High-Value, Cost-Conscious Communication Skills in Undergraduate Medical Education: Validity Evidence for Scores Derived from Two Standardized Patient Scenarios

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
Neena NattAndrea N Leep Hunderfund

Abstract

Training in high-value, cost-conscious care (HVCCC) is increasingly being incorporated into medical school curricula, but students may have limited opportunities to engage patients in HVCCC conversations. The aim of this study was to develop two standardized patient scenarios with associated checklists, hypothesizing that resulting scores would allow for valid formative assessments of HVCCC communication skills. Scenarios were designed to generate a less-is-more conversation (in response to a patient requesting an unnecessary test) and a shared decision-making conversation (in response to a patient choosing between multiple effective treatment options). Checklists were developed by experts and informed by the existing literature. Validity evidence was collected from content, response process, internal structure, relations to other variables, and consequences of testing. Ninety-three third-year medical students participated during 2014-2015. Mean checklist scores were 79% (SD = 18, Cronbach α = 0.72) and 72% (SD = 13, Cronbach α = 0.62) for the less-is-more and shared decision-making scenarios, respectively. Checklist scores correlated with global ratings of performance (r = 0.65 and 0.54, respectively, both P < 0.001), and over...Continue Reading

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Citations

May 16, 2020·Scandinavian Journal of Occupational Therapy·Karin Björklund, Charlotte Silén
Dec 12, 2019·Archives of Pathology & Laboratory Medicine·Christine G RothNadia Ismail
May 29, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Stephanie R StarrAndrea N Leep Hunderfund
May 28, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Neena NattAndrea N Leep Hunderfund
Jul 24, 2021·Teaching and Learning in Medicine·Bruce Z MorgensternLouis N Pangaro

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