Development and evaluation of a risk communication curriculum for medical students
Meyers Primary Care Institute
Communication | Health Communication | Medical Education
OBJECTIVE: To develop, pilot, and evaluate a curriculum for teaching clinical risk communication skills to medical students.
METHODS: A new experience-based curriculum, "Risk Talk," was developed and piloted over a 1-year period among students at Tufts University School of Medicine. An experimental study of 2nd-year students exposed vs. unexposed to the curriculum was conducted to evaluate the curriculum's efficacy. Primary outcome measures were students' objective (observed) and subjective (self-reported) risk communication competence; the latter was assessed using an Observed Structured Clinical Examination (OSCE) employing new measures.
RESULTS: Twenty-eight 2nd-year students completed the curriculum, and exhibited significantly greater (p < .001) objective and subjective risk communication competence than a convenience sample of 24 unexposed students. New observational measures of objective competence in risk communication showed promising evidence of reliability and validity. The curriculum was resource-intensive.
CONCLUSION: The new experience-based clinical risk communication curriculum was efficacious, although resource-intensive. More work is needed to develop the feasibility of curriculum delivery, and to improve the measurement of competence in clinical risk communication.
PRACTICE IMPLICATIONS: Risk communication is an important advanced communication skill, and the Risk Talk curriculum provides a model educational intervention and new assessment tools to guide future efforts to teach and evaluate this skill.
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Citation: Patient Educ Couns. 2014 Jan;94(1):43-9. doi: 10.1016/j.pec.2013.09.009. Link to article on publisher's site
Han, Paul K. J.; Joekes, Katherine; Elwyn, Glyn; Mazor, Kathleen M.; Thomson, Richard; Sedgwick, Philip; Ibison, Judith; and Wong, John B., "Development and evaluation of a risk communication curriculum for medical students" (2014). Meyers Primary Care Institute Publications and Presentations. 707.