Accepted Type
Oral
Code
OE1-2-3
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Research
Will the presenter be a:
Jr. Faculty (less than 5 years in practice)
Affiliation
Considered for Poster
yes
Title
Exploring communication skills when introducing an EMR in an OSCE
Length of Presentation
Background/Purpose
Despite efforts to introduce electronic medical records (EMRs) into learning, there is little literature related to the assessment of EMR-related competencies. To address this gap, this study explored EMRs' impact on medical student-patient communication.
Methods
Communication skills with the introduction of EMR use were explored during an objective structured clinical examination (OSCE) administered to 99 third-year students. An EMR pilot station was developed, built in OpenLabyrinth and designed to emulate MedAccess©, to gather information needed to counsel a Standardised Patient (SP). Students' communication skills were assessed by SPs and physician examiners (PEs) using checklists and ratings scales. EMR station characteristics, including item total correlation (ITC) and difficulty were analyzed and compared to overall OSCE performance.
Results
Compared to the other 9 OSCE stations, the EMR station had the second lowest mean, lowest pass rate, and largest standard deviation based on PE scoring. It had an acceptable ITC (.217). Pearson correlations between PE and SP rating scales ranged from non-significant (0.081) (Listening) to moderately significant (0.433) (Information Giving). The skills around EMR use discriminated among students, with higher overall scores awarded by SPs and higher Listening and Adherence Optimization scores awarded by PEs.
Conclusion
While the students performed poorer in the EMR station, it had acceptable psychometric characteristics. Students' ability to use EMR, measured from the SP's and PE's perspectives, correlated with communication skills. There is a difference between how physicians and patients interpret communication skills when the student uses and EMR and is an area of potential future research.
Keyword 1
Communication
Keyword 2
Technology
Keyword 3
OSCE
Level of Training
Undergraduate
Abstract Themes
Undergraduate
Additional Theme (First choice)
Assessment
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
K. Jean Chen
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
