Article Gold Open Access 2016

Video training with peer feedback in real-time consultation: Acceptability and feasibility in a general-practice setting

Postgraduate Medical Journal
Journal · Vol. 92 · Issue 1090 · pp. 431-435
Abstract

Objective Since many years, teaching and training in communication skills are cornerstones in the medical education curriculum. Although video recording in a realtime consultation is expected to positively contribute to the learning process, research on this topic is scarce. This study will focus on the feasibility and acceptability of video recording during real-time patient encounters performed by general practitioner (GP) trainees. Method The primary research question addressed the experiences (defined as feasibility and acceptability) of GP trainees in video-recorded vocational training in a general practice. The second research question addressed the appraisal of this training. The procedure of videorecorded training is developed, refined and validated by the Academic Teaching Practice of Leuven since 1974 (Faculty of Medicine of the University of Leuven). The study is set up as a cross-sectional survey without follow-up. Outcome measures were defined as ‘feasibility and acceptability’ (experiences of trainees) of the videorecorded training and were approached by a structured questionnaire with the opportunity to add free text comments. The studied sample consisted of all firstphase trainees of the GP Master 2011-2012 at the University of Leuven. Results Almost 70% of the trainees were positive about recording consultations. Nevertheless, over 60% believed that patients felt uncomfortable during the video-recorded encounter. Almost 90% noticed an improvement of own communication skills through the observation and evaluation of. Most students (85%) experienced the logistical issues as major barrier to perform video consultations on a regular base. Conclusions This study lays the foundation stone for further exploration of the video training in real-time consultations. Both students and teachers on the field acknowledge that the power of imaging is underestimated in the training of communication and vocational skills. The development of supportive material and protocols will lower thresholds. Practice implications Time investment for teachers could be tempered by bringing up students to peer tutors and by an accurate scheduling of the video training. The development of supportive material and protocols will lower thresholds. Further research should finally focus on long-term efficacy and efficiency in terms of learning outcomes and on the facilitation of the technical process. © 2016, BMJ Publishing Group. All rights reserved.

Keywords

Author Keywords

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Index Keywords

Feedback Teaching learning clinical competence cross-sectional study human medical education questionnaire Cross-Sectional Studies Humans Internship and Residency Surveys and Questionnaires communication skill university education general practice general practitioner investment human experiment program evaluation feedback system teacher consultation follow up structured questionnaire Belgium patient referral Referral and Consultation videorecording feasibility study Video Recording facilitation Feasibility studies Education, Medical, Continuing Physician-Patient Relations evidence based medicine Evidence-Based Medicine standards imaging statistics and numerical data doctor patient relation patient attitude Patient Acceptance of Health Care
Author Affiliations
Department of Public Health and Primary Care, KU Leuven, Leuven, Vlaams-Brabant, Belgium, Department of Public Health and Primary Care, Academic Centre of General Practice, Leuven, Belgium
Funding & Acknowledgements
No funding information
References 10 References
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