title: Use of simulated electronic mail (e-mail) to assess medical student knowledge, professionalism, and communication skills.
abstract: BACKGROUND
  Physicians communicate with patients using electronic mail (e-mail) with increasing frequency. Communication skills specific to e-mail do not appear to be taught explicitly in medical school. Therefore, the effect of an instructive session on effective e-mail communication was examined.
  
  
  METHODS
  Four simulated e-mails from a parent were developed. Students responded to an initial e-mail and then participated in a session on effective e-mail communication. Responses to a final e-mail were assessed using a rubric with subscores for medical knowledge, communication, and professionalism.
  
  
  RESULTS
  Performance improved from the first to final e-mail response in the overall score and in each subscore. Improvement was sustained over the course of the academic year. Interrater reliability revealed good agreement.
  
  
  CONCLUSIONS
  Communicating effectively with patients via e-mail is not intuitive but can be taught. It is feasible to introduce responses to a simulated e-mail case in a clinical clerkship as an assessment tool.
authors.affiliation: University of Michigan, Department of Pediatrics, Ann Arbor, MI 48109-5718, USA. jchristn@med.umich.edu
authors.forename: Jennifer G
authors.initials: JG
authors.lastname: Christner
authors.forename: R Brent
authors.initials: RB
authors.lastname: Stansfield
authors.forename: Jocelyn H
authors.initials: JH
authors.lastname: Schiller
authors.forename: Arin
authors.initials: A
authors.lastname: Madenci
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Keefer
authors.forename: Ken
authors.initials: K
authors.lastname: Pituch
mesh_terms: D000328:Adult; D001292:Attitude to Computers; D002982:Clinical Clerkship; D003142:Communication; D003198:Computer Simulation; D004504:Education, Medical, Undergraduate / Q000379:methods*; D004521:Educational Measurement; D034742:Electronic Mail; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016014:Linear Models; D008297:Male; D010372:Pediatrics / Q000193:education*; D010817:Physician-Patient Relations; D011361:Professional Competence; D013337:Students, Medical