Re: Does patient feedback improve the consultation skills of general practice trainees?

Winifred Paulis, Monique S. Beekman-Evers, Johannes C. Van Der Wouden

Research output: Chapter in Book/Report/Conference proceedingChapterAcademicpeer-review


Comments on an article by M. E. Reinders et al. (see record 2010-00962-008) and A. W. Kramer et al. (see record 2004-11091-005). Reinders et al. reported on their intriguing controlled trial that assessed whether a patient feedback training programme improved the consultation skills of general practice trainees (GPTs). Their results showed that both the intervention and control groups improved their consultation skills. However, there were no significant differences between the groups. The first argument the authors gave for this finding referred to the baseline score of the cohort on the MAAS-Global Instrument, which, at 3.29, was high compared with that of a similar cohort reported by Kramer et al., which scored only 2.2. High baseline scores are difficult to improve and therefore the influence of patient feedback may be lost in the overall process. We wonder whether both groups improved their scores because of the standard consultation training both groups received. It may be that the observers of the videotaped consultations knew which videos referred to baseline and which to follow-up consultations and were therefore biased. Reinders et al. did not explain why their cohort scored much higher than that of Kramer et al. A second explanation may be that the observers of the videos in Reinders et al. knew the GPTs and gave therefore friendlier grades. Kramer et al. reported that their observers did not know the trainees. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Original languageEnglish
Title of host publicationMedical Education
Number of pages1
Publication statusPublished - Aug 2010

Publication series

NameMedical Education

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