Application of bilingual simulated patients in the medical history collection for international medical students in China
Abstract Background In all international medical student (IMS) programs in China, language barriers between IMSs and Chinese patients greatly reduced the learning in clinical practice and brought great challenges to IMSs in their transition from preclinical to clinical practice. This study aimed to...
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-023-04480-1 |
| _version_ | 1797774173611753472 |
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| author | Liping Zou Juan Su Jiao Li Jing Wang Jian Kang Anning Yin Haixia Ren Xiaoda Jiang Yijuan Ding Ping An |
| author_facet | Liping Zou Juan Su Jiao Li Jing Wang Jian Kang Anning Yin Haixia Ren Xiaoda Jiang Yijuan Ding Ping An |
| author_sort | Liping Zou |
| collection | DOAJ |
| description | Abstract Background In all international medical student (IMS) programs in China, language barriers between IMSs and Chinese patients greatly reduced the learning in clinical practice and brought great challenges to IMSs in their transition from preclinical to clinical practice. This study aimed to investigate the role of bilingual simulated patients (B-SPs) in IMSs learning of medical history collection in China. Methods 48 IMSs of grade 4 between October 2020 to Jan 2021 were enrolled in this study. During the training of medical history collection, students were randomly arranged into two groups trained with either B-SPs (B-SP group) or English-speaking SP (E-SP group). All SPs in Objective Structured Clinical Exam station (OSCE) were trained in the Affiliated Hospital of Wuhan University. Clinical skills in medical history collection were assessed by instructors during pre-clinical, post-clinical OSCE and clinical rotations. Results The scores of IMSs in each group were analyzed in terms of medical history collection including the ability to effectively consult for information and key communication skills related to patient care. Our results indicated that IMS in B-SP group obtained similar scores in preclinical training for history collection (67.3 ± 8.46 vs 67.69 ± 8.86, P < 0.05) compared to E-SP group, while obtaining significantly higher score improvements between pre- and post-OSCE (17.22 (95% CI 12.74 to 21.70) vs 10.84 (95% CI 3.53 to 18.15), P = 0.0007). Conclusion B-SPs are more conducive to doctor-patient communication and actually improve IMSs learning in medical history collection in China. |
| first_indexed | 2024-03-12T22:16:11Z |
| format | Article |
| id | doaj.art-ae00db5459d949738dba6b0f26c7d671 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-03-12T22:16:11Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-ae00db5459d949738dba6b0f26c7d6712023-07-23T11:17:32ZengBMCBMC Medical Education1472-69202023-07-012311710.1186/s12909-023-04480-1Application of bilingual simulated patients in the medical history collection for international medical students in ChinaLiping Zou0Juan Su1Jiao Li2Jing Wang3Jian Kang4Anning Yin5Haixia Ren6Xiaoda Jiang7Yijuan Ding8Ping An9The Clinical Skill Center, Teaching Office of the First School of Clinical Medicine, Renmin Hospital of Wuhan UniversityDepartment of Gastroenterology, Renmin Hospital of Wuhan UniversityDepartment of Gastroenterology, Renmin Hospital of Wuhan UniversityDepartment of Gastroenterology, Renmin Hospital of Wuhan UniversityDepartment of Gastroenterology, Renmin Hospital of Wuhan UniversityDepartment of Gastroenterology, Renmin Hospital of Wuhan UniversityDepartment of Gastroenterology, Renmin Hospital of Wuhan UniversityDepartment of Gastroenterology, Renmin Hospital of Wuhan UniversityDepartment of Gastroenterology, Renmin Hospital of Wuhan UniversityDepartment of Gastroenterology, Renmin Hospital of Wuhan UniversityAbstract Background In all international medical student (IMS) programs in China, language barriers between IMSs and Chinese patients greatly reduced the learning in clinical practice and brought great challenges to IMSs in their transition from preclinical to clinical practice. This study aimed to investigate the role of bilingual simulated patients (B-SPs) in IMSs learning of medical history collection in China. Methods 48 IMSs of grade 4 between October 2020 to Jan 2021 were enrolled in this study. During the training of medical history collection, students were randomly arranged into two groups trained with either B-SPs (B-SP group) or English-speaking SP (E-SP group). All SPs in Objective Structured Clinical Exam station (OSCE) were trained in the Affiliated Hospital of Wuhan University. Clinical skills in medical history collection were assessed by instructors during pre-clinical, post-clinical OSCE and clinical rotations. Results The scores of IMSs in each group were analyzed in terms of medical history collection including the ability to effectively consult for information and key communication skills related to patient care. Our results indicated that IMS in B-SP group obtained similar scores in preclinical training for history collection (67.3 ± 8.46 vs 67.69 ± 8.86, P < 0.05) compared to E-SP group, while obtaining significantly higher score improvements between pre- and post-OSCE (17.22 (95% CI 12.74 to 21.70) vs 10.84 (95% CI 3.53 to 18.15), P = 0.0007). Conclusion B-SPs are more conducive to doctor-patient communication and actually improve IMSs learning in medical history collection in China.https://doi.org/10.1186/s12909-023-04480-1Simulate patientMedical history collectionInternational medical student |
| spellingShingle | Liping Zou Juan Su Jiao Li Jing Wang Jian Kang Anning Yin Haixia Ren Xiaoda Jiang Yijuan Ding Ping An Application of bilingual simulated patients in the medical history collection for international medical students in China BMC Medical Education Simulate patient Medical history collection International medical student |
| title | Application of bilingual simulated patients in the medical history collection for international medical students in China |
| title_full | Application of bilingual simulated patients in the medical history collection for international medical students in China |
| title_fullStr | Application of bilingual simulated patients in the medical history collection for international medical students in China |
| title_full_unstemmed | Application of bilingual simulated patients in the medical history collection for international medical students in China |
| title_short | Application of bilingual simulated patients in the medical history collection for international medical students in China |
| title_sort | application of bilingual simulated patients in the medical history collection for international medical students in china |
| topic | Simulate patient Medical history collection International medical student |
| url | https://doi.org/10.1186/s12909-023-04480-1 |
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