ePoster
Abstract Title | Interviewing Adolescents Across the Curriculum Continuum; Sex, Drugs & Rock 'n' Roll

Authors

  1. Blake Kim
  2. Manos Sarah
  3. Mann Karen
  4. Bourget Genna
  5. Joukhadar Nadim

Theme

Clinical

INSTITUTION

IWK Health Centre
Dalhousie University

Background

Interviewing adolescents requries a particular skill set. The Structured Communication Adolescent Guide (SCAG) has been developed as a teaching, learning and assessment tool for medical students, residents and physicians, to obtain feedback from adolescents, both standardized and real patients. The goal is to improve feedback to learners on their adolescent interviewing.

Summary of Work

  What is WWWWWWhat is SCAG?

  • Structured Communication Adolescent Guide
  • Validated and reliable checklist covering core competencies for adolescent interviewing
  • Communication teaching and learning tool.
  • Feedback tool for guiding adolescent patient or adolescent SP

Summary of Results

A randomized control study demonstrated that structured feedback significantly improved medical students' interviewing skills of adolescent standardized patients, both immediately and sustained effect.

Pre-Test and Post-Test Global Ratings F0 no feedback, F1 feedback

 

Academic Medicine 2000


A study involving adolescents at three middle schools demonstrated that the average untrained (not SPs) adolescent could reliably score a doctor/patient interview with the SCAG.  

R = 0.85with adolescents who have not been trained in scoring the SCAG

International Journal Medical Education 2010


Teaching

Lecture for pre-clinical students "how to interview adolescent patients" Students are watching an adolescent and mother standardized patient being interviewed. The students and SP will give feedback to the interviewer using the SCAG.


Learning

Case practice: Students interviewing SPs and receiving feedback. The student has separated the mother and is discussing "risk taking" behaviours. The standardized mothers are watching the medical students on real time video. They are scoring the SCAG and documenting feedback. The Adolescent SP is scoring her SCAG and then giving feedback to the student with her SP mother.

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Conclusion

The SCAG is a reliable teaching, learning and assessment tool for acquiring adolescent interviewing skills and can be scored by both trained and untrained adolescents. A cost effective, formative assessment can be obtained on learners with no extra faculty time.

Take-home Messages

The SCAG can be used across the curriculum as a teaching, learning and assessment tool for adolescent interviewing. Please email Dr. Blake kblake@dal.ca for a copy of the SCAG in either French, Spanish, German or English. Arabic will be soon be available.

References

Blake KD, Mann K, Kaufman D, Kappleman M. Learning Adolescent Psycholosocial Interviewing Using Simulated Patients. Academic Medicine 2000; 75(1):S56-S58

Blake KD, Vincent N, Wakefield S, Mann K, Murphy J, Kutcher M. A Structured Communicaiton Adolescent Guide: Assessment of Reliability & Validity. Medical Education 2005: 39(5):482-91

Kutcher M, Mann K, MacCuspie J, Wakefield S, Murphy J, Blake KD. Reliability of the Structured Communicaiton Adolescent Guide (SCAG) with Untrained Adolescents. The Internet Journal of Medical Education 2010:1(2)

Blake KD, Davis V, (Kliegman R, Marcdante K, Jenson H, Berman R (Editors)): Nelson Essentials of Pediatrics, 5th ed. Philadelphia, Elsevier, 2006, Section XII "Adolescent Medicine", pp 337-361.

Blake KD, Mann k, Kutcher M. The Structured Communication Adolescent Guide (SCAG). MedEdPORTAL 2008.

Where is the evidence to use the SCAG

  • Students learn by feedback from an adolescent
  • Valid and Reliable Instrument
  • Adolescents appreciate a comprehensive interview
  • Reliability and Validity with Untrained Adolescents
Background
Summary of Work
Summary of Results

Practice in the Clinical Setting

Clinical clerk interviewing a real adolescent in a clinical settting, feedback given using the SCAG.

Conclusion
Take-home Messages
References
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