The Use of Peer Role-Play in Doctor-Patient Communication Skills Training for Medical Students: A Systematic Review

Bella Stevanny, Rizma Adlia Syakurah

Abstract


The quality of communication is directly related to patient satisfaction and can influence health outcomes. However, most doctors still have poor communication skills. Systematic literature search in PubMed, Cochrane, and Science Direct was conducted to retrieve studies reporting the use of peer role-play for doctor-patient communication skills training in medical students. The quality of each study was assessed using the Joanna Briggs Institute (JBI) critical appraisal checklist. As much as 1620 studies were obtained from electronic database search and screening of reference lists. After removing irrelevant studies and duplicates, one RCT and eight quasi-experimental studies were included in this systematic review. Peer role-play was perceived to be as useful as simulated patients (SP) training methods with comparable post-intervention OSCE scores. Majority of students preferred PRP for learning communication skills over didactic lectures. The limitation of this review is the scarcity of eligible studies, high variability in the PRP programs across studies, and the lack of grey literature included. Peer role-play might be a cost-effective method to train doctor-patient communication skills with comparable results with the expensive use of simulated patients. However, further study is needed to support this statement

Keywords


Students Medical; Physician-Patient Relations; Communication; Learning

References


Cansever Z, Avsar Z, Tastan K. Third Year Medical School Students’ Experiences of RevealingPatients’ Stories Through Role Playing. Eurasian J Med. 2015;47(1):26-31. doi:10.5152/eajm.2014.53

Kelley JM, Kraft-Todd G, Schapira L, Kossowsky J, Riess H. The Influence of the Patient-Clinician Relationship on Healthcare Outcomes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. PLoS One. 2014;9(6):e101191. doi:10.1371/journal.pone.0094207

Tavakoly Sany SB, Peyman N, Behzhad F, Esmaeily H, Taghipoor A, Ferns G. Health Providers’ Communication Skills Training Affects Hypertension Outcomes. Med Teach. 2018;40(2):154-163. doi:10.1080/0142159X.2017.1395002

Ioan BG, Ciuhodaru T, Velnic AA, Crauciuc D, Hanganu B, Manoilescu IS. The Role of Doctor-Patient Communication in Preventing Malpractice Complaints. Int J Commun Res. 2017;7(4):303-307.

Ting X, Yong B, Yin L, Mi T. Patient Perception and the Barriers to Practicing Patient-Centered Communication: A Survey and In-Depth Interview of Chinese Patients And Physician. Patient Educ Couns. 2016;99(3):364-369. doi:10.1016/j.pec.2015.07.019

Maguire P, Pitceathly C. Key communication skills and how to acquire them. Br Med J. 2002;325(7366):697-700. doi:10.1136/bmj.325.7366.697

Berkhof M, van Rijssen HJ, Schellart AJM, Anema JR, van der Beek AJ. Effective Training Strategies for Teaching Communication Skills to Physicians: An Overview of Systematic Reviews. Patient Educ Couns. 2011;84:152-162. doi:10.1016/j.pec.2010.06.010

Bosse HM, Nickel M, Huwendiek S, Jünger J, Schultz JH, Nikendei C. Peer Role-Play and Standardised Patients in Communication Training: A Comparative Study on the Student Perspective on Acceptability, Realism, and Perceived Effect. BMC Med Educ. 2010;10:27. doi:10.1186/1472-6920-10-27

Nair B. Role Play - An Effective Tool to Teach Communication Skills in Pediatrics to Medical Undergraduates. J Educ Health Promot. 2019;8(18). doi:10.4103/jehp.jehp_162_18

Gelis A, Cervello S, Rey R, et al. Peer Role-Play for Training Communication Skills in Medical Students: A Systematic Review. Simul Healthc. 2020;15(2):106-111. doi:10.1097/SIH.0000000000000412

Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ WV. Cochrane Handbook for Systematic Reviews of Interventions Version 6.0 (Updated July 2019).; 2019. www.training.cochrane.org/handbook.

Moola S, Munn Z, Tufanaru C, et al. Checklist for Randomized Controlled Trials. Joanna Briggs Inst. 2017. https://joannabriggs.org/sites/ default/files/2019-05/JBI_RCTs_ Appraisal_tool2017_0.pdf.

The Joanna Briggs Institute. Checklist for Quasi-Experimental Studies. Joanna Briggs Inst. 2017. https://joannabriggs.org/sites/default/files/2020-08/Checklist_for_Quasi-Experimental_Appraisal_Tool.pdf.

Moher D, Liberati A, Tetzlaff J, et al. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009;6(7):e1000097. doi:10.1371/journal.pmed.1000097

Bosse HM, Schultz JH, Nickel M, et al. The Effect of Using Standardized Patients or Peer Role Play on Ratings of Undergraduate Communication Training: A Randomized Controlled Trial. Patient Educ Couns. 2012;87(3):300-306. doi:10.1016/j.pec.2011.10.007

Bosse HM, Nickel M, Huwendiek S, Schultz JH, Nikendei C. Cost-Effectiveness of Peer Role Play and Standardized Patients in Undergraduate Communication Training Approaches to Teaching and Learning. BMC Med Educ. 2015;15(1):1-7. doi:10.1186/s12909-015-0468-1

Koponen J, Pyörälä E, Isotalus P. Communication Skills for Medical Students: Resultsfrom Three Experiential Methods. Simul Gaming. 2014;45(2):235-254. doi:10.1177/1046878114538915

Lavanya S, Kalpana L, Veena R, Bharath Kumar V. Role-Play as an Educational Tool in Medication Communication Skills: Students’ Perspectives. Indian J Pharmacol. 2016;48(Supplement):33-36. doi:10.4103/0253-7613.193311

Luttenberger K, Graessel E, Simon C, Donath C. From Board to Bedside - Training the Communication Competences of Medical Students with Role Plays. BMC Med Educ. 2014;14(1):1-10. doi:10.1186/1472-6920-14-135

Mills JKA, Dalleywater WJ, Tischler V. An Assessment of Student Satisfaction with Peer Teaching of Clinical Communication Skills. BMC Med Educ. 2014;14(1). doi:10.1186/1472-6920-14-217

Taylor S, Haywood M, Shulruf B. Comparison of The Effects of Simulated Patient Clinical Skill Training and Student Roleplay on Objective Structured Clinical Examination Performance Among Medical Students in Australia. J Educ Eval Health Prof. 2019;16(3). doi:10.3352/jeehp.2019.16.3

Kurtz SM, Silverman JD. The Calgary-Cambridge Referenced Observation Guides: an Aid to Defining the Curriculum and Organizing the Teaching in Communication Training Programmes. Med Educ. 1996;30(2):83-89. doi:10.1111/j.1365-2923.1996.tb00724.x

Windish DM, Price EG, Clever SL, Magaziner JL, Thomas PA. Teaching Medical Students the Important Connection Between Communication and Clinical Reasoning. J Gen Intern Med. 2005;20(12):1108-1113. doi:10.1111/j.1525-1497.2005.0244.x

Yardley S, Teunissen PW, Dornan T. Experiential Learning: Transforming Theory Into Practice. Med Teach. 2012;34(2):161-164. doi:10.3109/0142159X.2012.643264

Frost K, Metcalf E, Brooks R, Kinnersley P, Greenwood S, Powell C. Teaching Pediatric Communication Skills to Medical Students. Adv Med Educ Pract. 2015;6:35-43. doi:10.2147/amep.s68413

Joyner B, Young L. Teaching Medical Students Using Role Play: Twelve Tips for Successful Role Plays. Med Teach. 2006;28(3):225-229. doi:10.1080/01421590600711252

Nikendei C, Bosse HM, Hoffmann K, et al. Outcome of Parent-Physician Communication Skills Training for Pediatric Residents. Patient Educ Couns. 2011;82(11):94-99. doi:10.1016/j.pec.2009.12.013

Bosse HM, Nikendei C, Hoffmann K, et al. Communication Training Using ‘Standardized Parents’ for Paediatricians--Structured Competence-Based Training Within the Scope of Continuing Medical Education. Z Arztl Fortbild Qualitatssich. 2007;101(10):661-666. doi:10.1016/j.zgesun.2007.11.002

Nestel D, Tierney T. Role-Play for Medical Students Learning About Communication: Guidelines for Maximising Benefits. BMC Med Educ. 2007;7(1). doi:10.1186/1472-6920-7-3

Shankar PR. Using Case Scenarios and Role Plays to Explore Issues of Human Sexuality. Educ Heal Chang Learn Pract. 2008;21(3):108.

Libin A, Lauderdale M, Millo Y, et al. Role-Playing Simulation as An Educational Tool For Health Care Personnel: Developing an Embedded Assessment Framework. Cyberpsychology, Behav Soc Netw. 2010;13(2):217-224. doi:10.1089/cyber.2009.0040

Mogra I. Role Play in Teacher Education: is There Still a Place for It? Teach Educ Netw J. 2012;4(3):4-15.

Hamilton G, Ortega R, Hochstetler V, Pierson K, Lin P, Lowes S. Teaching Communication Skills to Hospice Teams: Comparing The Effectiveness of a Communication Skills Laboratory With In-Person, Second Life, and Phone Role-Playing. Am J Hosp Palliat Med. 2014;31(8):611-618. doi:10.1177/1049909113504481

Barrow DL. Communication Skills in the Physician-Patient Relationship. World Neurosurg. 2013;80:107-108. doi:10.1016/j.wneu.2011.10.016

Ammentorp J, Sabroe S, Kofoed PE, Mainz J. The Effect of Training in Communication Skills on Medical Doctors’ and Nurses’ Self-Efficacy. Patient Educ Couns. 2007;66(3):270–277. doi:10.1016/j.pec.2006.12.012

Hagemeier NE, Hess R, Hagen KS, Sorah EL. Impact of an Interprofessional Communication Course on Nursing, Medical, and Pharmacy Students’ Communication Skill Self-Efficacy Beliefs. Am J Pharm Educ. 2014;78(10):186. doi:10.5688/ajpe7810186

Papadakis MA, Croughan-Minihane M, Fromm LJ, Wilkie HA, Ernster VL. A Comparison of Two Methods to Teach Smoking-Cessation Techniques to Medical Students. Acad Med. 1997;72(8):726-727. doi:10.1097/00001888-199708000-00021

Lane C, Hood K, Rollnick S. Teaching Motivational Interviewing: Using Role Play Is as Effective as Using Simulated Patients. Med Educ. 2008;42(6):637-644. doi:10.1111/j.1365-2923.2007.02990.x

AL, Bovbjerg V, White L, Gazewood J. Do Students Develop Better Motivational Interviewing Skills Through Role-Play with Standardised Patients or With Student Colleagues? Med Educ. 2006;40(8):775-780. doi:10.1111/j.1365-2929.2006.02533.x

Park KY, Park HK, Hwang HS. Group Randomized Trial of Teaching Tobacco-Cessation Counseling to Senior Medical Students: A Peer Role-Play Module Versus A Standardized Patient Module. BMC Med Educ. 2019;19(1). doi:10.1186/s12909-019-1668-x

Kiger A. Teaching for Health. Edinburg: Churchill Livingstone; 2004.

Burnard P. Teaching Interpersonal Skills: A Handbook of Experiential Learning For Health Professionals. United States: Springer; 1989. doi:10.1016/s0031-9406(10)63174-4

Holsbrink-Engels GA. Using A Computer Learning Environment for Initial Training in Dealing With Social-Communicative Problems. Br J Educ Technol. 2001;32(1):53-67. doi:10.1111/1467-8535.00176

Littlefield JH, Hahn HB, Meyer AS. Evaluation of a Role-Play Learning Exercise in an Ambulatory Clinic Setting. Adv Heal Sci Educ. 1999;4(2):167-173. doi:10.1023/A:1009789110719

Fertleman C, Gibbs J, Eisen S. Video Improved Role Play for Teaching Communication Skills. Med Educ. 2005;39(11):1155-1156. doi:10.1111/j.1365-2929.2005.02283.x

Keifenheim KE, Petzold ER, Junne F, et al. Peer-Assisted History-Taking Groups: A Subjective Assessment of their Impact Upon Medical Students’ Interview Skills. GMS J Med Educ. 2017;34(3). doi:10.3205/zma001112

Lockspeiser TM, O’Sullivan P, Teherani A, Muller J. Understanding the Experience of Being Taught by Peers: The Value of Social and Cognitive Congruence. Adv Heal Sci Educ. 2008;13(3):361-372. doi:10.1007/s10459-006-9049-8

Benè KL, Bergus G. When Learners Become Teachers: A Review of Peer Teaching in Medical Student Education. Fam Med. 2014;46(10):783-787.

Craft JA, Craft TP. Rising Medical Education Debt a Mounting Concern. Mo Med. 2012;109(4):266-270.

Gillette C, Stanton RB, Rockich-Winston N, Rudolph M, Anderson HG. Cost-Effectiveness of Using Standardized Patients to Assess Student-Pharmacist Communication Skills. Am J Pharm Educ. 2017;81(10):6120. doi:10.5688/ajpe6120




DOI: http://doi.org/10.11591/ijere.v11i3.21901

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