Programme no. 522-OP
Professional Development
Teaching consultation skills to medical students using e-learning.
Merete Jørgensen*1
1Dep.of General Practice,Copenhagen University,1014 K,Denmark
* = Presenting author
Objectives: We aim to measure the development of medical students’ ability to analyse communication in a primary care consultations. It has been shown earlier that this is essential to the development of good communication skills.

The course in Family Medicine at Copenhagen University takes place in the last term before the students graduate. The course is mandatory.

During the course each student work eight days as a doctor in a general practice clinic. They video record their consultations and analyse them in small group sessions at the university with their teacher and fellow students.

The final evaluation of the students includes a video of a consultation with the student in the doctor role, seeing a real patient, and the student´s skills in the subsequent analysis of the process.

Results: When access to the e-learning clips were combined with interactive use in the teaching sessions, we found (significant (p<0,005 change) improvement in the students` ability to analyse the test-video in six out of ten items, when compared with the usual course. The students were able to identify more relevant critical elements in test-video.

Material/Methods: We are performing a controlled trial of the effect of the usual course, compared to the usual course supplemented with the students having access to 16 video clips on a learning platform. This material is being used interactively by the teachers in the group teaching.All students at the course in 2013 were included in the project (n=361).

On the first and last day of the course the whole group of students watch a test-video of a consultation with a GP and an actor. The actor was told the topic of the consultation and to react intuitively to the GP as a real patient would do. The GP was not instructed beforehand.

After watching the video they fill in a ten item questionnaire (DanSCORE), registering important elements from the patient centred consultation.

For the on-line teaching we use video-clips of parts of consultations between a GP and an actor. They last between one and five minutes and are accompanied by questions from the DanSCORE questionnaire. They are meant to produce reflections and so there may be more than one answer to some items.

Conclusion: E-learning has an effect on students skills in analysing general practice consultations used interactively with the classroom sessions.
Points for discussion: E-learning works, but our experience is that students did not use the program sufficiently, unless it is a course requirement.