Analysis of role-play in medical communication training using a theatrical device the fourth wall
2006

Using Theatrical Techniques in Medical Communication Training

Sample size: 50 publication Evidence: moderate

Author Information

Author(s): Jacobsen Torild, Baerheim Anders, Lepp Margret Rose, Schei Edvin

Primary Institution: University of Bergen

Hypothesis

How can the concept of the fourth wall enhance medical communication training?

Conclusion

The concept of 'the fourth wall' can provide new insights into communication training in medical education.

Supporting Evidence

  • The study identified three main locations of the fourth wall that influence learning.
  • Participants reported that the role-play format was both emotionally and intellectually stimulating.
  • The use of timeouts allowed for reflection and discussion, enhancing the learning experience.

Takeaway

This study shows that using actors in medical training can help students learn better by creating a safe space to practice and reflect on their communication skills.

Methodology

The study involved a role-play model with an actress acting as a patient, where students practiced consultations and reflected on their interactions during timeouts.

Potential Biases

The first author's dual role as both actress and researcher may introduce bias.

Limitations

The transcription process was limited as it could not capture the spatial dynamics of the fourth wall, which were only observable in video recordings.

Participant Demographics

Final year medical students, typically around 30 participants per course.

Digital Object Identifier (DOI)

10.1186/1472-6920-6-51

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