Standardized Patients Versus Peer Role Play-Exploring the Experience, Efficacy, and Cost-Effectiveness in Residency Training Module for Breaking Bad News.
Breaking Bad News
Interpersonal and Communication Skills
Professionalism
Simulated patients
cost-effectiveness
peer role play
Journal
Journal of surgical education
ISSN: 1878-7452
Titre abrégé: J Surg Educ
Pays: United States
ID NLM: 101303204
Informations de publication
Date de publication:
Historique:
received:
04
07
2019
revised:
25
09
2019
accepted:
14
10
2019
pubmed:
1
1
2020
medline:
22
6
2021
entrez:
1
1
2020
Statut:
ppublish
Résumé
Delivering bad news is a difficult task for the clinician and one that is important to address and nurture in residency training. Residents were assigned to receive communication training with either standardized patients (SP) or peer role play (RP). Anonymized pre- and post-questionnaires were filled by residents detailing their experience. Independent assessors blinded to the study hypothesis rated the residents' performance using a standardized plus-delta assessment form as a measure of effectiveness of either methods. In our study additionally, corresponding costs were assessed as man-hours resulting from the hours of work of SP, RP, and tutors in order to generate the incremental cost-effectiveness ratio for the use of SP against the use of RP. The study took place in a tertiary academic hospital, National University Hospital, Singapore. A total of 15 junior residents in anesthetic training entered and completed the study and were evaluated during the 2017-2018 academic year. The mean performance scores were 63.3% (RP group) and 74.3% (SP group) attributing advantage to the SP group. Costs however were slighter greater in the SP group (14 man-hours) versus (10 man-hours) in the RP group. The resulting incremental cost-effectiveness ratio was 0.36 man-hours per 1-point increase in the performance score when comparing SP to peer RP. SPs proved to be the more cost-effective modality when employing communication training for delivering bad news. The successful experience and use of SPs should be balanced against the marginally lesser costs involved in peer RP in planning residency teaching sessions.
Sections du résumé
BACKGROUND
BACKGROUND
Delivering bad news is a difficult task for the clinician and one that is important to address and nurture in residency training.
METHODS
METHODS
Residents were assigned to receive communication training with either standardized patients (SP) or peer role play (RP). Anonymized pre- and post-questionnaires were filled by residents detailing their experience. Independent assessors blinded to the study hypothesis rated the residents' performance using a standardized plus-delta assessment form as a measure of effectiveness of either methods. In our study additionally, corresponding costs were assessed as man-hours resulting from the hours of work of SP, RP, and tutors in order to generate the incremental cost-effectiveness ratio for the use of SP against the use of RP.
SETTING
METHODS
The study took place in a tertiary academic hospital, National University Hospital, Singapore.
PARTICIPANTS
METHODS
A total of 15 junior residents in anesthetic training entered and completed the study and were evaluated during the 2017-2018 academic year.
RESULTS
RESULTS
The mean performance scores were 63.3% (RP group) and 74.3% (SP group) attributing advantage to the SP group. Costs however were slighter greater in the SP group (14 man-hours) versus (10 man-hours) in the RP group. The resulting incremental cost-effectiveness ratio was 0.36 man-hours per 1-point increase in the performance score when comparing SP to peer RP.
CONCLUSIONS
CONCLUSIONS
SPs proved to be the more cost-effective modality when employing communication training for delivering bad news. The successful experience and use of SPs should be balanced against the marginally lesser costs involved in peer RP in planning residency teaching sessions.
Identifiants
pubmed: 31889691
pii: S1931-7204(19)30564-1
doi: 10.1016/j.jsurg.2019.10.009
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
479-484Informations de copyright
Copyright © 2019 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.