Using standardized patient encounters to teach longitudinal continuity of care in a family medicine clerkship

BMC Medical Education

Table 4 Medical student (n = 116) self-reported increase in confidence* across all items, pre-post

Measure	Pre-Test Mean (SD)	Post-Test Mean (SD)	Mean Difference (Post-Pre)	95% Confidence Interval of Difference	P value	Effect Size
Providing continuity of care	1.75 (.62)	2.47 (.50)	0.72	.84, .61	<.001	1.17
Establishing rapport with patients	2.32 (.56)	2.74 (.44)	0.42	.53, .31	<.001	0.74
Expressing empathy	2.33 (.64)	2.67 (.49)	0.34	.45, .22	<.001	0.53
Management of diabetes	1.64 (.64)	2.43 (.54)	0.79	.91, .67	<.001	1.23
Management of hypertension	1.72 (.60)	2.52 (.53)	0.80	.92, .67	<.001	1.32
Management of hyperlipidemia	1.64 (.64)	2.45 (.53)	0.81	.93, .69	<.001	1.27
Lifestyle counseling on smoking	1.82 (.65)	2.48 (.56)	0.66	.78, .53	<.001	1.01
Lifestyle counseling on diet	1.79 (.69)	2.48 (.58)	0.69	.82, .57	<.001	1.01
Lifestyle counseling on exercise	1.85 (.68)	2.54 (.57)	0.69	.82, .57	<.001	1.02
Demonstrating whole person care	1.72 (.62)	2.50 (.56)	0.78	.92, .65	<.001	1.28
Understanding how a patient’s context impacts their health	1.84 (.58)	2.56 (.53)	0.72	.84, .59	<.001	1.24
Using an EMR in conjunction with a patient visit	1.84 (.70)	2.43 (.60)	0.59	.73, .44	<.001	0.84

*Confidence was scored on a scale from 0 (not at all confident) to 3 (very confident). P values for the change in individual items are based on the Wilcoxon signed rank test. Effect sizes calculated as (post-test mean- pre-test mean)/ pre-test standard deviation

ISSN: 1472-6920