| dc.contributor.advisor | König, Sarah Prof. Dr. | |
| dc.contributor.author | Kiehl, Christoph | |
| dc.date.accessioned | 2019-07-04T06:43:00Z | |
| dc.date.available | 2019-07-31T22:50:02Z | |
| dc.date.issued | 2019-07-04 | |
| dc.identifier.uri | http://hdl.handle.net/21.11130/00-1735-0000-0003-C156-2 | |
| dc.identifier.uri | http://dx.doi.org/10.53846/goediss-7538 | |
| dc.language.iso | deu | de |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject.ddc | 610 | de |
| dc.title | Standardisierte und qualitätsgesicherte Video-Prüfung: Aufklärungsgespräch vor der Operation | de |
| dc.type | doctoralThesis | de |
| dc.title.translated | Standardized and quality-assured video-recorded examination: informed consent prior to surgery | de |
| dc.contributor.referee | König, Sarah Prof. Dr. | |
| dc.date.examination | 2019-07-24 | |
| dc.description.abstracteng | Background: Communication skills combined with specialized knowledge are fundamental
to a good and trust-based doctor/patient relationship. Our aim was to develop a quality-assured video-recorded
objective structured clinical examination (V-OSCE), where students were tasked with obtaining
informed consent. Methods: 155 students in their fifth year of medical school participated in a summative VOSCE within the teaching module “Operative
Medicine.” They were asked to video record their obtaining informed consent from
simulated patients for one of three clinical scenarios and the surgical procedures
involved. Students were assessed by two
independent raters. Results were statistically
tested to diverse quality-assuring items (e.g. Cronbach's α) using SPSS.
Results: Students’ scores were averaging 91.0% (± 4.0%),
88.4% (± 4.4%), and 87.0% (± 4.7%) for the three clinical szenarios appendectomy, cholecystectomy and inguinal
hernia repair. Most items for the individual checklists were found to
have fair to excellent discrimination values and the Cronbach’s α values ranged with passable scores between 0.565 and
0.605. Interrater agreement was strong with a Pearson correlation
coefficient of 0.80 and intraclass correlation coefficient (ICC 2.1) of 0.78, despite the fact only one of the rater had an surgical background and the other was a dentist.
Conclusions: The VOSCE is a feasible and reliable method of assessing student
communication skills to create a good and trust-based doctor/patient relationship prior to surgery. In addition, its efficiency is remarkable, since non-specialist physicians can be used as an examiner
and it reduces the organizational effort. | de |
| dc.contributor.coReferee | Kauffmann, Philipp PD Dr. | |
| dc.subject.eng | informed consent | de |
| dc.subject.eng | osce | de |
| dc.subject.eng | video recorded examination | de |
| dc.identifier.urn | urn:nbn:de:gbv:7-21.11130/00-1735-0000-0003-C156-2-4 | |
| dc.affiliation.institute | Medizinische Fakultät | de |
| dc.subject.gokfull | Medizin (PPN619874732) | de |
| dc.subject.gokfull | Chirurgie - Allgemein- und Gesamtdarstellungen (PPN619875968) | de |
| dc.description.embargoed | 2019-07-31 | |
| dc.identifier.ppn | 1668658089 | |