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Simulation video: a tool to evaluate communications skills in … – BMC Medical Education


Since the original version of Tomorrow’s Doctors in 1993 [1], medical education and resident training have shifted from a system based solely on time and process to one that emphasizes multiple competencies. This significant change has had a considerable impact on UK medical schools, many of which have started creating dynamic and innovative curricula inspired by the book’s guidelines.

Historically, radiologists have been primarily responsible for interpreting medical imaging and generating reports. However, with the shift towards multi-competency resident training in the medical field, evaluation tools became a new requirement for the profession.

Communication is one of the core competencies of radiology residents [2]. Effective communication is an essential aspect of providing high-quality patient care, and this applies to many medical subspecialties including radiology. While traditionally most medical imaging results are provided directly to the referring clinician, direct communication between radiologists and patients has become increasingly important, especially in situations such as direct interpretation of written reports to patients or interventional radiology [3]. The study of Gutzeit et al. showed that direct commutation from radiologists to patients after MRI examinations improved the radiology service and bonding between radiologists and patients [4].

Radiologists must communicate with colleagues, technicians, nurses, surgeons, internal physicians, and patients. The standardized patient (SP) model has a long history in medical training; it has played a role in professional medical teaching for more than 50 years [5, 6]. The first reported SP was coached by a neurologist to exhibit various neurological symptoms to assess the diagnostic skills of students. SP has also been applied to cultivate and evaluate communications skills for medical students [7,8,9] However, the training with SPs in evaluation can be time-consuming and hard to normalize, especially for large-scale evaluation, and it is difficult to obtain high reproducibility from different SPs [9].

How to assess communication skills has been challenging since the training on communication needs to be improved in both undergraduate and postgraduate education [10, 11]. Based on the Chinese national survey on radiology residency training, training programs mainly focus on patient care and medical knowledge rather than other competencies such as communication [10]. In China, resident training for radiology was nationalized in 2014, and all medical students looking to become radiology staff are required to complete a three-year residency training in radiology. This requirement is mandatory, irrespective of whether the medical student has achieved a bachelor’s, master’s, or doctoral degree, and was in place at the time of the study being conducted. To date, there is no national resident certification exam in China. Twenty hospitals in Beijing experience is the most advanced and representative in the country [10]. There are twenty hospitals in Beijing qualified as radiological residents standardized training centers, which are Peking University Third Hospital,Peking University First Hospital, Peking University People’s Hospital, Peking University Cancer Hospital, Beijing Jishuitan Hospital, Beijing Tsinghua Changgung Hospital, Beijing Hospital, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing Shijitan Hospital Affiliated to Capital Medical University, Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing Tongren Hospital Affiliated to Capital Medical University, Beijing Friendship Hospital Affiliated to Capital Medical University, Xuanwu Hospital of Capital Medical University, Chinese People’s Liberation Army Air Force Special Medical Center, Sixth Medical Center, General Hospital of Chinese People’s Liberation Army, The First Medical Center of the Chinese People’s Liberation Army General Hospital, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Chinese Academy of Medical Sciences Cancer Hospital, Sino-Japanese Friendship Hospital and Beijing Aerospace General Hospital. Beijing’s overall radiology resident capacity has considered the significance and taken action to cultivate communications skills. Although there are studies about simulation training and evaluation in radiology resident communication skills [12, 13], no one has used simulation video in communication skill evaluation. Considering the shortcomings of the SP model for communications skills evaluation, the evaluation team initiated the simulation video model. The 2014 radiology resident certification exam initially used SP conversation for communications skill evaluation. In the SP test, each resident had a medical inquiry with a trained SP and received a score from two examiners. From 2015 to 2020, the novel simulation video was used. This retrospective study compared the advantages and disadvantages of the two evaluation models.



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Lucas Leclerc

Tel un mélodiste des pixels, je suis Lucas Leclerc, un Compositeur de Contenus Digitaux orchestrant des récits qui fusionnent la connaissance et l'imagination. Mon passage à l'Université Catholique de Lyon a accordé une symphonie à ma plume. Telle une partition éclectique, mes écrits se déploient des arcanes de la sécurité internationale aux méandres de la politique, des étoiles de la science aux prédictions des bulletins météo. Je navigue entre les lignes avec la même aisance qu'un athlète soucieux de sa santé. Chaque article est une note de transparence, une mélodie d'authenticité. Rejoignez-moi dans cette composition numérique où les mots s'entremêlent pour former une toile captivante de connaissances et de créativité, où la sécurité mondiale danse avec les étoiles, où les sphères politiques se fondent avec la météorologie, et où chaque paragraphe est une sonate pour la compréhension globale.

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