Medical students’ communication skills in peer role-plays: An exploratory observational study

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Medical students’ communication skills in peer role-plays: An exploratory observational study
 
Creator Watermeyer, Jennifer Beukes, Johanna Ruch, Aviva Pretorius, Deidré
 
Subject Family medicine; general practice; communication communication; counselling; empathy; motivational interviewing; observational studies; South Africa; students; medical
Description Background: Medical students are commonly taught two counselling protocols: breaking bad news and brief motivational interviewing for behaviour change. They must demonstrate advanced skills such as empathy, active listening, clear communication, offering support and creating a safe space for patients and their families to express their emotions. Medical students are taught communication skills through various methods, including peer role-play.Aim: This study aimed to document medical students’ communication skills as evident across recorded peer role-play scenarios and observe how students engage with this approach to practice communication skills.Setting: Final-year medical students at a medical school in Gauteng, South Africa.Methods: The study involved an observational approach to analyse 45 video- and audio-recorded student-led peer role-play scenarios that included breaking bad news and brief motivational interviewing skills, as part of an exploratory qualitative design. Thematic analysis was conducted.Results: The three main challenges students experienced were basic information giving and clinical correctness, doctor-centred versus patient-centred talk and providing psychosocial support and showing empathy. The authenticity of the peer-role-play was also a challenge.Conclusion: Making the transition from communication theory to practice may be difficult for students to achieve and learning how to integrate these complex communication skills is not straightforward. Training in communication and counselling skills must start early for medical students.Contribution: Family Medicine often takes responsibility for training communication and counselling skills in medicine, and our study can contribute to the discussion on training communication skills.
 
Publisher AOSIS
 
Contributor National Institute for the Humanities and Social Sciences (NIHSS)
Date 2025-10-24
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v17i1.4926
 
Source African Journal of Primary Health Care & Family Medicine; Vol 17, No 1 (2025); 9 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/4926/8742 https://phcfm.org/index.php/phcfm/article/view/4926/8743 https://phcfm.org/index.php/phcfm/article/view/4926/8744 https://phcfm.org/index.php/phcfm/article/view/4926/8745
 
Coverage Africa; South Africa; Gauteng 2022-2025 medical students
Rights Copyright (c) 2025 Jennifer Watermeyer, Johanna Beukes, Aviva Ruch, Deidré Pretorius https://creativecommons.org/licenses/by/4.0
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