Physician-Patient Communication Course: When the Inauguration of a New Israeli Medical School Coincided with COVID-19 Pandemic

Talma Kushnir; Yoram Sandhaus; Hana Castel; Ahuva Golik; Moshe Salai; Avinoam Tzabari; Yakov Yahav; Zachi Grossman; Hana Mazuz; Shai Ashkenazi

doi:10.2147/AMEP.S410953

Physician-Patient Communication Course: When the Inauguration of a New Israeli Medical School Coincided with COVID-19 Pandemic

Adv Med Educ Pract. 2023 Sep 19:14:1013-1024. doi: 10.2147/AMEP.S410953. eCollection 2023.

Authors

Talma Kushnir^#^{1

2}, Yoram Sandhaus^#¹, Hana Castel^#¹, Ahuva Golik^#¹, Moshe Salai^#¹, Avinoam Tzabari^#¹, Yakov Yahav^#¹, Zachi Grossman^#¹, Hana Mazuz^#³, Shai Ashkenazi^#¹

Affiliations

¹ Adelson School of Medicine, Ariel University, Ariel, Israel.
² Department of Psychology, Ariel University, Ariel, Israel.
³ Simulation Center, Ariel University, Ariel, Israel.

^# Contributed equally.

Abstract

Purpose: The curriculum of the Adelson School of Medicine at Ariel University, the newly established sixth medical school in Israel, includes a simulation center-based extended course on physician-patient communication, aiming to help students master the core competency of interpersonal and communication skills. For more than a year following the emergence of the COVID-19 pandemic, the school suspended most face-to-face (F2F) encounters, transforming most teaching activities to remote platforms. The paper outlines the ways we adapted teaching of this course to these circumstances, the reactions of students and mentors to the changes and results of 1st year students' survey.

Methods: During the lockdown in the first year 48 of 70 first-year students participated in a voluntary anonymous online evaluation of the course assessing motivation to become a physician; perceptions, feelings and attitudes towards the communication course, and advantages and disadvantages of online and F2F medical interviews.

Results: 46.1% of the responding students reported that the pandemic strengthened their desire to become physicians. 56.3% claimed that they were able to a relatively large extent to empathize with COVID-19 patients who were exposed to the virus; 79.1% viewed their mentors as positive role models of communication skills. The students were able to receive and offer social support to their peers. They evaluated very highly the short instructional videos produced by the faculty.

Conclusion: During the lockdown, the respondents generally indicated positive attitudes towards the communication course, the mentors and the inclusion of physician-patient communication as a topic in medical education. The students and mentors reported many disadvantages and few advantages of remote learning. Yet inevitably remote learning including online-based simulations is a step towards preparations for future practice within virtual medical care and telemedicine. The limitations of this study include the cross-sectional design, small sample size and self-reporting.

Keywords: 1st year students; COVID-19; Medical education; communication skills; distance teaching; face-to-face; simulations.