Completing the picture on student performances in OSCEs: A mixed-methods study on integration of a standardized patient rating

Lörwald, Andrea; Lahner, Felicitas-Maria; Stricker, Daniel; Huwendiek, Sören (2021). Completing the picture on student performances in OSCEs: A mixed-methods study on integration of a standardized patient rating Patient Education and Counseling, 104(1), pp. 85-91. Elsevier Science 10.1016/j.pec.2020.06.026

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Objective Good physician communication skills increase patient satisfaction and improve healing processes. Although physicians and patients appear to value communicative competencies differently, students are often evaluated solely by physicians. This study examines whether additional assessment of students by ‘standardized patients’ (SPs) is useful. Methods During their Objective Structured Clinical Examination (OSCE) 238 medical students were additionally rated by SPs at 9 stations according to two items that defined the ‘physician–patient relationship’ and ‘communication’. SPs were informed that their assessment was for research purposes only, with no impact on the assessment of the students. SPs also had the opportunity to comment on their rating of the students. Results The SPs rated the communicative competencies of students differently than physicians. The two parts of the SP rating are closely related. Inclusion of SP rating in the OSCE would provide higher measurement precision, with more students failing. SPs considered five factors relevant in their rating: ‘human connection’, ‘information flow’, ‘professionalism’, ‘competence’, and ‘exam situation’. Conclusion Our study suggests inclusion of SP rating as additional assessment of student communication skills. Practice Implications Addition of SP rating in assessments is worthwhile, as it appears to complete the picture of the student performance in their OSCEs.

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions > Nursing School of Health Professions > G Teaching
Name:	Lörwald, Andrea; Lahner, Felicitas-Maria0000-0001-6697-3698; Stricker, Daniel and Huwendiek, Sören
Subjects:	L Education > L Education (General)
ISSN:	0738-3991
Publisher:	Elsevier Science
Language:	English
Submitter:	Bernhard Auer-Böer
Date Deposited:	19 May 2021 10:58
Last Modified:	19 May 2021 10:58
Publisher DOI:	10.1016/j.pec.2020.06.026
ARBOR DOI:	10.24451/arbor.14835
URI:	https://arbor.bfh.ch/id/eprint/14835