The Simulation Training Analysis For The Communicative Skills Formation In Medical Education

Abstract

The aim of the research was to study the formation of students' communicative skills in the learning process using the example of the Standardized Patient methodology. The method of analysis of the products of activity (analysis of checklists) was used. An assessment was made of the effectiveness of classes on the formation of communication skills in the process of simulation training. A pronounced inconsistency of the assessment parameters of communicative techniques at the first stage of classes and its subsequent levelling at the final stage were revealed. Students were more likely to choose everyday speech strategy by using «household» level of encouraging and many specific medical terms in a process of communication with simulative patient at the beginning of the training. That strategy was not enough to score enough points according to the check-list of the station. The study showed the effectiveness of the method of developing communicative skills by introducing the "Difficult patient" cases for two days. These cases allow to evaluate several aspects of training: the ability to reveal a patient's psychological status, the ability to choose the appropriate communication strategy based on the status, as well as the ability to provide recommendations on the patient's adaptation in the situation of somatic disease. 662 students with the opportunity to receive feedback and expert coaching to facilitate selfregulatory learning. The adaptive modeling platform offers 2 cycles, during which students are invited to analyze the results using automatic evaluations and personalized feedback. They are also encouraged to plan how they will improve their work through focused practice.▪ Communication programs for communicative skills of medical students with different groups of patients were also studied by Frost et al. (2015): the effectiveness of scenario-based teaching of clinical communication in teaching pediatric medicine was revealed. However, Pettit et al.(2018) in their study did not reveal a significant improvement in the students' use of communication elements or patient satisfaction after retraining in the communication script of the emergency department.Thereby, medical programs based on simulation training, (standardized patient), are becoming more widespread. It is indicated that scenarios reflecting real situations (environment, atmosphere, interpersonal difficulties, etc.) contribute to the development of communication skills of future medical workers (Bressmann & Eriks-Brophy, 2012;Putter-Katz et al., 2018;MacLean, Geddes, Kelly, & Della, 2018;Ulutaş, Sözen, Yeğenoğlu, & Elçin (2018). It is noted by Kaplonyi et al. (2017) that programs based on the "standardized patient" methodology are widely recognized as an effective means of teaching communication skills, but there is insufficient evidence of how this affects patient outcomes and the economic benefits of this training method are not indicated. Gibson and Davidson (2016) found that within the framework of the Standardized Patient program, no benefits w...

Fuzzy model for assessing acquired competencies

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