RESEARCH ARTICLE: Distance assessment of counselling skills using virtual patients during the COVID-19 pandemic
DOI:
https://doi.org/10.46542/pe.2020.202.196204Keywords:
Distance, Counselling, Virtual Patient Simulator, Experimental Education, ConstructivismAbstract
Background: Reports on using virtual patients to assess counselling skills is scarce. Aim: This paper describes the feasibility and acceptability of assessing patient counselling skills of pharmacy students using a virtual patient simulator.
Description: In this innovative method, a high quality simulator ‘Virtual Patient Learning’ (VPL) was developed at Gulf Medical University (GMU) and was used to assess the counselling skills of 15 pharmacy graduate students. Counselling skills were measured using a four-domain scoring rubric of 1 to 5 marks followed by instant feedback for improvements. Student and faculty satisfaction scores were collected based on the feasibility and acceptability of the assessment method.
Evaluation: The average counselling skills score for all students was 68.4 (85.5%) out of 80 (range 54-76), with a standard deviation of 5.8. The overall student agreement on the feasibility and acceptability of the assessment method was 92.8%; it was 100% agreement for faculty.
Conclusion: The use of a high quality VPL simulator in assessing counselling skills was deemed feasible and acceptable for students and faculty. The assessment was repeated among 30 Doctor of Pharmacy (Pharm.D.) graduates with similar outcomes. The virtual counselling method will be used in the programme exit exams, as well as in students entering their experiential year. Further studies are required to assess its validity and reliability with more students.
References
Alhazmi, M.S., Butler, C.W., & Junghans, B.M. (2018). Does the virtual refractor patient-simulator improve student competency when refracting in the consulting room? Clinical & Experimental Optometry, 101(6), 771-777. https://doi.org/10.1111/cxo.12800
Bajis, D., Chaar, B., Basheti, I.A., & Moles, R. (2019). Pharmacy students' medication history taking competency: Simulation and feedback learning intervention. Currents in Pharmacy Teaching & Learning, 11(10), 1002-1015. https://doi.org/10.1016/j.cptl.2019.06.007
Baumann-Birkbeck, L., Florentina, F., Karatas, O., Sun, J., Tang, T., Thaung, V., McFarland, A., Bernaitis, N., Khan, S.A., Grant, G., & Anoopkumar-Dukie, S. (2017). Appraising the role of the virtual patient for therapeutics health education. Currents in Pharmacy Teaching & Learning, 9(5), 934-944. https://doi.org/10.1016/j.cptl.2017.05.012
Beck, K., & Kulzer, J. (2018). Teaching Counseling Microskills to Audiology Students: Recommendations from Professional Counseling Educators. Seminars in Hearing, 39(1), 91-106. https://doi.org/10.1055/s-0037-1613709
Cheema, E. (2018). The Need to Introduce Simulation-Based Teaching in Pharmacy Education in Saudi Arabia. Pharmacy (Basel, Switzerland), 6(3). https://doi.org/10.3390/pharmacy6030060
Clark, C.M., & Dunham, M. (2020). Civility Mentor: A Virtual Learning Experience. Nurse Educator, 45(4), 189-192. https://doi.org/10.1097/NNE.0000000000000757
Courteille, O., Fahlstedt, M., Ho, J., Hedman, L., Fors, U., von Holst, H., Felländer-Tsai, L., & Möller, H. (2018). Learning through a virtual patient vs. recorded lecture: a comparison of knowledge retention in a trauma case. International Journal of Medical Education, 9, 86-92. https://doi.org/10.5116/ijme.5aa3.ccf2
Dennick, R. (2016). Constructivism: reflections on twenty five years teaching the constructivist approach in medical education. International Journal of Medical Education, 7, 200-205. https://doi.org/10.5116/ijme.5763.de11
Edelbring, S., & Wahlström, R. (2016). Dynamics of study strategies and teacher regulation in virtual patient learning activities: a cross sectional survey. BMC Medical Education, 16, 122. https://doi.org/10.1186/s12909-016-0644-y
Ellaway, R., Topps, D., Lee, S., & Armson, H. (2015). Virtual patient activity patterns for clinical learning. The Clinical Teacher, 12(4), 267-271. https://doi.org/10.1111/tct.12302
Ferrel, M.N., & Ryan, J.J. (2020). The Impact of COVID-19 on Medical Education. In Cureus, 12(3). https://doi.org/10.7759/cureus.7492
Gustafsson, M., Englund, C., & Gallego, G. (2017). The description and evaluation of virtual worlds in clinical pharmacy education in Northern Sweden. Currents in Pharmacy Teaching & Learning, 9(5), 887-892. https://doi.org/10.1016/j.cptl.2017.06.002
Ha, J.F., & Longnecker, N. (2010). Doctor-patient communication: a review. Ochsner Journal, 10(1), 38-43
Hamdy, H., Al-Moslih, A., Tavarnesi, G., & Laus, A. (2017). Virtual patients in problem-based learning. Medical Education, 51(5), 557-558. https://doi.org/10.1111/medu.13293
Hepps, J.H., Yu, C.E., & Calaman, S. (2019). Simulation in Medical Education for the Hospitalist: Moving Beyond the Mock Code. Pediatric Clinics of North America, 66(4), 855-866. https://doi.org/10.1016/j.pcl.2019.03.014
Isaza-Restrepo, A., Gómez, M.T., Cifuentes, G., & Argüello, A. (2018). The virtual patient as a learning tool: a mixed quantitative qualitative study. BMC Medical Education, 18(1), 297. https://doi.org/10.1186/s12909-018-1395-8
Kaplan-Liss, E., Lantz-Gefroh, V., Bass, E., Killebrew, D., Ponzio, N.M., Savi, C., & O'Connell, C. (2018). Teaching Medical Students to Communicate With Empathy and Clarity Using Improvisation. Academic Medicine, 93(3). https://doi.org/10.1097/ACM.0000000000002031
Kononowicz, A.A., Woodham, L.A., Edelbring, S., Stathakarou, N., Davies, D., Saxena, N., Tudor Car, L., Carlstedt-Duke, J., Car, J., & Zary, N. (2019). Virtual Patient Simulations in Health Professions Education: Systematic Review and Meta-Analysis by the Digital Health Education Collaboration. Journal of Medical Internet Research, 21(7). https://doi.org/10.2196/14676
Lee, S.W.H., Thomas, D., Zachariah, S., & Cooper, J.C. (2019). Communication Skills and Patient History Interview. In Clinical Pharmacy Education, Practice and Research, Elsevier, pp. 79-89. https://doi.org/10.1016/B978-0-12-814276-9.00006-4
Lichvar, A.B., Hedges, A., Benedict, N.J., & Donihi, A.C. (2016). Combination of a Flipped Classroom Format and a Virtual Patient Case to Enhance Active Learning in a Required Therapeutics Course. American Journal of Pharmaceutical Education, 80(10), 175. https://doi.org/10.5688/ajpe8010175
Montgomery, A.T., Lindblad, Å.K., Eddby, P., Söderlund, E., Tully, M.P., & Sporrong, S.K. (2010). Counselling behaviour and content in a pharmaceutical care service in Swedish community pharmacies. Pharmacy World & Science, 32(4), 455-463. https://doi.org/10.1007/s11096-010-9391-z
Padilha, J.M., Machado, P.P., Ribeiro, A., Ramos, J., & Costa, P. (2019). Clinical Virtual Simulation in Nursing Education: Randomized Controlled Trial. Journal of Medical Internet Research, 21(3), e11529. https://doi.org/10.2196/11529
Paulino, E., Thomas, D., Lee, S.W.H., & Cooper, J.C. (2019). Dispensing process, medication reconciliation, patient counseling, and medication adherence. In Clinical Pharmacy Education, Practice and Research, Elsevier, pp.109-120. https://doi.org/10.1016/B978-0-12-814276-9.00008-8
Poudel, A., & Nissen, L.M. (2016). Telepharmacy: a pharmacist's perspective on the clinical benefits and challenges. Integrated Pharmacy Research & Practice, 5, 75-82. https://doi.org/10.2147/IPRP.S101685
Quail, M., Brundage, S.B., Spitalnick, J., Allen, P.J., & Beilby, J. (2016). Student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments. BMC Medical Education, 16, 73. https://doi.org/10.1186/s12909-016-0577-5
Salem, J., Fukuta, J., Coombs, A., & Morgan, J. (2020). Virtual Patient Journey: a novel learning resource. The Clinical Teacher, 17(3), 315-319. https://doi.org/10.1111/tct.13101
Smith, M.A., & Waite, L.H. (2017). Utilization of a virtual patient for advanced assessment of student performance in pain management. Currents in Pharmacy Teaching & Learning, 9(5), 893-897. https://doi.org/10.1016/j.cptl.2017.05.019
Taglieri, C.A., Crosby, S.J., Zimmerman, K., Schneider, T., & Patel, D.K. (2017). Evaluation of the Use of a Virtual Patient on Student Competence and Confidence in Performing Simulated Clinic Visits. American Journal of Pharmaceutical Education, 81(5), 87. https://doi.org/10.5688/ajpe81587
Wenger, E., McDermott, R.A., & Snyder, W. (2002). Cultivating communities of practice: A guide to managing knowledge. Harvard Business Press
Zanaboni, P., & Wootton, R. (2016). Adoption of routine telemedicine in Norwegian hospitals: progress over 5 years. BMC Health Services Research, 16, 496. https://doi.org/10.1186/s12913-016-1743-5