Evaluating the effectiveness of ‘AETCOM Module’ on the medical interns posted in peripheral health centres of a tertiary care medical college in Kanchipuram, Tamil Nadu

Jain, Timsi; Mohan, Yogesh; Maiya, G Rakesh; Nesan, G Shiny Chrism Queen; Boominathan, Charumathi

doi:10.4103/jfmpc.jfmpc_1647_21

Cited by 5 publications

(3 citation statements)

References 13 publications

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“…In this study, we have emphasized communication between doctor and patient. Jain et al [ 6 ] conducted a study on evaluating the effectiveness of ‘AETCOM Module’ on the medical interns posted in peripheral health centers of a tertiary care medical college in Kanchipuram, Tamil Nadu, and their reflective feedback has shown that most of the students expressed that they could identify the mistakes they commit while communicating with patients. The interns also expressed that the AETCOM classes would help them become better medical professionals and better doctors with a better understanding of patients' problems.…”

Section: Discussionmentioning

confidence: 99%

“…[ 3 ] One such example is the experience of a medical college in Puducherry, where an Attitude, Ethics, and Communication (AETCOM) session was conducted on the topic of “Health Care as a Right.” The entire concept of the AETCOM module lies on the fundamental principle that changing a person's attitude can change his or her behavior, thereby improving the communication skills of the medical students, which in turn will prevent malpractices and litigations against doctors. [ 4 5 6 ] The assessment of AETCOM is preferably done in a real-world simulated scenario and not by written theoretical examinations. [ 7 ] The Department of Community Medicine developed a teaching model for AETCOM module 2.3, ‘Health Care As A Right,’ which is integrated with Community Medicine topics ‘Concept Of Health And Disease’ and ‘Healthcare Of The Community’.…”

Section: Introductionmentioning

confidence: 99%

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Innovative AETCOM session on health care as a right: Experience at the medical college in Puducherry

Sahanaa,

Niranjan,

Pradeep

et al. 2023

Journal of Education and Health Promotion

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BACKGROUND: Attitude, Ethics, and Communication (AETCOM) module 2.3 is effective in improving the communication skills of medical students, which in turn will prevent malpractices and litigations against doctors. Module 2.3, ‘Health Care as a Right,’ was aimed at introducing healthcare systems, access, equity in access, the impact of socio-economic situation in determining healthcare access, the role of doctors as key players, and the missing links in the health care systems to students. MATERIALS AND METHODS: A teaching and learning activity was developed for MBBS professional year 2 on AETCOM 2.3. The activities planned were an introduction to the topic, a short documentary film using AV aids, role play by the team, group discussion followed by role play by the students, reflective writing, and finally summarizing the session with a take-home message. RESULTS: The number of responses received in reflective writing was 114. The thematic analysis of qualitative responses was grouped into categories The facilitating factors were the availability of trained doctors and round-the-clock services, and the hindering factors were disrespect to patients, professional misconduct, long waiting time, etc. The suggestions to improve communication between the doctor and the patient were to listen politely and develop good rapport. The qualities of a good doctor were good communication skills, empathy, professional conduct, etc. CONCLUSION: This AETCOM session helped the students understand the healthcare delivery system in the country. It changed their attitude toward patients and improved their communication skills as they were soon-to-become doctors.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Innovative AETCOM session on health care as a right: Experience at the medical college in Puducherry

Sahanaa,

Niranjan,

Pradeep

et al. 2023

Journal of Education and Health Promotion

View full text Add to dashboard Cite

show abstract

“…By focusing on the AETCOM skills of medical students, institutions are trying to prepare their students capable of providing compassionate, patient-centered care that is respectful of cultural and social differences. [ 3 ] In addition, AETCOM helps to promote professionalism and ethical behavior among medical practitioners, which are essential for maintaining public trust in the healthcare system. However, as this is relatively a newly introduced component in the curriculum, both teachers are students are facing challenges in teaching–learning and assessment process.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of ChatGPT in solving attitude, ethics, and communication case scenario used for competency-based medical education in India: A case study

Roy,

Das,

Mondal

2024

Journal of Education and Health Promotion

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BACKGROUND: Competency-based medical education (CBME) is a method of medical training that focuses on developing learners’ competencies rather than simply assessing their knowledge and skills. Attitude, ethics, and communication (AETCOM) are important components of CBME, and the use of artificial intelligence (AI) tools such as ChatGPT for CBME has not been studied. Hence, we aimed to assess the capability of ChatGPT in solving AETCOM case scenarios used for CBME in India. MATERIALS AND METHODS: A total of 11 case scenarios were developed based on the AETCOM competencies. The scenarios were presented to ChatGPT, and the responses generated by ChatGPT were evaluated by three independent experts by awarding score ranging from 0 to 5. The scores were compared with a predefined score of 2.5 (50% accuracy) and 4 (80% accuracy) of a one-sample median test. Scores among the three raters were compared by the Kruskal–Wallis H test. The inter-rater reliability of the evaluations was assessed using the intraclass correlation coefficient (ICC). RESULTS: The mean score of solution provided by ChatGPT was 3.88 ± 0.47 (out of 5), indicating an accuracy of approximately 78%. The responses evaluated by three raters were similar (Kruskal–Wallis H P value 0.51), and the ICC value was 0.796, which indicates a relatively high level of agreement among the raters. CONCLUSION: ChatGPT shows moderate capability in solving AETCOM case scenarios used for CBME in India. The inter-rater reliability of the evaluations suggests that ChatGPT’s responses were consistent and reliable. Further studies are needed to explore the potential of ChatGPT and other AI tools in CBME and to determine the optimal use of these tools in medical education.

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Tangible impact of patient communication modules on medical students and interns

Nayak,

Goyal

et al. 2024

Advances in Physiology Education

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Attitude, ethics, and communication are key attributes in the doctor-patient relationship and to strengthen these qualities, the National Medical Commission, the body that regulates medical education and medical professionals in India introduced a course on attitudes, ethics and communication (AETCOM) in the undergraduate medical curriculum. The objective of this study was to ascertain the perceptible qualitative influence of the modules in communication in the AETCOM course and to obtain feedback on its implementation. In this cross-sectional study, the attitude of medical students in all stages of training including internship was first explored using a Communication Skills Attitude Scale (CSAS). Out of 27 modules in AETCOM course, five modules named foundations of communication deal with communication and they are taught from the first to final professional years of training. After introducing communication modules in AETCOM for all professional years, feedback was collected from interns who had completed training in all modules. The interns provided feedback with a validated scale and two focused group discussions. Additionally, feedback from faculty involved in teaching AETCOM was analyzed. There was a significant increase in the positive attitude scores in the final year and internship compared to the first year. Eighty percent of the interns agreed that communication modules in AETCOM were useful and that it equipped them with the communication skills required for actual practice during internship. Faculty agreed that these modules motivated the students to acquire communication skills. However, faculty also felt that these modules alone may not be sufficient to learn communication skills.

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Evaluating the effectiveness of ‘AETCOM Module’ on the medical interns posted in peripheral health centres of a tertiary care medical college in Kanchipuram, Tamil Nadu

Cited by 5 publications

References 13 publications

Innovative AETCOM session on health care as a right: Experience at the medical college in Puducherry

Innovative AETCOM session on health care as a right: Experience at the medical college in Puducherry

Efficacy of ChatGPT in solving attitude, ethics, and communication case scenario used for competency-based medical education in India: A case study

Tangible impact of patient communication modules on medical students and interns

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