Cargando…
Shared Decision-Making With a Virtual Patient in Medical Education: Mixed Methods Evaluation Study
BACKGROUND: Shared decision-making (SDM) is a process in which clinicians and patients work together to select tests, treatments, management, or support packages based on clinical evidence and the patient’s informed preferences. Similar to any skill, SDM requires practice to improve. Virtual patient...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8235293/ https://www.ncbi.nlm.nih.gov/pubmed/34110299 http://dx.doi.org/10.2196/22745 |
_version_ | 1783714282727276544 |
---|---|
author | Jacklin, Simon Maskrey, Neal Chapman, Stephen |
author_facet | Jacklin, Simon Maskrey, Neal Chapman, Stephen |
author_sort | Jacklin, Simon |
collection | PubMed |
description | BACKGROUND: Shared decision-making (SDM) is a process in which clinicians and patients work together to select tests, treatments, management, or support packages based on clinical evidence and the patient’s informed preferences. Similar to any skill, SDM requires practice to improve. Virtual patients (VPs) are simulations that allow one to practice a variety of clinical skills, including communication. VPs can be used to help professionals and students practice communication skills required to engage in SDM; however, this specific focus has not received much attention within the literature. A multiple-choice VP was developed to allow students the opportunity to practice SDM. To interact with the VP, users chose what they wanted to say to the VP by choosing from multiple predefined options, rather than typing in what they wanted to say. OBJECTIVE: This study aims to evaluate a VP workshop for medical students aimed at developing the communication skills required for SDM. METHODS: Preintervention and postintervention questionnaires were administered, followed by semistructured interviews. The questionnaires provided cohort-level data on the participants’ views of the VP and helped to inform the interview guide; the interviews were used to explore some of the data from the questionnaire in more depth, including the participants’ experience of using the VP. RESULTS: The interviews and questionnaires suggested that the VP was enjoyable and easy to use. When the participants were asked to rank their priorities in both pre- and post-VP consultations, there was a change in the rank position of respecting patient choices, with the median rank changing from second to first. Owing to the small sample size, this was not analyzed for statistical significance. The VP allowed the participants to explore a consultation in a way that they could not with simulated or real patients, which may be part of the reason that the VP was suggested as a useful intervention for bridging from the early, theory-focused years of the curriculum to the more patient-focused ones later. CONCLUSIONS: The VP was well accepted by the participants. The multiple-choice system of interaction was reported to be both useful and restrictive. Future work should look at further developing the mode of interaction and explore whether the VP results in any changes in observed behavior or practice. |
format | Online Article Text |
id | pubmed-8235293 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | JMIR Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-82352932021-07-02 Shared Decision-Making With a Virtual Patient in Medical Education: Mixed Methods Evaluation Study Jacklin, Simon Maskrey, Neal Chapman, Stephen JMIR Med Educ Original Paper BACKGROUND: Shared decision-making (SDM) is a process in which clinicians and patients work together to select tests, treatments, management, or support packages based on clinical evidence and the patient’s informed preferences. Similar to any skill, SDM requires practice to improve. Virtual patients (VPs) are simulations that allow one to practice a variety of clinical skills, including communication. VPs can be used to help professionals and students practice communication skills required to engage in SDM; however, this specific focus has not received much attention within the literature. A multiple-choice VP was developed to allow students the opportunity to practice SDM. To interact with the VP, users chose what they wanted to say to the VP by choosing from multiple predefined options, rather than typing in what they wanted to say. OBJECTIVE: This study aims to evaluate a VP workshop for medical students aimed at developing the communication skills required for SDM. METHODS: Preintervention and postintervention questionnaires were administered, followed by semistructured interviews. The questionnaires provided cohort-level data on the participants’ views of the VP and helped to inform the interview guide; the interviews were used to explore some of the data from the questionnaire in more depth, including the participants’ experience of using the VP. RESULTS: The interviews and questionnaires suggested that the VP was enjoyable and easy to use. When the participants were asked to rank their priorities in both pre- and post-VP consultations, there was a change in the rank position of respecting patient choices, with the median rank changing from second to first. Owing to the small sample size, this was not analyzed for statistical significance. The VP allowed the participants to explore a consultation in a way that they could not with simulated or real patients, which may be part of the reason that the VP was suggested as a useful intervention for bridging from the early, theory-focused years of the curriculum to the more patient-focused ones later. CONCLUSIONS: The VP was well accepted by the participants. The multiple-choice system of interaction was reported to be both useful and restrictive. Future work should look at further developing the mode of interaction and explore whether the VP results in any changes in observed behavior or practice. JMIR Publications 2021-06-10 /pmc/articles/PMC8235293/ /pubmed/34110299 http://dx.doi.org/10.2196/22745 Text en ©Simon Jacklin, Neal Maskrey, Stephen Chapman. Originally published in JMIR Medical Education (https://mededu.jmir.org), 10.06.2021. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Medical Education, is properly cited. The complete bibliographic information, a link to the original publication on https://mededu.jmir.org/, as well as this copyright and license information must be included. |
spellingShingle | Original Paper Jacklin, Simon Maskrey, Neal Chapman, Stephen Shared Decision-Making With a Virtual Patient in Medical Education: Mixed Methods Evaluation Study |
title | Shared Decision-Making With a Virtual Patient in Medical Education: Mixed Methods Evaluation Study |
title_full | Shared Decision-Making With a Virtual Patient in Medical Education: Mixed Methods Evaluation Study |
title_fullStr | Shared Decision-Making With a Virtual Patient in Medical Education: Mixed Methods Evaluation Study |
title_full_unstemmed | Shared Decision-Making With a Virtual Patient in Medical Education: Mixed Methods Evaluation Study |
title_short | Shared Decision-Making With a Virtual Patient in Medical Education: Mixed Methods Evaluation Study |
title_sort | shared decision-making with a virtual patient in medical education: mixed methods evaluation study |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8235293/ https://www.ncbi.nlm.nih.gov/pubmed/34110299 http://dx.doi.org/10.2196/22745 |
work_keys_str_mv | AT jacklinsimon shareddecisionmakingwithavirtualpatientinmedicaleducationmixedmethodsevaluationstudy AT maskreyneal shareddecisionmakingwithavirtualpatientinmedicaleducationmixedmethodsevaluationstudy AT chapmanstephen shareddecisionmakingwithavirtualpatientinmedicaleducationmixedmethodsevaluationstudy |