Peer Evaluation of an Audio-recorded Simulated Clinical Interview in an Online Educational Program

Background: Although live patient-simulation augmented by student peer-evaluation is an effective method of teaching clinical interviewing, there are no reports of adapting this instructional method to online programs. Purpose: The purpose of this study was to examine the feasibility, acceptability, perceived value, and the quality of peer evaluations of audio-recorded, simulated clinical interviews in a distance-learning program. Design: Eighty-eight FNP students voluntarily participated in a one-time, peer evaluation. They evaluated an audio recording of a peer’s simulated clinical phone interview using a standardized tool. Evaluations were shared with course faculty and the student who performed the interview. Fifty-eight students evaluated the experience via an online survey using 10 Likert-type items. The 88 peer critiques were evaluated using a descriptive qualitative design with content analysis to identify common themes. Outcome: Prior to the assignment, 76% of students responded that they did not feel competent to evaluate another student, and 38% were afraid of hurting another student’s feelings. After completing the assignment, most students (92%) responded that their own interviewing skills would improve because of completing the critique, while 86% believed the critique they received would benefit them in conducting clinical interviews. The qualitative data analysis revealed several themes: Evaluators focused on empathy for the patients, becoming more patient-centered, and using self-effacement to provide peer criticism. Implications: Faculty should recognize that students benefit not only from being evaluated but from evaluating others. Faculty may help students focus on the structure and content of interviews, while peers help each other move toward a more patient-centered process. Further, students need more opportunity to become comfortable evaluating each other as they prepare for their professional responsibilities.