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11.10.2016 | Original Article | Ausgabe 4/2017

European Journal of Trauma and Emergency Surgery 4/2017

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

Zeitschrift:
European Journal of Trauma and Emergency Surgery > Ausgabe 4/2017
Autoren:
M. Ruesseler, J. Sterz, B. Bender, S. Hoefer, F. Walcher

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.

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