Using a computer simulation for teaching communication skills: A blinded multisite mixed methods randomized controlled trial
Patient Education and CounselingPublished 29 October 2016Open access
Frederick W Kron, Michael D. Fetters, Mark W. Scerbo, Casey White, Monica L. Lypson, Miguel A. Padilla
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TL;DR
Attitudes and experiences were more positive among students trained with MPathic-VR, who valued its providing immediate feedback, teaching nonverbal communication skills, and preparing them for emotion-charged patient encounters.
Abstract
MPathic-VR's virtual human simulation offers an effective and engaging means of advanced communication training.
Keywords
MedicineHealth Professions
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A global view of international exchange in the 21st Century through the eyes of three historians and a film by Tracy Seretean about the making of Big MAMA.
Patient Education and CounselingThe reflective practitioner: How professionals think in action
19,858 Citations1984Cynthia J. Stewart
Qualitative Inquiry and Research Design : Choosing Among Five Approaches
16,098 Citations2017John W. Creswell, Cheryl Poth
National Academies Press eBooksTo Err Is Human
14,096 Citations2000Institute of Medicine
A process for the preparation of prostaglandins which are known pharmaceutically active compounds and then R alpha , R omega -cyclopentenoids is described.
Choice Reviews OnlineUnequal treatment: confronting racial and ethnic disparities in health care
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A heating element includes an elongated tubular sheath which confines a resistance wire supported by a thermally conductive electrical insulation material which extends to a position flush with the end surface of the sheath.
Health Services ResearchAchieving Integration in Mixed Methods Designs—Principles and Practices
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The fit of integration describes the extent the qualitative and quantitative findings cohere and can help health services researchers leverage the strengths of mixed methods.
Medical Entomology and ZoologyMotivational Interviewing: Preparing People to Change Addictive Behavior
4,484 Citations1991William R. Miller, Stephen Rollnick
Medical TeacherFeatures and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review
3,860 Citations2005S. Barry Issenberg, William C. McGaghie +3 more
While research in this field needs improvement in terms of rigor and quality, high-fidelity medical simulations are educationally effective and simulation-based education complements medical education in patient care settings.
The OncologistSPIKES—A Six-Step Protocol for Delivering Bad News: Application to the Patient with Cancer
3,045 Citations2000Walter F. Baile, Robert Buckman +4 more
Oncologists, oncology trainees, and medical students who have been taught the protocol have reported increased confidence in their ability to disclose unfavorable medical information to patients.
Social Science & MedicineDoctor-patient communication: A review of the literature
2,419 Citations1995L.M.L. Ong, J.C.J.M. de Haes +2 more
Consequences of specific physician behaviors on certain patient outcomes, namely: satisfaction, compliance/adherence to treatment, recall and understanding of information, and health status/psychiatric morbidity are described.
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2,026 Citations2011David A. Cook, Rose Hatala +6 more
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Oxford University Press eBooksWhat the Face RevealsBasic and Applied Studies of Spontaneous Expression Using the Facial Action Coding System (FACS)
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Although the number of reports analyzed in this meta-analysis is small, these results show that SBME with DP is superior to traditional clinical medical education in achieving specific clinical skill acquisition goals.
Medical EducationA critical review of simulation‐based medical education research: 2003–2009
1,690 Citations2009William C. McGaghie, S. Barry Issenberg +2 more
This article reviews and critically evaluates historical and contemporary research on simulation‐based medical education (SBME) and presents and discusses 12 features and best practices that teachers should know in order to use medical simulation technology to maximum educational benefit.
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The aim of this paper is to critically review what is felt to be important about the role of debriefing in the field of simulation-based learning, how it has come about and developed over time, and the different styles or approaches that are used and how effective the process is.
The Annals of Family MedicineIntegrating Quantitative and Qualitative Results in Health Science Mixed Methods Research Through Joint Displays
1,642 Citations2015Timothy C. Guetterman, Michael D. Fetters +1 more
Joint displays appear to provide a structure to discuss the integrated analysis and assist both researchers and readers in understanding how mixed methods provides new insights.
Emotions Revealed: Recognizing Faces and Feelings to Improve Communication and Emotional Life
1,624 Citations2003Paul Ekman
New England Journal of MedicineThe Next GME Accreditation System — Rationale and Benefits
1,595 Citations2012Thomas J. Nasca, Ingrid Philibert +2 more
The American Council of Graduate Medical Education is moving from accrediting residency programs every 5 years to a new system for the annual evaluation of trends in measures of performance.
Psychological ScienceNew Conceptualizations of Practice: Common Principles in Three Paradigms Suggest New Concepts for Training
1,579 Citations1992Richard A. Schmidt, Robert A. Bjork
JAMAPhysician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons
1,527 Citations1997Warren Levinson
American PsychologistThe situativity of knowing, learning, and research.
1,522 Citations1998James G. Greeno
Annual Review of Public HealthCombining the Power of Stories and the Power of Numbers: Mixed Methods Research and Mixed Studies Reviews
1,379 Citations2013Pierre Pluye, Quan Nha Hong
The epistemological background for mixed methods research and mixed studies reviews is presented and the main types of mixed methodsResearch designs and techniques as well as guidance for planning, conducting, and appraising mixed method research are presented.
Qualitative Text Analysis: A Guide to Methods, Practice & Using Software
1,367 Citations2014Udo Kuckartz
The British Journal of PsychiatryGaze and Mutual Gaze
1,247 Citations1994Michael Argyle, Mark Cook +1 more
Skills for Communicating with Patients
1,238 Citations2016Jonathan Silverman, Suzanne Kurtz +1 more
This book defines what to teach and learn: an overview of the communication skills and describes specific issues to core communication skills as well as providing structure to the interview.
JAMAPhysician-Patient Communication<subtitle>The Relationship With Malpractice Claims Among Primary Care Physicians and Surgeons</subtitle>
1,084 Citations1997Wendy Levinson
BMJRelative contributions of history-taking, physical examination, and laboratory investigation to diagnosis and management of medical outpatients.
1,016 Citations1975J R Hampton, Margaret J. Harrison +3 more
To evaluate the relative importance of the medical history, the physical examination, and laboratory investigations in the diagnosis and management of medical outpatients some physicians recorded their diagnosis and a prediction of the method of management after reading the patient's referral letter, again after taking the history, and again after performing thePhysical examination.
Journal of Nonverbal BehaviorThe Chameleon Effect as Social Glue: Evidence for the Evolutionary Significance of Nonconscious Mimicry
960 Citations2003Jessica L. Lakin, Valerie E. Jefferis +2 more
It is argued that mimicry played an important role in human evolution and has now evolved to serve a social function, and nonconscious behavioral mimicry increases affiliation, which serves to foster relationships with others.
Psychological InquiryThe Nature of Rapport and Its Nonverbal Correlates
945 Citations1990Linda Tickle‐Degnen, Robert Rosenthal
Patient Education and CounselingThe Roter interaction analysis system (RIAS): utility and flexibility for analysis of medical interactions
893 Citations2002Debra Roter, Susan Larson
The purpose of this essay is to broadly overview the RIAS and to present key capabilities and coding conventions, and to address the extent to which theRIAS is consistent with, or complementary to, linguistic-based techniques of communication analysis.
Health AffairsWhy The Nation Needs A Policy Push On Patient-Centered Health Care
867 Citations2010Ronald M. Epstein, Kevin Fiscella +2 more
Policy makers need to look beyond such areas as health information technology to shape a coordinated and focused national policy in support of patient-centered care.
New England Journal of MedicineDisciplinary Action by Medical Boards and Prior Behavior in Medical School
839 Citations2005Maxine A. Papadakis, Arianne Teherani +6 more
In this case-control study, disciplinary action among practicing physicians by medical boards was strongly associated with unprofessional behavior in medical school and students with the strongest association were those who were described as irresponsible or as having diminished ability to improve their behavior.
Change The Magazine of Higher Learning<i>Knowing-In-Action</i>: The New Scholarship Requires a New Epistemology
837 Citations1995Donald A. Schön
Computers in Human BehaviorIt’s only a computer: Virtual humans increase willingness to disclose
829 Citations2014Gale Lucas, Jonathan Gratch +2 more
It is suggested that automated VHs can help overcome a significant barrier to obtaining truthful patient information and be rated by observers as more willing to disclose.
Archives of Internal MedicineThe Doctor-Patient Relationship and Malpractice
753 Citations1994Howard Beckman
In this sample of 45 plaintiffs' depositions selected randomly from 67 depositions made available from settled malpractice suits filed between 1985 and 1987 against a large metropolitan medical center, the decision to litigate was often associated with a perceived lack of caring and/or collaboration in the delivery of health care.
Health AffairsDeveloping Physician Communication Skills For Patient-Centered Care
739 Citations2010Wendy Levinson, Cara S. Lesser +1 more
Cognitive PsychologyWhy are some problems hard? Evidence from Tower of Hanoi
733 Citations1985Kenneth Kotovsky, John R. Hayes +1 more
This paper analyzes the causes for large differences in difficulty of various isomorphic versions of the Tower of Hanoi problem to seek and find causes for the differences in features of the problem representation.
Psychological ScienceMimicry and Prosocial Behavior
677 Citations2004Rick B. van Baaren, Rob W. Holland +2 more
The results suggest that the effects of mimicry are not simply due to increased liking for the mimicker, but are due toincreased prosocial orientation in general.
CA A Cancer Journal for CliniciansApproaching Difficult Communication Tasks in Oncology
660 Citations2005Anthony L. Back, Robert M. Arnold +3 more
A cognitive map for important communication skills that physicians need over the course of caring for a person with cancer is provided.
Annals of SurgeryA Systematic Review of Skills Transfer After Surgical Simulation Training
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526 Citations2006Leanne M. Sutherland, Philippa Middleton +5 more
While there may be compelling reasons to reduce reliance on patients, cadavers, and animals for surgical training, none of the methods of simulated training has yet been shown to be better than other forms of surgical training.
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Data support the concept that most diagnoses are made from the medical history, and the results of physical examination and the laboratory investigation led to fewer diagnoses, but they were instrumental in excluding certain diagnostic possibilities and in increasing the physicians' confidence in their diagnoses.
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It is suggested that as computer interfaces become more "human-like," people who use those interfaces may change their own personas in response to them.
Human Communication ResearchNonverbal Behaviors, Persuasion, and Credibility
387 Citations1990Judee K. Burgoon, Thomas Birk +1 more
JAMAObstetricians' Prior Malpractice Experience and Patients' Satisfaction With Care
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Physicians who have been sued frequently are more often the objects of complaints about the interpersonal care they provide even by their patients who do not sue.
JAMAFactors that prompted families to file medical malpractice claims following perinatal injuries
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JAMAFactors That Prompted Families to File Medical Malpractice Claims Following Perinatal Injuries
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Self-reported reasons that prompt families to file malpractice claims following perinatal injuries are identified and families' descriptions of medical events, advice from acquaintances, and the quality of physician-family communication are described.
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340 Citations1992Donald A. Schön
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324 Citations2006William C. McGaghie, S. Barry Issenberg +2 more
This report synthesises a subset of 31 journal articles on high‐fidelity simulation‐based medical education containing 32 research studies drawn from a larger qualitative review published previously to hypothesise an association between hours of practice in simulation‐ based medical education and standardised learning outcomes measured as weighted effect sizes.
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MACH
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The handbook of educational theories
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The Handbook of Educational Theories is intended for graduate students enrolled in research courses or completing theses and dissertations and includes understandable reference tools for researchers and practitioners to use at they seek theories to guide their research and practice and as they develop theoretical frameworks.
The American Journal of MedicineThe relation of patient satisfaction with complaints against physicians and malpractice lawsuits
274 Citations2005Henry T. Stelfox, Tejal K. Gandhi +2 more
Patient satisfaction survey ratings of inpatient physicians' performance are associated with complaints from patients and with risk management episodes.
PubMedContributions of the history, physical examination, and laboratory investigation in making medical diagnoses.
266 Citations1992Michael C. Peterson, J H Holbrook +3 more
Health CommunicationAnalyzing Patient Participation in Medical Encounters
259 Citations2001Richard L. Street, Bradford Millay
The conceptual foundation and measurement strategies used in the approach to analyzing the communicative acts that constitute patient participation in medical encounters are described and an analysis of nine videotaped recordings of physician–patient interactions is applied.
Sage Pub. eBooksDescribing talk : a taxonomy of verbal response modes
255 Citations1992William B. Stiles
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242 Citations2005Myriam Deveugele, Anselme Derese +4 more
Communication is embedded in a global patient-, student- and community-oriented curriculum and that communication skills are seen as core elements of good doctoring.
Educational PsychologistToward Teachers' Adaptive Metacognition
242 Citations2005Xiaodong Lin, Daniel L. Schwartz +1 more
Annual Review of Public HealthStudies of Doctor-Patient Interaction
232 Citations1989Debra Roter, Judith A. Hall
This review supplement supplements a selective review of the literature on discussion between doctors and patients and describes the findings as a "Rorschach test" for readers in which overall interpretations are as apt to reveal something about the reader as about the results themselves.
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A system, based on psycholinguistic theory, designed to create a sense of rapport between a human speaker and virtual human listener is described and empirical evidence that it increases speaker fluency and engagement is provided.
Medical EducationEmotion skills training for medical students: a systematic review
229 Citations2007Jason M. Satterfield, Ellen Hughes
To identify emotion skills training methods and outcomes using a systematic review of medical student curricula studies, a large number of studies found positive results.
Western Journal of MedicineMedical malpractice: the effect of doctor-patient relations on medical patient perceptions and malpractice intentions
227 Citations2000P. Moore
These results provide empiric evidence for a direct, causal effect of the doctor-patient relationship on medical patients' treatment perceptions and malpractice claim intentions in the event of an adverse medical outcome.
Journal of Speech Language and Hearing ResearchRespiratory Markers of Conversational Interaction
227 Citations2001David H. McFarland
Inspiratory duration was found to be the most consistent and sensitive measure for discriminating quiet breathing from speech breathing and cross-correlation analyses of the respiratory movements of conversational partners provided an index of Conversational synchrony.
Supportive Care in CancerCommunication training for health professionals who care for patients with cancer: a systematic review of effectiveness
225 Citations2004Marjolein Gysels, Alison Richardson +1 more
Assessment of communication skills training courses for health professionals in cancer care found that positive attitudes and beliefs are needed to maintain skills over time in clinical practice and to effectively handle emotional situations.
Medical EducationCreativity in clinical communication: from communication skills to skilled communication
225 Citations2011Peter Salmon, Bridget Young
The effects of animated characters on anxiety, task performance, and evaluations of user interfaces
219 Citations2000Raoul Rickenberg, Byron Reeves
Users felt more anxious when characters monitored their website work and this effect was strongest for users with an external control orientation, while monitoring characters also decreased task performance, but increased trust in website content.
International Journal of Social PsychiatryIdentification of the hikikomori syndrome of social withdrawal: Psychosocial features and treatment preferences in four countries
219 Citations2014Alan R. Teo, Michael D. Fetters +7 more
Hikikomori exists cross-nationally and can be assessed with a standardized assessment tool, and some may desire treatment, and has substantial psychosocial impairment and disability.
Cambridge University Press eBooksA Cognitive Theory of Multimedia Learning
213 Citations2001Richard E. Mayer
Pediatric ResearchGaps in Doctor-Patient Communication: Doctor-Patient Interaction Analysis
208 Citations1971Barbara Fremon, Vida Francis Negrete +2 more
Journal of General Internal Medicine“Could this Be Something Serious?”
204 Citations2007Ronald M. Epstein, Taj Hadee +4 more
Empathy is associated with higher patient ratings of interpersonal care, especially when expressed in situations involving ambiguity, and should be expressed early after patient expressions of worry.
Journal of Nonverbal BehaviorEmotional Empathy as Related to Mimicry Reactions at Different Levels of Information Processing
203 Citations2003Marianne Sonnby‐Borgström, Peter Jönsson +1 more
AI MagazineToward virtual humans
200 Citations2006William Swartout, Jonathan Gratch +5 more
This article describes the key capabilities of the virtual humans developed as part of the Mission Rehearsal Exercise project, a virtual reality-based training system, and shows how these capabilities are integrated to provide more human-level intelligence than would otherwise be possible.
Archives of Internal MedicineCharacteristics Associated With Physician Discipline
178 Citations2004Neal Kohatsu, Dawn Gould +2 more
Certain physician characteristics and medical specialties are associated with an increased likelihood of discipline.
Human Factors The Journal of the Human Factors and Ergonomics SocietyProcedural Instructions, Principles, and Examples
170 Citations2011Elsa Eiríksdóttir, Richard Catrambone
How instructions are constructed influences their effectiveness for the goals of good initial performance, learning, and transfer, and it is therefore important for researchers and practitioners alike to define the pedagogical goal of instructions.
New England Journal of MedicineThe Checklist Conundrum
169 Citations2014Lucian L. Leape
A study shows the limitations of the surgical safety checklist, which has been mandated or strongly encouraged by several governments, including those of the United Kingdom, the Netherlands, and Ontario, Canada.
Journal of Nonverbal BehaviorThe Importance of Nonverbal Cues in Judging Rapport
169 Citations1999Jon Grahe, Frank J. Bernieri
The Annals of Family MedicineVideo Elicitation Interviews: A Qualitative Research Method for Investigating Physician-Patient Interactions
159 Citations2012Steve Henry, Michael D. Fetters
The concept and method of video elicitation interviews are described and practical guidance is provided for primary care researchers who want to use this qualitative method to investigate physician-patient interactions.
Annals of Internal Medicine“I Wish Things Were Different”: Expressing Wishes in Response to Loss, Futility, and Unrealistic Hopes
159 Citations2001Timothy E. Quill, Robert M. Arnold +1 more
Some of the challenges of saying I'm sorry are explained and the potential benefits of joining with patients and families and saying I wish in specific, difficult clinical scenarios are explored.
International Journal of Artificial Intelligence in EducationBiLAT: A Game-Based Environment for Practicing Negotiation in a Cultural Context
154 Citations2009Julia M. Kim, Randall W. Hill +7 more
The BiLAT game-based simulation and tutoring system developed to provide students with an environment to practice preparing for and conducting bilateral negotiations and an initial assessment of the training effectiveness indicates significant situation-judgment gains by novices.
Journal of Advanced NursingThe role of reflection in single and double loop learning
151 Citations1998Jennifer Greenwood
American Journal of Obstetrics and GynecologyOpening cultural doors: Providing culturally sensitive healthcare to Arab American and American Muslim patients
149 Citations2005Maya M. Hammoud, Casey White +1 more
Insight into the behaviors, requirements, and preferences of Arab American and American Muslim patients, especially as they apply to women's health are offered.
BMC Medical EthicsTo evaluate the effectiveness of health care ethics consultation based on the goals of health care ethics consultation: a prospective cohort study with randomization
141 Citations2014Yen‐Yuan Chen, Tzong‐Shinn Chu +4 more
It was demonstrated that HCEC were associated with reduced consumption of medical resources as indicated by shorter entire ICU stay, entire hospital stay, and shorter ICU and hospital stay after the occurrence of the medical uncertainty or conflict regarding value-laden issues.
European Journal of Social PsychologyThe meaning of five patterns of gaze
141 Citations1974Michael Argyle, Luc Lefebvre +1 more
Social Science & MedicineDoctor-patient interaction, patients' health behavior and effects of treatment
141 Citations1984I Heszen-Klemens, E Lapińska
It was found that some characteristics of the doctor-patient interaction; doctors' directiveness, doctors' emotional attitude towards the patient, patients' activity, Patients' partnership status had an effect on patients' health behavior (compliance with doctors' orders and patients' spontaneous health activity).
British Journal of PsychologyTHE CONSISTENCY OF GAZE PATTERNS IN SOCIAL INTERACTION
141 Citations1969Adam Kendon, Mark Cook
The correlation data, and the data on the relation of one subject's gaze and action patterns to those of the other subject, contain some complex relations that are interpreted as being concerned with the ‘smoothness’ of the encounter.
Learning Environments ResearchAssessing the contribution of a constructivist learning environment to academic self-efficacy in higher education
133 Citations2015Dorit Alt
PubMedMedical malpractice experience of physicians. Predictable or haphazard?
130 Citations1989Frank A. Sloan, Paula M. Mergenhagen +3 more
Lecture notes in computer scienceNatural Behavior of a Listening Agent
129 Citations2005R. M. Maatman, Jonathan Gratch +1 more
This paper will illustrate that appropriate listening behavior can also be generated by other features of a speaker's behavior that are available in real time such as speech quality, posture shifts and head movements.
Multimodal expressive embodied conversational agents
119 Citations2005Catherine Pélachaud
This paper presents the work toward the creation of a multimodal expressive Embodied Conversational Agent, called Greta, which exhibits nonverbal behaviors synchronized with speech and defines a set of parameters to change the expressivity of the agent's behaviors.
Family PracticeDoctor–patient communication: a comparison of the USA and Japan
118 Citations2003Sachiko Ohtaki, Toshio Ohtaki +1 more
While doctor-patient communication differed between the USA and Japan in the proportion of time spent in each phase of the encounter, length of pauses and the use of back-channel responses and interruptions, physician versus patient ratios of questions and other speech acts were similar.
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