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“But Dr Google said…”: training medical students how to communicate with E-patients

Purpose: Patients who have access to information online may feel empowered and also confront their physicians with more detailed questions. Medical students are not well-prepared for dealing with so-called “e-patients.” We created a teaching module to deal with this, and evaluate its effectiveness.M...

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Bibliographic Details
Main Authors: Herrmann-Werner, Anne (Author) , Weber, H. (Author) , Loda, T. (Author) , Keifenheim, K. E. (Author) , Erschens, R. (Author) , Mölbert, S. C. (Author) , Nikendei, Christoph (Author) , Zipfel, S. (Author) , Masters, K. (Author)
Format: Article (Journal)
Language:English
Published: 01 February 2019
In: Medical teacher
Year: 2019, Volume: 41, Issue: 12, Pages: 1434-1440
ISSN:1466-187X
DOI:10.1080/0142159X.2018.1555639
Online Access:Verlag, Volltext: https://doi.org/10.1080/0142159X.2018.1555639
Verlag, Volltext: https://www.tandfonline.com/doi/full/10.1080/0142159X.2018.1555639
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Author Notes:A. Herrmann-Werner, H. Weber, T. Loda, K.E. Keifenheim, R. Erschens, S.C. Mölbert, C. Nikendei, S. Zipfel and K. Masters
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Summary:Purpose: Patients who have access to information online may feel empowered and also confront their physicians with more detailed questions. Medical students are not well-prepared for dealing with so-called “e-patients.” We created a teaching module to deal with this, and evaluate its effectiveness.Method: Senior medical students had to manage encounters with standardized patients (SPE) in a cross-over design. They received blended-learning teaching on e-patients and a control intervention according to their randomization group (EI/LI = early/late intervention). Each SPE was rated by two blinded video raters, the SP and the student.Results: N = 46 students could be included. After the intervention, each group (EI, LI) significantly improved their competency in dealing with e-patients as judged by expert video raters (EI: MT0 = 9.75 (2.51) versus MT1 = 16.60 (2.80); LI: MT0 = 8.70 (2.14) versus MT2 = 15.20 (2.84); both p < 0.001) and SP (EI: MT0 = 24.13 (4.83) versus MT1 = 26.52 (3.06); LI: MT0 = 23.37 (3.10) versus MT2 = 27.47 (4.38); both p < 0.001). Students’ rating showed a similar non-significant trend.Conclusions: Students, SP and expert video raters determined that blended-learning teaching can improve students’ competencies when dealing with e-patients. Within the study period, this effect was lasting; however, further studies should look at long-term outcomes.
Item Description:Gesehen am 20.12.2019
Physical Description:Online Resource
ISSN:1466-187X
DOI:10.1080/0142159X.2018.1555639

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