Mock pages are a valid construct for assessment of clinical decision making and interprofessional communication

Margaret L. Boehler, Cathy J. Schwind, Stephen J. Markwell, Rebecca M. Minter

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Importance: Answering pages from nurses about patients in need of immediate attention is one of the most difficult challenges a resident faces during their first days as a physician. A Mock Page program has been developed and adopted into a national surgical resident preparatory curriculum to prepare senior medical students for this important skill. Objective: The purpose of this study is to assess standardized mock page cases as a valid construct to assess clinical decision making and interprofessional communication skills. Design, Setting, Participants: Mock page cases (n=16) were administered to 213 senior medical students from 12 medical schools participating in a national surgical resident preparatory curriculum in 2013 and 2014. Main Outcome Measures: Clinical decision making and interprofessional communication were measured by case-specific assessments evaluating these skills which have undergone rigorous standard-setting to determine pass/fail cut points. Results: Students' performance improved in general for both communication and clinical decision making over the 4-week course. Cases have been identified that seem to be best suited for differentiating high- from lowperforming students. Chest pain, pulmonary embolus, and mental status change cases posed the greatest difficulty for student learners. Conclusions and Relevance: Simulated mock pages demonstrate an innovative technique for training students in both effective interprofessional communication and management of common postoperative conditions they will encounter as new surgical interns.

Original languageEnglish (US)
Pages (from-to)116-121
Number of pages6
JournalAnnals of Surgery
Volume265
Issue number1
DOIs
StatePublished - Jan 1 2017

Keywords

  • Clinical decision making
  • Interprofessional communication
  • Medical student education
  • Phone communication
  • Residency education

ASJC Scopus subject areas

  • Surgery

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