TY  - JOUR
IS  - 111
AV  - public
VL  - 17
ID  - heidok23234
PB  - BioMed Central
JF  - BMC Medical Education
N2  - Background: Particularly at the beginning of their studies, international medical students face a number of language-related, social and intercultural challenges. Thus, they perform poorer than their local counterparts in written and oral examinations as well as in Objective Structured Clinical Examinations (OSCEs) in the fields of internal medicine and surgery. It is still unknown how international students perform in an OSCE in the field of psychosocial medicine compared to their local fellow students.   Methods: All students (N = 1033) taking the OSCE in the field of psychosocial medicine and an accompanying written examination in their eighth or ninth semester between 2012 and 2015 were included in the analysis. The OSCE consisted of four different stations, in which students had to perform and manage a patient encounter with simulated patients suffering from 1) post-traumatic stress disorder, 2) schizophrenia, 3) borderline personality disorder and 4) either suicidal tendency or dementia. Students were evaluated by trained lecturers using global checklists assessing specific professional domains, namely building a relationship with the patient, conversational skills, anamnesis, as well as psychopathological findings and decision-making.   Results: International medical students scored significantly poorer than their local peers (p < .001; ?2 = .042). Within the specific professional domains assessed, they showed poorer scores, with differences in conversational skills showing the highest effect (p < .001; ?2 = .053). No differences emerged within the multiple-choice examination (p = .127).   Conclusion: International students showed poorer results in clinical-practical exams in the field of psychosocial medicine, with conversational skills yielding the poorest scores. However, regarding factual and practical knowledge examined via a multiple-choice test, no differences emerged between international and local students. These findings have decisive implications for relationship building in the doctor-patient relationship.
UR  - https://archiv.ub.uni-heidelberg.de/volltextserver/23234/
EP  - 7
CY  - London
SP  - 1
A1  - Huhn, Daniel
A1  - Lauter, Jan
A1  - Roesch-Ely, Daniela
A1  - Koch, Eginhard
A1  - Möltner, Andreas
A1  - Herzog, Wolfgang
A1  - Resch, Franz
A1  - Herpertz, Sabine C.
A1  - Nikendei, Christoph
SN  - 1472-6920
TI  - Performance of international medical students in psychosocial medicine
Y1  - 2017///
ER  -