recorded examination in undergraduate education: informed consent prior to surgery. J Surg Res. 2014;191(1):64–73.CrossRefPubMed
4.
Zurück zum Zitat von Fragstein M, Silverman J, Cushing A, Quilligan S, Salisbury H, Wiskin C, et al. UK consensus statement on the content of communication curricula in undergraduate medical education. Med Educ. 2008;42(11):1100–7.CrossRef von Fragstein M, Silverman J, Cushing A, Quilligan S, Salisbury H, Wiskin C, et al. UK consensus statement on the content of communication curricula in undergraduate medical education. Med Educ. 2008;42(11):1100–7.CrossRef
5.
Zurück zum Zitat Hargie O, Boohan M, McCoy M, Murphy P. Current trends in communication skills training in UK schools of medicine. Med Teach. 2010;32(5):385–91.CrossRefPubMed Hargie O, Boohan M, McCoy M, Murphy P. Current trends in communication skills training in UK schools of medicine. Med Teach. 2010;32(5):385–91.CrossRefPubMed
6.
Zurück zum Zitat Hartl A, Bachmann C, Blum K, Hofer S, Peters T, Preusche I, et al. Desire and reality–teaching and assessing communicative competencies in undergraduate medical education in German-speaking Europe—a survey. GMS Z Med Ausbild. 2015;32(5):Doc56.PubMedPubMedCentral Hartl A, Bachmann C, Blum K, Hofer S, Peters T, Preusche I, et al. Desire and reality–teaching and assessing communicative competencies in undergraduate medical education in German-speaking Europe—a survey. GMS Z Med Ausbild. 2015;32(5):Doc56.PubMedPubMedCentral
7.
Zurück zum Zitat Thiels CA, Bergquist JR, Pandian TK, Heller SF. Improving communication skills and professionalism among general surgery residents, one page at a time. Mayo Clin Proc. 2016;91(4):539–41.CrossRefPubMed Thiels CA, Bergquist JR, Pandian TK, Heller SF. Improving communication skills and professionalism among general surgery residents, one page at a time. Mayo Clin Proc. 2016;91(4):539–41.CrossRefPubMed
8.
Zurück zum Zitat Raper SE, Gupta M, Okusanya O, Morris JB. Improving communication skills: a course for Academic Medical Center Surgery Residents and Faculty. J Surg Educ. 2015;72(6):e202–11.CrossRefPubMed Raper SE, Gupta M, Okusanya O, Morris JB. Improving communication skills: a course for Academic Medical Center Surgery Residents and Faculty. J Surg Educ. 2015;72(6):e202–11.CrossRefPubMed
9.
Zurück zum Zitat Chipman JG, Beilman GJ, Schmitz CC, Seatter SC. Development and pilot testing of an OSCE for difficult conversations in surgical intensive care. J Surg Educ. 2007;64(2):79–87.CrossRefPubMed Chipman JG, Beilman GJ, Schmitz CC, Seatter SC. Development and pilot testing of an OSCE for difficult conversations in surgical intensive care. J Surg Educ. 2007;64(2):79–87.CrossRefPubMed
10.
Zurück zum Zitat Tchorz KM, Binder SB, White MT, Lawhorne LW, Bentley DM, Delaney EA, et al. Palliative and end-of-life care training during the surgical clerkship. J Surg Res. 2013;185(1):97–101.CrossRefPubMed Tchorz KM, Binder SB, White MT, Lawhorne LW, Bentley DM, Delaney EA, et al. Palliative and end-of-life care training during the surgical clerkship. J Surg Res. 2013;185(1):97–101.CrossRefPubMed
11.
Zurück zum Zitat Veloski J, Boex JR, Grasberger MJ, Evans A, Wolfson DB. Systematic review of the literature on assessment, feedback and physicians’ clinical performance: BEME guide no. 7. Med Teach. 2006;28(2):117–28.CrossRefPubMed Veloski J, Boex JR, Grasberger MJ, Evans A, Wolfson DB. Systematic review of the literature on assessment, feedback and physicians’ clinical performance: BEME guide no. 7. Med Teach. 2006;28(2):117–28.CrossRefPubMed
12.
Zurück zum Zitat Irby DM. Teaching and learning in ambulatory care settings: a thematic review of the literature. Acad Med. 1995;70(10):898–931.CrossRefPubMed Irby DM. Teaching and learning in ambulatory care settings: a thematic review of the literature. Acad Med. 1995;70(10):898–931.CrossRefPubMed
13.
14.
Zurück zum Zitat Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach. 2005;27(1):10–28.CrossRefPubMed Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach. 2005;27(1):10–28.CrossRefPubMed
15.
Zurück zum Zitat Mahmood T, Darzi A. The learning curve for a colonoscopy simulator in the absence of any feedback: no feedback, no learning. Surg Endosc. 2004;18(8):1224–30.CrossRefPubMed Mahmood T, Darzi A. The learning curve for a colonoscopy simulator in the absence of any feedback: no feedback, no learning. Surg Endosc. 2004;18(8):1224–30.CrossRefPubMed
16.
Zurück zum Zitat Savoldelli GL, Naik VN, Park J, Joo HS, Chow R, Hamstra SJ. Value of debriefing during simulated crisis management: oral versus video-assisted oral feedback. Anesthesiology. 2006;105(2):279–85.CrossRefPubMed Savoldelli GL, Naik VN, Park J, Joo HS, Chow R, Hamstra SJ. Value of debriefing during simulated crisis management: oral versus video-assisted oral feedback. Anesthesiology. 2006;105(2):279–85.CrossRefPubMed
17.
Zurück zum Zitat McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation-based medical education research: 2003–2009. Med Educ. 2010;44(1):50–63.CrossRefPubMed McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation-based medical education research: 2003–2009. Med Educ. 2010;44(1):50–63.CrossRefPubMed
18.
Zurück zum Zitat Raemer D, Anderson M, Cheng A, Fanning R, Nadkarni V, Savoldelli G. Research regarding debriefing as part of the learning process. Simul Healthc. 2011;6(Suppl):S52–7.CrossRefPubMed Raemer D, Anderson M, Cheng A, Fanning R, Nadkarni V, Savoldelli G. Research regarding debriefing as part of the learning process. Simul Healthc. 2011;6(Suppl):S52–7.CrossRefPubMed
19.
Zurück zum Zitat Paul S, Dawson KP, Lanphear JH, Cheema MY. Video recording feedback: a feasible and effective approach to teaching history-taking and physical examination skills in undergraduate paediatric medicine. Med Educ. 1998;32(3):332–6.CrossRefPubMed Paul S, Dawson KP, Lanphear JH, Cheema MY. Video recording feedback: a feasible and effective approach to teaching history-taking and physical examination skills in undergraduate paediatric medicine. Med Educ. 1998;32(3):332–6.CrossRefPubMed
20.
Zurück zum Zitat Roter DL, Larson S, Shinitzky H, Chernoff R, Serwint JR, Adamo G, et al. Use of an innovative video feedback technique to enhance communication skills training. Med Educ. 2004;38(2):145–57.CrossRefPubMed Roter DL, Larson S, Shinitzky H, Chernoff R, Serwint JR, Adamo G, et al. Use of an innovative video feedback technique to enhance communication skills training. Med Educ. 2004;38(2):145–57.CrossRefPubMed
21.
Zurück zum Zitat Birnbach DJ, Santos AC, Bourlier RA, Meadows WE, Datta S, Stein DJ, et al. The effectiveness of video technology as an adjunct to teach and evaluate epidural anesthesia performance skills. Anesthesiology. 2002;96(1):5–9.CrossRefPubMed Birnbach DJ, Santos AC, Bourlier RA, Meadows WE, Datta S, Stein DJ, et al. The effectiveness of video technology as an adjunct to teach and evaluate epidural anesthesia performance skills. Anesthesiology. 2002;96(1):5–9.CrossRefPubMed
22.
Zurück zum Zitat Scherer LA, Chang MC, Meredith JW, Battistella FD. Videotape review leads to rapid and sustained learning. Am J Surg. 2003;185(6):516–20.CrossRefPubMed Scherer LA, Chang MC, Meredith JW, Battistella FD. Videotape review leads to rapid and sustained learning. Am J Surg. 2003;185(6):516–20.CrossRefPubMed
23.
Zurück zum Zitat Sawyer T, Sierocka-Castaneda A, Chan D, Berg B, Lustik M, Thompson M. The effectiveness of video-assisted debriefing versus oral debriefing alone at improving neonatal resuscitation performance: a randomized trial. Simul Healthc. 2012;7(4):213–21.CrossRefPubMed Sawyer T, Sierocka-Castaneda A, Chan D, Berg B, Lustik M, Thompson M. The effectiveness of video-assisted debriefing versus oral debriefing alone at improving neonatal resuscitation performance: a randomized trial. Simul Healthc. 2012;7(4):213–21.CrossRefPubMed
24.
Zurück zum Zitat Ruesseler M, Weber R, Braunbeck A, Flaig W, Marzi I, Walcher F. Training of practical clinical skills in surgery—a training concept for medical students. Zentralbl Chir. 2010;135(3):249–56.CrossRef Ruesseler M, Weber R, Braunbeck A, Flaig W, Marzi I, Walcher F. Training of practical clinical skills in surgery—a training concept for medical students. Zentralbl Chir. 2010;135(3):249–56.CrossRef
26.
Zurück zum Zitat Regehr G, MacRae H, Reznick RK, Szalay D. Comparing the psychometric properties of checklists and global rating scales for assessing performance on an OSCE-format examination. Acad Med. 1998;73(9):993–7.CrossRefPubMed Regehr G, MacRae H, Reznick RK, Szalay D. Comparing the psychometric properties of checklists and global rating scales for assessing performance on an OSCE-format examination. Acad Med. 1998;73(9):993–7.CrossRefPubMed
27.
Zurück zum Zitat Harden RM, Gleeson FA. Assessment of clinical competence using an objective structured clinical examination (OSCE). Med Educ. 1979;13(1):41–54.CrossRefPubMed Harden RM, Gleeson FA. Assessment of clinical competence using an objective structured clinical examination (OSCE). Med Educ. 1979;13(1):41–54.CrossRefPubMed
28.
Zurück zum Zitat Dornan T, Boshuizen H, King N, Scherpbier A. Experience-based learning: a model linking the processes and outcomes of medical students’ workplace learning. Med Educ. 2007;41(1):84–91.CrossRefPubMed Dornan T, Boshuizen H, King N, Scherpbier A. Experience-based learning: a model linking the processes and outcomes of medical students’ workplace learning. Med Educ. 2007;41(1):84–91.CrossRefPubMed
29.
Zurück zum Zitat Teunissen PW, Scheele F, Scherpbier AJ, van der Vleuten CP, Boor K, van Luijk SJ, et al. How residents learn: qualitative evidence for the pivotal role of clinical activities. Med Educ. 2007;41(8):763–70.CrossRefPubMed Teunissen PW, Scheele F, Scherpbier AJ, van der Vleuten CP, Boor K, van Luijk SJ, et al. How residents learn: qualitative evidence for the pivotal role of clinical activities. Med Educ. 2007;41(8):763–70.CrossRefPubMed
30.
Zurück zum Zitat Schmidt M, Freund Y, Alves M, Monsel A, Labbe V, Darnal E, et al. Video-based feedback of oral clinical presentations reduces the anxiety of ICU medical students: a multicentre, prospective, randomized study. BMC Med Educ. 2014;14:103.CrossRefPubMedPubMedCentral Schmidt M, Freund Y, Alves M, Monsel A, Labbe V, Darnal E, et al. Video-based feedback of oral clinical presentations reduces the anxiety of ICU medical students: a multicentre, prospective, randomized study. BMC Med Educ. 2014;14:103.CrossRefPubMedPubMedCentral
31.
Zurück zum Zitat Nilsen S, Baerheim A. Feedback on video recorded consultations in medical teaching: why students loathe and love it—a focus-group based qualitative study. BMC Med Educ. 2005;5:28.CrossRefPubMedPubMedCentral Nilsen S, Baerheim A. Feedback on video recorded consultations in medical teaching: why students loathe and love it—a focus-group based qualitative study. BMC Med Educ. 2005;5:28.CrossRefPubMedPubMedCentral
Metadaten
Titel
The effect of video-assisted oral feedback versus oral feedback on surgical communicative competences in undergraduate training
verfasst von
M. Ruesseler
J. Sterz
B. Bender
S. Hoefer
F. Walcher
Publikationsdatum
11.10.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Trauma and Emergency Surgery / Ausgabe 4/2017
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-016-0734-x

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