Mishra Anuradha, Browning David, Haviland Miriam J, Jackson Mary Lou, Luff Donna, Meyer Elaine C, Talcott Katherine, Kloek Carolyn E
Department of Ophthalmology, Mass Eye and Ear, Boston, Massachusetts.
Department of Ophthalmology and Visual Sciences, Institute for Professionalism and Ethical Practice, Landmark Center, Boston, Massachusetts.
J Surg Educ. 2018 Mar-Apr;75(2):417-426. doi: 10.1016/j.jsurg.2017.08.011. Epub 2017 Sep 1.
To conduct a needs assessment to identify gaps in communication skills training in ophthalmology residency programs and to use these results to pilot a communication workshop that prepares residents for difficult conversations.
A mixed-methods design was used to perform the needs assessment. A pre-and postsurvey was administered to workshop participants.
Mass Eye and Ear Infirmary, Harvard Medical School (HMS), Department of Ophthalmology.
HMS ophthalmology residents from postgraduate years 2-4 participated in the needs assessment and the workshop. Ophthalmology residency program directors in the United States participated in national needs assessment.
Ophthalmology program directors across the United States were queried on their perception of resident communication skills training through an online survey. A targeted needs assessment in the form of a narrative exercise captured resident perspectives on communication in ophthalmology from HMS residents. A group of HMS residents participated in the pilot workshop and a pre- and postsurvey was administered to participants to assess its effectiveness.
The survey of program directors yielded a response rate of 40%. Ninety percent of respondents agreed that the communication skills training in their programs could be improved. Fifteen of 24 residents (62%) completed the needs assessment. Qualitative analysis of the narrative material revealed four themes; (1) differing expectations, (2) work role and environment, (3) challenges specific to ophthalmology, and (4) successful strategies adopted. Nine residents participated in the workshop. There was a significant improvement post-workshop in resident reported scores on their ability to manage their emotions during difficult conversations (p = 0.03).
There is an opportunity to improve communication skills training in ophthalmology residency through formalized curriculum.
进行需求评估，以确定眼科住院医师培训项目在沟通技能培训方面的差距，并利用这些结果试点开展一个沟通工作坊，帮助住院医师为艰难对话做好准备。
采用混合方法设计进行需求评估。对工作坊参与者进行了前后调查。
哈佛医学院（HMS）眼科系的麻省眼耳医院。
HMS眼科专业2至4年级的住院医师参与了需求评估和工作坊。美国眼科住院医师培训项目主任参与了全国性需求评估。
通过在线调查询问美国各地眼科项目主任对住院医师沟通技能培训的看法。以叙述练习的形式进行有针对性的需求评估，以了解HMS住院医师对眼科沟通的看法。一组HMS住院医师参加了试点工作坊，并对参与者进行了前后调查，以评估其有效性。
项目主任的调查回复率为40%。90%的受访者认为他们项目中的沟通技能培训可以改进。24名住院医师中有15名（62%）完成了需求评估。对叙述材料的定性分析揭示了四个主题：（1）不同的期望，（2）工作角色和环境，（3）眼科特有的挑战，以及（4）采用的成功策略。9名住院医师参加了工作坊。工作坊后，住院医师报告的在艰难对话中管理情绪的能力得分有显著提高（p = 0.03）。
有机会通过正规课程改进眼科住院医师培训中的沟通技能培训。
