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Impact of two types of Internet-based information on medical students' performance in an Objective Structured Clinical Exam (OSCE).

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Title: Impact of two types of Internet-based information on medical students' performance in an Objective Structured Clinical Exam (OSCE).
Authors: Elder WG Jr (AUTHOR), Dassow PL (AUTHOR), Bruckner GG (AUTHOR), Stratton TD (AUTHOR), Elder, William G Jr1 (AUTHOR), Dassow, Paul L (AUTHOR), Bruckner, Geza G (AUTHOR), Stratton, Terry D (AUTHOR)
Source: Patient Education & Counseling. Jul2009, Vol. 76 Issue 1, p5-9. 5p.
Abstract: Objectives: Internet-based information has potential to impact physician-patient relationships. This study examined medical students' interpretation and response to such information presented during an objective clinical examination.Method: Ninety-three medical students who had received training for a patient centered response to inquiries about alternative treatments completed a comprehensive examination in their third year. In 1 of 12 objective structured clinical exams, a SP presented Internet-based information on l-theanine - an amino acid available as a supplement. In Condition A, materials were from commercial websites; in Condition B, materials were from the PubMed website.Results: Analyses revealed no significant differences between Conditions in student performance or patient (SP) satisfaction. Students in Condition A rated the information less compelling than students in Condition B (z=-1.78, p=.037), and attributed less of the treatment's action to real vs. placebo effects (z=-1.61, p=.053).Conclusions: Students trained in a patient centered response to inquiries about alternative treatment perceived the credibility of the two types of Internet-based information differently but were able to respond to the patient without jeopardizing patient satisfaction. Approach to information was superficial. Training in information evaluation may be warranted. [ABSTRACT FROM AUTHOR]
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Database: Education Research Complete
Description
Abstract:<bold>Objectives: </bold>Internet-based information has potential to impact physician-patient relationships. This study examined medical students' interpretation and response to such information presented during an objective clinical examination.<bold>Method: </bold>Ninety-three medical students who had received training for a patient centered response to inquiries about alternative treatments completed a comprehensive examination in their third year. In 1 of 12 objective structured clinical exams, a SP presented Internet-based information on l-theanine - an amino acid available as a supplement. In Condition A, materials were from commercial websites; in Condition B, materials were from the PubMed website.<bold>Results: </bold>Analyses revealed no significant differences between Conditions in student performance or patient (SP) satisfaction. Students in Condition A rated the information less compelling than students in Condition B (z=-1.78, p=.037), and attributed less of the treatment's action to real vs. placebo effects (z=-1.61, p=.053).<bold>Conclusions: </bold>Students trained in a patient centered response to inquiries about alternative treatment perceived the credibility of the two types of Internet-based information differently but were able to respond to the patient without jeopardizing patient satisfaction. Approach to information was superficial. Training in information evaluation may be warranted. [ABSTRACT FROM AUTHOR]
ISSN:07383991
DOI:10.1016/j.pec.2008.12.014