Web-Based Objective Structured Clinical Examination with Remote Standardized Patients and Skype: Resident Experience

Erik E. Langenau, Elizabeth Kachur, Dot Horber

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE : Using Skype and remote standardized patients (RSPs), investigators sought to evaluate user acceptance of a web-based objective structured clinical examination (OSCE) among resident physicians.

METHODS : After participating in four web-based clinical encounters addressing pain with RSPs, 59 residents from different training programs, disciplines and geographic locations completed a 52-item questionnaire regarding their experience with Skype and RSPs. Open-ended responses were solicited as well.

RESULTS : The majority of participants (97%) agreed or strongly agreed the web-based format was convenient and a practical learning exercise, and 90% agreed or strongly agreed the format was effective in teaching communication skills. Although 93% agreed or strongly agreed they could communicate easily with RSPs using Skype, 80% preferred traditional face-to-face clinical encounters, and 58% reported technical difficulties during the encounters. Open-ended written responses supported survey results.

CONCLUSION : Findings from this study expose challenges with technology and human factors, but positive experiences support the continued investigation of web-based OSCEs as a synchronous e-learning initiative for teaching and assessing doctor-patient communication. Such educational programs are valuable but unlikely to replace face-to-face encounters with patients.

PRACTICE IMPLICATIONS : This web-based OSCE program provides physician learners with additional opportunity to improve doctor-patient communication.

Original languageAmerican English
JournalPatient education and counseling
Volume96
StatePublished - Jul 1 2014

Keywords

  • Computer-assisted instruction
  • Medical education
  • Patient simulation
  • Physical examination
  • Remote consultation

Disciplines

  • Health and Medical Administration
  • Health Information Technology
  • Medical Education
  • Medicine and Health Sciences

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