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‘Difficult Conversations with Patients’—A Modified Group Objective Structured Clinical Experience for Medical Students

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  • Piotr Przymuszała

    (Department of Medical Education, Poznan University of Medical Sciences, 60-806 Poznan, Poland)

  • Patrycja Marciniak-Stępak

    (Department of Medical Simulation, Poznan University of Medical Sciences, 60-806 Poznan, Poland
    Department of Pediatric Oncology, Hematology and Transplantology, Poznan University of Medical Sciences, 60-572 Poznan, Poland)

  • Magdalena Cerbin-Koczorowska

    (Department of Medical Education, Poznan University of Medical Sciences, 60-806 Poznan, Poland)

  • Martyna Borowczyk

    (Department of Medical Simulation, Poznan University of Medical Sciences, 60-806 Poznan, Poland)

  • Katarzyna Cieślak

    (Medical Simulation Centre, Poznan University of Medical Sciences, 60-806 Poznan, Poland)

  • Lidia Szlanga

    (Department of Medical Simulation, Poznan University of Medical Sciences, 60-806 Poznan, Poland)

  • Łucja Zielińska-Tomczak

    (Department of Medical Education, Poznan University of Medical Sciences, 60-806 Poznan, Poland)

  • Ryszard Marciniak

    (Department of Medical Education, Poznan University of Medical Sciences, 60-806 Poznan, Poland)

Abstract

This study presents a modified Group Objective Structured Clinical Experience (GOSCE) focused on difficult conversations, in which, due to limited time and financial resources, only some students could actively participate in scenarios. We aimed to evaluate the intervention, including differences between them and observers. The intervention was organized for sixth-year medical students at a Polish medical university. The study protocol assumed a pre-post analysis of students’ attitudes and self-efficacy of communication skills and their opinions about the intervention. Complete questionnaire pairs were returned by 126 students. The pre-post analysis revealed a significant improvement in their self-efficacy levels of almost all skills as well as their affective attitudes and belief in outcomes of communication learning. The improvement was significant among both the active participants and observers. It also showed a decrease in the motivation score, significant only in females. Regardless of their roles, students had positive opinions about the course and its particular aspects. The modified GOSCE may be an enjoyable and effective learning experience for students, especially in the light of limited resources. However, changes in their motivation score suggest the necessity to increase the importance of communication learning in the curriculum.

Suggested Citation

  • Piotr Przymuszała & Patrycja Marciniak-Stępak & Magdalena Cerbin-Koczorowska & Martyna Borowczyk & Katarzyna Cieślak & Lidia Szlanga & Łucja Zielińska-Tomczak & Ryszard Marciniak, 2021. "‘Difficult Conversations with Patients’—A Modified Group Objective Structured Clinical Experience for Medical Students," IJERPH, MDPI, vol. 18(11), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5772-:d:563747
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    Cited by:

    1. Aleksandra Walkowska & Piotr Przymuszała & Patrycja Marciniak-Stępak & Maria Nowosadko & Ewa Baum, 2023. "Enhancing Cross-Cultural Competence of Medical and Healthcare Students with the Use of Simulated Patients—A Systematic Review," IJERPH, MDPI, vol. 20(3), pages 1-24, January.
    2. Magdalena Cerbin-Koczorowska & Piotr Przymuszała & Michał Kłos & Dominika Bazan & Paweł Żebryk & Paweł Uruski & Ryszard Marciniak, 2022. "Potential of Volunteering in Formal and Informal Medical Education—A Theory-Driven Cross-Sectional Study with Example of the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(24), pages 1-18, December.
    3. Agata Kotłowska & Julia Przeniosło & Krzysztof Sobczak & Jan Plenikowski & Marcin Trzciński & Oliwia Lenkiewicz & Julia Lenkiewicz, 2022. "Influence of Personal Experiences of Medical Students on Their Assessment of Delivering Bad News," IJERPH, MDPI, vol. 19(19), pages 1-10, September.

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