Background: Communication and professionalism competencies present
assessment challenges for medical educators at the undergraduate and graduate
medical education levels. A simulated paging curriculum could provide an
opportunity to assess and supply feedback on the level one milestone
Professionalism and Communication competencies for medical students matching
into OBGYN residencies.
Methods: Fourth year medical students enrolled in a four-week
residency preparation course participated in a paging simulation curriculum
consisting of six cases. A Certified Nurse Midwife (CNM) simulated the role of
floor nurse and recorded the time from the page to a response time. After each
case, the CNM assessed level one communication competencies for each student
using a 100 mm visual analogue scale. The CNM assessed global
effectiveness in communication using a 1-10 scale.
Results: A response time within five minutes occurred for 83%
of the 171 pages sent. 60% of pages were returned in under 3 minutes.
The mean score for ‘respectful when communicating’ and ‘cooperative when
communicating’ was 87 and 86% respectively. Assessment of ‘structured when
communicating’ had a mean of 77% and ‘able to gather and share information’
75%. The overall mean score for global effectiveness of communication during
the scenario was 9.
Discussions: The paging simulation offered a unique platform for the
assessment of Professionalism and Communication level one competencies. While
students were effective when communicating, structured conversation and the
ability to gather and share information might be improved. This curriculum
provided an opportunity for informed feedback to individual students on these
necessary skills in an OBGYN residency.
Keywords: Communication Skills, Feedback Evaluation, Milestones,