“But Dr Google said…”–Training medical students how to communicate with E-patients

A. Herrmann-Werner, H. Weber, T. Loda*, K. E. Keifenheim, R. Erschens, S. C. Mölbert, C. Nikendei, S. Zipfel, K. Masters

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

22 Citations (Scopus)


Purpose: Patients who have access to information online may feel empowered and also confront their physicians with more detailed questions. Medical students are not well-prepared for dealing with so-called “e-patients.” We created a teaching module to deal with this, and evaluate its effectiveness. Method: Senior medical students had to manage encounters with standardized patients (SPE) in a cross-over design. They received blended-learning teaching on e-patients and a control intervention according to their randomization group (EI/LI = early/late intervention). Each SPE was rated by two blinded video raters, the SP and the student. Results: N = 46 students could be included. After the intervention, each group (EI, LI) significantly improved their competency in dealing with e-patients as judged by expert video raters (EI: MT0 = 9.75 (2.51) versus MT1 = 16.60 (2.80); LI: MT0 = 8.70 (2.14) versus MT2 = 15.20 (2.84); both p < 0.001) and SP (EI: MT0 = 24.13 (4.83) versus MT1 = 26.52 (3.06); LI: MT0 = 23.37 (3.10) versus MT2 = 27.47 (4.38); both p < 0.001). Students’ rating showed a similar non-significant trend. Conclusions: Students, SP and expert video raters determined that blended-learning teaching can improve students’ competencies when dealing with e-patients. Within the study period, this effect was lasting; however, further studies should look at long-term outcomes.

Original languageEnglish
Pages (from-to)1434-1440
Number of pages7
JournalMedical Teacher
Issue number12
Publication statusPublished - Dec 2 2019
Externally publishedYes

ASJC Scopus subject areas

  • Education


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