Department of Radiology, University of Massachusetts Medical School, Worcester, MA.
Department of Radiology, University of Massachusetts Medical School, Worcester, MA.
Curr Probl Diagn Radiol. 2020 Nov-Dec;49(6):382-385. doi: 10.1067/j.cpradiol.2019.07.006. Epub 2019 Jul 9.
To evaluate the long-term efficacy of simulation-based communication skills training for radiology residents.
The simulation-based communication skills training curriculum was developed in 2014. The curriculum included a teaching module based on the essential elements of communication. Two sets of 6 communication scenarios encountered by radiologist were created. First and fourth year radiology residents reviewed the teaching module and completed the 6 simulated scenarios. They then underwent debriefing sessions, received faculty and staff evaluations. Four years later, the former first year residents (now fourth years) reviewed the teaching module again and repeated the simulation. They again underwent debriefing sessions after the simulation. This time the residents' communication skills were evaluated by faculty and staff.
A total of 5 residents participated in this simulation-based skills training. The resident performance 4 years after initial training show not only that residents maintained their improved scores, but also that their scores improved further as compared to after the initial training. The average overall score for all but 1 resident increased at the 4 year follow-up simulation. From 2014 to 2018, the average score of all the residents increased from 72.4% to 81.4%. Comparison of the average scores of each student across 6 stations from 2014 to 2018 showed a statistically significant difference between the scores after 4 years (P = 0.014).
Simulation-based communication skills training is effective and long lasting.
评估基于模拟的放射科住院医师沟通技巧培训的长期效果。
基于模拟的沟通技巧培训课程于 2014 年开发。该课程包括基于沟通基本要素的教学模块。创建了两组放射科医生遇到的 6 个沟通场景。第一年和第四年的放射科住院医师复习教学模块并完成 6 个模拟场景。然后他们进行了汇报会议，接受了教师和工作人员的评估。四年后，前一年的第一年级住院医师（现在是第四年）再次复习教学模块并重复模拟。模拟后，他们再次进行了汇报会议。这次，教职员工对住院医师的沟通技巧进行了评估。
共有 5 名住院医师参加了这项基于模拟的技能培训。初始培训四年后的住院医师表现不仅表明住院医师保持了提高的分数，而且与初始培训后的分数相比，他们的分数进一步提高。除 1 名住院医师外，所有住院医师的平均总分在 4 年随访模拟中均有所提高。从 2014 年到 2018 年，所有住院医师的平均分数从 72.4%提高到 81.4%。比较 2014 年至 2018 年每个学生在 6 个站点的平均分数，4 年后的分数存在统计学差异（P=0.014）。
基于模拟的沟通技巧培训是有效且持久的。
