Hoffman Mark, Ferri Jessica, Sison Cristina, Roter Debra, Schapira Lidia, Baile Walter
Department of Hematology-Oncology, Long Island Jewish Medical Center/Albert Einstein College of Medicine, New Hyde Park, NY 11040, USA.
J Cancer Educ. 2004 Winter;19(4):220-4. doi: 10.1207/s15430154jce1904_8.
The extent of communication skills training (CST) in American oncology fellowship programs is unknown.
A survey was sent to program directors of medical oncology, radiation oncology, gynecologic oncology, and surgical oncology training programs regarding (1) the presence and method(s) of CST in their programs, (2) their attitude about mandatory CST, and (3) their attitude about a mandatory assessment of communication skills competence as a prerequisite for specialty certification.
Only a third of programs contained some form of CST. Surgical oncology programs were particularly lacking. Lack of faculty time was cited as the major barrier to implementing CST. A majority of program directors support mandatory CST but not a core competence requirement for certification.
There is a current deficiency in CST in American oncology fellowship training. Given the importance of communication skills in the provision of high-quality cancer care, initiatives to address this deficiency are a priority.
美国肿瘤学 fellowship 项目中沟通技能培训（CST）的程度尚不清楚。
向医学肿瘤学、放射肿瘤学、妇科肿瘤学和外科肿瘤学培训项目的项目主任发送了一项调查，内容涉及（1）其项目中 CST 的存在情况和方法，（2）他们对强制性 CST 的态度，以及（3）他们对将沟通技能能力的强制性评估作为专科认证先决条件的态度。
只有三分之一的项目包含某种形式的 CST。外科肿瘤学项目尤其缺乏。缺乏教员时间被认为是实施 CST 的主要障碍。大多数项目主任支持强制性 CST，但不支持将其作为认证的核心能力要求。
美国肿瘤学 fellowship 培训目前在 CST 方面存在不足。鉴于沟通技能在提供高质量癌症护理中的重要性，解决这一不足的举措是当务之急。
