An Objective Structured Clinical Exam to Assess Semiology Skills of Medical Students

Pereira, Vítor Hugo; Morgado, Pedro; Gonçalves, Mónica; Costa, Liliana Raquel Alves; Sousa, Nuno; Cerqueira, João José

doi:10.20344/amp.8407

Cited by 8 publications

(3 citation statements)

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“…Even though our results are in accordance with the literature, it is relevant to point out that the group we studied relied on a convenient sample that included students and doctors of a particular geographic area. The same applies to students from this particular medical school, which includes a specific program of psychiatry training that offers early contact with psychiatric patients and simulated clinical consultations of different psychiatric syndromes (20). Furthermore, being a crosssectional study, it does not allow to follow the changes of student's attitudes over time, considering that students from different degrees of the medical course were included together as a group.…”

Section: Discussionmentioning

confidence: 99%

Stigmatizing Attitudes Toward Patients With Psychiatric Disorders Among Medical Students and Professionals

et al. 2020

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Introduction: Stigma attached to mental health encompasses discrimination and exclusion of psychiatric patients and hinders their opportunities to have more productive and fulfilling lives. Moreover, stigma also exists among health professionals, and therefore, it hampers the provision of treatment and care and the promotion of mental well-being. This manuscript intends to assess and compare the levels of stigmatization toward patients with mental illness between medical students and doctors from different specialties. Methods: The Portuguese version of Attribution Questionnaire (AQ-27) was used to assess the attitudes of medical students (n = 203), non-psychiatry doctors (n = 121), and psychiatry specialists (n = 29) from the University of Minho and three hospitals in the region of Braga, Portugal (

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Section: Discussionmentioning

confidence: 99%

Stigmatizing Attitudes Toward Patients With Psychiatric Disorders Among Medical Students and Professionals

et al. 2020

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“…The final CAS prototype was then applied on Objective Structured Clinical Examination (OSCE) stations in which the student had to collect a patient medical history, conduct a physical examination and deliver bad news to trained SPs. 19 In all these moments, student's performance was assessed with the CAS by both faculty and SPs. Training on the use of the scale was provided to both faculty and SPs, thus ensuring less inter-examiner variability.…”

Section: Methodsmentioning

confidence: 99%

Minho Communication Assessment Scale: Development and Validation

Gonçalves¹,

Gonçalves²,

Mendonça-Gonçalves³

et al. 2020

Acta Med Port

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Introduction: Verbal and non-verbal communication skills are core competencies in medical practice and should be acquired and monitored in medical schools. However, their assessment poses a challenge. The aim of this study is to develop and assess the psychometric properties, validity and reliability of a communication assessment scale.Material and Methods: We developed a communication assessment scale, composed by five dimensions (Structure, Way of Questioning, Behavior and Posture, Clarity of information and Emotional dimension). Two focus groups and a development group, composed by faculty members and standardized patients experienced in assessment, were responsible for creating the scale.Results: The communication assessment scale was tested on 332 students from the 3rd and 6th year of medical school, with a total of 2754 assessments, performed by faculty members and standardized patients. A descriptive analysis, an exploratory factor analysis, a confirmatory factor analysis and a Cronbach’s alpha analysis to establish internal reliability were conducted.Discussion: The Minho Communication Assessment Scale can be effectively used by both faculty members and standardized patients, providing correct students assessment and relevant feedback to the students. The final Minho Communication Assessment Scale has a total of 19 items, being simple and intuitive to use. The exploratory factor analysis and confirmatory factor analysis results were satisfactory. Cronbach’s alpha value revealed high internal consistency of Minho Communication Assessment Scale.Conclusion: The final Minho Communication Assessment Scale proved to be simple to use and to have very good psychometric properties. Our results show that the Minho Communication Assessment Scale is a valid scale to assess communication skills which can be accurately replicated on objective structured clinical examinations focusing on communication.

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“…All students that failed in the clinical skills examination at the end of the third year were invited to join the program. More specifically, these students failed the history taking and/or communication components on the high-stakes Objective Structured Clinical Examination (OSCE), backed by a solid standardized patients (SP) program, specifically designed to assess the mastery of history-taking and physical exam skills just before the start of their clinical rotations 5 . The exam included six stations of 15-minutes SP encounters, each station with a clinical history and specific physical examination.…”

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confidence: 99%