Bylund Carma L, Brown Richard F, Bialer Philip A, Levin Tomer T, Lubrano di Ciccone Barbara, Kissane David W
Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY 10022, USA.
J Cancer Educ. 2011 Dec;26(4):604-11. doi: 10.1007/s13187-011-0226-y.
Cancer patients report significant levels of unmet needs in the realm of communication. Communication skills training programs have been shown to improve clinical communication. However, advanced communication skills training programs in oncology have lacked institutional integration, and thus have not attended to institutional norms and cultures that may counteract explicit communication skills training. We developed and implemented an advanced communication skills training program made up of nine teaching modules for faculty, fellows, and residents. Training included didactic and experiential small group work. Self-efficacy and behavior change were assessed for individual participants. Since 2006, 515 clinicians have participated in this training program. Participants have shown significant gains in self-efficacy regarding communicating with patients in various contexts. Our initial work in this area demonstrates the implementation of such a program at a major cancer center to be feasible, to be acceptable, and to have a significant impact on participants' self-efficacy.
癌症患者表示在沟通领域存在大量未得到满足的需求。沟通技能培训项目已被证明可改善临床沟通。然而，肿瘤学方面的高级沟通技能培训项目缺乏机构整合，因此没有关注可能会抵消明确的沟通技能培训效果的机构规范和文化。我们为教职员工、研究员和住院医师开发并实施了一个由九个教学模块组成的高级沟通技能培训项目。培训包括讲授式和体验式小组活动。对个体参与者的自我效能感和行为改变进行了评估。自2006年以来，515名临床医生参加了该培训项目。参与者在与患者在各种情境下沟通的自我效能感方面有显著提高。我们在这一领域的初步工作表明，在一家大型癌症中心实施这样一个项目是可行的、可接受的，并且对参与者的自我效能感有重大影响。
