Author:
George Riya Elizabeth,Wells Harvey,Cushing Annie
Abstract
Abstract
Background
Simulated Patients (SPs) are commonplace in the teaching of communication skills in medical education and can provide immediate feedback to students from the patient’s perspective. The experiences of SPs and their perspective on providing feedback is an under-studied area. This study aims to explore SP experiences and views on feedback, factors influencing their feedback and implications for training.
Methods
Using a constructivist grounded theory approach, we conducted six focus groups with 30 SPs. Participants included experienced simulated patients from a London-based actor agency, used in undergraduate teaching programmes of communication skills. Consistent with the principles of grounded theory, data was collected and analysed in an iterative process to identify themes.
Results
Five over-arching themes were identified: 1.) Feedback processes, 2.) Challenges in providing feedback, 3.) Cumulative experiences, 4.) Web of interpersonal relationships and dynamics and 5.) Portraying the character and patient representations.
Discussion
These SPs regarded the sharing of the emotions they experienced during the consultation as the focus of their feedback. Their preference was for giving a ‘sandwich style’ of feedback and ‘out-of-role’ approach. The relationship with facilitators and students and politeness conventions emerged as significant factors when providing feedback. Sensitivity to the social dynamics of groups and implicit facilitator expectations were challenges they experienced as was divergence in views of student performance.
Conclusion
This study explored SP experiences and perspectives on providing feedback. Findings reveal complex social and structural dynamics at play in providing feedback which have not been reported so far in the literature. It is recommended that these issues should be addressed in training of both SPs and facilitators, in addition to feedback guidelines.
Publisher
Springer Science and Business Media LLC
Subject
Education,General Medicine
Reference37 articles.
1. Simpson M, Buckman R, Stewart M, Maguire P, Lipkin M, Novack D, et al. Doctor-patient communication: the Toronto consensus statement. BMJ. 1991;303(6814):1385–7. https://doi.org/10.1136/bmj.303.6814.1385.
2. Barrows HS, Abrahamson S. The programmed patient: a technique for appraising student performance in clinical neurology. J Med Educ. 1964;39:802–5.
3. Stillman PL, Burpeau-Di Gregorio MY, Nicholson GI, Sabers DL, Stillman AE. Six years of experience using patient instructors to teach interviewing skills. J Med Educ. 1983;58:941–6.
4. Cleland J, Abe K, Rethans JJ. The use of simulated patients in medical education: AMEE guide no 42. Med Educ. 2009;31(6):477–86
5. Bearman M, Nestel D, Andreatta P. Simulation-based medical education. Oxford textbook of medical education. 2013:186–97.
Cited by
6 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献