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Comparison of the medical students’ perceived self-efficacy and the evaluation of the observers and patients

BACKGROUND: The accuracy of self-assessment has been questioned in studies comparing physicians’ self-assessments to observed assessments; however, none of these studies used self-efficacy as a method for self-assessment. The aim of the study was to investigate how medical students’ perceived self-e...

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Autores principales: Ammentorp, Jette, Thomsen, Janus Laust, Jarbøl, Dorte Ejg, Holst, René, Øvrehus, Anne Lindebo Holm, Kofoed, Poul-Erik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3706304/
https://www.ncbi.nlm.nih.gov/pubmed/23565905
http://dx.doi.org/10.1186/1472-6920-13-49
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author Ammentorp, Jette
Thomsen, Janus Laust
Jarbøl, Dorte Ejg
Holst, René
Øvrehus, Anne Lindebo Holm
Kofoed, Poul-Erik
author_facet Ammentorp, Jette
Thomsen, Janus Laust
Jarbøl, Dorte Ejg
Holst, René
Øvrehus, Anne Lindebo Holm
Kofoed, Poul-Erik
author_sort Ammentorp, Jette
collection PubMed
description BACKGROUND: The accuracy of self-assessment has been questioned in studies comparing physicians’ self-assessments to observed assessments; however, none of these studies used self-efficacy as a method for self-assessment. The aim of the study was to investigate how medical students’ perceived self-efficacy of specific communication skills corresponds to the evaluation of simulated patients and observers. METHODS: All of the medical students who signed up for an Objective Structured Clinical Examination (OSCE) were included. As a part of the OSCE, the student performance in the “parent-physician interaction” was evaluated by a simulated patient and an observer at one of the stations. After the examination the students were asked to assess their self-efficacy according to the same specific communication skills. The Calgary Cambridge Observation Guide formed the basis for the outcome measures used in the questionnaires. A total of 12 items was rated on a Likert scale from 1–5 (strongly disagree to strongly agree). We used extended Rasch models for comparisons between the groups of responses of the questionnaires. Comparisons of groups were conducted on dichotomized responses. RESULTS: Eighty-four students participated in the examination, 87% (73/84) of whom responded to the questionnaire. The response rate for the simulated patients and the observers was 100%. Significantly more items were scored in the highest categories (4 and 5) by the observers and simulated patients compared to the students (observers versus students: -0.23; SE:0.112; p=0.002 and patients versus students:0.177; SE:0.109; p=0.037). When analysing the items individually, a statistically significant difference only existed for two items. CONCLUSION: This study showed that students scored their communication skills lower compared to observers or simulated patients. The differences were driven by only 2 of 12 items. The results in this study indicate that self-efficacy based on the Calgary Cambridge Observation guide seems to be a reliable tool.
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spelling pubmed-37063042013-07-10 Comparison of the medical students’ perceived self-efficacy and the evaluation of the observers and patients Ammentorp, Jette Thomsen, Janus Laust Jarbøl, Dorte Ejg Holst, René Øvrehus, Anne Lindebo Holm Kofoed, Poul-Erik BMC Med Educ Research Article BACKGROUND: The accuracy of self-assessment has been questioned in studies comparing physicians’ self-assessments to observed assessments; however, none of these studies used self-efficacy as a method for self-assessment. The aim of the study was to investigate how medical students’ perceived self-efficacy of specific communication skills corresponds to the evaluation of simulated patients and observers. METHODS: All of the medical students who signed up for an Objective Structured Clinical Examination (OSCE) were included. As a part of the OSCE, the student performance in the “parent-physician interaction” was evaluated by a simulated patient and an observer at one of the stations. After the examination the students were asked to assess their self-efficacy according to the same specific communication skills. The Calgary Cambridge Observation Guide formed the basis for the outcome measures used in the questionnaires. A total of 12 items was rated on a Likert scale from 1–5 (strongly disagree to strongly agree). We used extended Rasch models for comparisons between the groups of responses of the questionnaires. Comparisons of groups were conducted on dichotomized responses. RESULTS: Eighty-four students participated in the examination, 87% (73/84) of whom responded to the questionnaire. The response rate for the simulated patients and the observers was 100%. Significantly more items were scored in the highest categories (4 and 5) by the observers and simulated patients compared to the students (observers versus students: -0.23; SE:0.112; p=0.002 and patients versus students:0.177; SE:0.109; p=0.037). When analysing the items individually, a statistically significant difference only existed for two items. CONCLUSION: This study showed that students scored their communication skills lower compared to observers or simulated patients. The differences were driven by only 2 of 12 items. The results in this study indicate that self-efficacy based on the Calgary Cambridge Observation guide seems to be a reliable tool. BioMed Central 2013-04-08 /pmc/articles/PMC3706304/ /pubmed/23565905 http://dx.doi.org/10.1186/1472-6920-13-49 Text en Copyright © 2013 Ammentorp et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Ammentorp, Jette
Thomsen, Janus Laust
Jarbøl, Dorte Ejg
Holst, René
Øvrehus, Anne Lindebo Holm
Kofoed, Poul-Erik
Comparison of the medical students’ perceived self-efficacy and the evaluation of the observers and patients
title Comparison of the medical students’ perceived self-efficacy and the evaluation of the observers and patients
title_full Comparison of the medical students’ perceived self-efficacy and the evaluation of the observers and patients
title_fullStr Comparison of the medical students’ perceived self-efficacy and the evaluation of the observers and patients
title_full_unstemmed Comparison of the medical students’ perceived self-efficacy and the evaluation of the observers and patients
title_short Comparison of the medical students’ perceived self-efficacy and the evaluation of the observers and patients
title_sort comparison of the medical students’ perceived self-efficacy and the evaluation of the observers and patients
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3706304/
https://www.ncbi.nlm.nih.gov/pubmed/23565905
http://dx.doi.org/10.1186/1472-6920-13-49
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