Research on the different evaluation from the three parties of the clinical practice medical students' communication ability in OSCE

Abstract

Objective To analyze the difference and correlation of the evaluation of the medical students' communication ability between the examiners, standardized patients (SP) and medical students themselves in objective structured clinical examination (OSCE), and to provide scientific basis for the appropriate evaluation method of medical students' communication ability. Methods OSCE was used to evaluate the communication ability of 90 medical students in Daping Hospital, Chongqing, and the three parties were evaluated by the examiners, SP and medical students themselves. Excel and SPSS 17.0 statistical analysis software were used, through Friendman M test, t test and correlation analysis to analyze the differences and correlation of the three parties evaluations. Results The different evaluation between the three parties on the communication ability of medical students was as follows. Examiner's evaluation was the lowest (8.39±1.18), SP's evaluation was the highest (9.62±0.73), Medical students themselves' evaluation was higher (9.28±1.09); The examiner's evaluation of Medical students' empathy, verbal communication ability, non-verbal communication ability and etiquette was lower (P=0.00). The correlation analysis of the three parties' evaluation showed that there was a significant correlation between the three parties on the communication ability, empathy and nonverbal communication ability (P<0.05). The evaluation of SP and medical students themselves on medical students' language communication ability and etiquette was significantly correlated (P<0.05). Conclusions Using examiner or SP or medical students themselves only to evaluate the communication ability of medical students is not accurate, The Examiner and SP as the main trial test personnel should collaborate to evaluate medical students' communication ability. The examiner can evaluate three projects such as what is medical ethics and law, empathy, nonverbal communication ability, while the SP can evaluate the two projects: what is language communication ability and etiquette. The collaborative evaluation of the two sides can be more accurate to reflect the doctor-patient communication ability of medical students. Key words: Objective structured clinical examination; Medical students; Communication ability; Evaluation method