Evidence map›Paper›PMID 26498479›Full record

Trial reportBMC medical education2015

Cost-effectiveness of peer role play and standardized patients in undergraduate communication training.

Hans Martin Bosse, Martin Nickel, Sören Huwendiek, Jobst Hendrik Schultz, Christoph Nikendei

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hans Martin BosseDepartment of General Pediatrics, Neonatology and Pediatric Cardiology, University Children´s Hospital´, University Clinic Düsseldorf (UKD), Moorenstrasse 5, 40225, Duesseldorf, Germany. HansMartin.Bosse@med.uni-duesseldorf.de.
Martin NickelDepartment of Anesthesiology, University of Heidelberg, Heidelberg, Germany. martin.nickel@med.uni-heidelberg.de.
Sören HuwendiekDepartment of Assessment and Evaluation, Institute of Medical Education in Bern, Bern, Switzerland. soeren.huwendiek@iml.unibe.ch.
Jobst Hendrik SchultzDepartment of General Internal Medicine and Psychosomatics, University of Heidelberg Medical Hospital, Heidelberg, Germany. jobst-hendrik.schultz@med.uni-heidelberg.de.
Christoph NikendeiDepartment of General Internal Medicine and Psychosomatics, University of Heidelberg Medical Hospital, Heidelberg, Germany. Christoph.Nikendei@med.uni-heidelberg.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe few studies directly comparing the methodological approach of peer role play (RP) and standardized patients (SP) for the delivery of communication skills all suggest that both methods are effective. In this study we calculated the costs of both methods (given comparable outcomes) and are the first to generate a differential cost-effectiveness analysis of both methods.

methodsMedical students in their prefinal year were randomly assigned to one of two groups receiving communication training in Pediatrics either with RP (N = 34) or 19 individually trained SP (N = 35). In an OSCE with standardized patients using the Calgary-Cambridge Referenced Observation Guide both groups achieved comparable high scores (results published). In this study, corresponding costs were assessed as man-hours resulting from hours of work of SP and tutors. A cost-effectiveness analysis was performed.

resultsCost-effectiveness analysis revealed a major advantage for RP as compared to SP (112 vs. 172 man hours; cost effectiveness ratio .74 vs. .45) at comparable performance levels after training with both methods.

conclusionsWhile both peer role play and training with standardized patients have their value in medical curricula, RP has a major advantage in terms of cost-effectiveness. This could be taken into account in future decisions.

Indexed as

CommunicationPeer GroupCost-Benefit AnalysisCurriculumEducational MeasurementEducation, Medical, UndergraduateFemaleHumansMalePatient SimulationPediatricsPhysician-Patient RelationsStudents, MedicalYoung Adult

Identifiers

PMID26498479
PMCPMC4619415

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.