Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH USA.
Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH USA.
Patient Educ Couns. 2021 May;104(5):1200-1205. doi: 10.1016/j.pec.2020.09.033. Epub 2020 Sep 28.
There are few opportunities in medical education dedicated to learning skills for effective communication in life altering patient scenarios. We therefore aimed to develop and assess a longitudinal advanced communication curriculum for pediatric residents using patient feedback and deliberate practice.
Pediatric residents at a large academic center were randomized into 2 groups. The intervention group received 6 educational sessions from 2019 to 2020, parent feedback of performance via the Communication Assessment Tool (CAT), and monthly communication tips. Communication skills of both groups were assessed at the end of the intervention.
We collected 937 CAT assessments on 36 first-year residents. The intervention group demonstrated statistically significant improvement in communication skills from pre to post assessment (p = 0.0063, (odds ratio (OR) 1.76, 95 % confidence interval (CI) [1.17, 2.63]) compared to the control group (p = 0.080, OR 1.41, 95 % CI [0.96, 2.05]).
There are patient and self-identified performance gaps in communication skills for pediatric residents, underscoring the need for formalized curricula dedicated to these skills.
Our study highlights the value of deliberate practice and the integration of family feedback as an educational tool in communication skills development.
医学教育中很少有机会专门学习在改变患者生活的场景中进行有效沟通的技能。因此，我们旨在使用患者反馈和刻意练习为儿科住院医师开发和评估一个纵向高级沟通课程。
在一家大型学术中心，将儿科住院医师随机分为两组。干预组在 2019 年至 2020 年期间接受了 6 次教育课程，通过沟通评估工具（CAT）获得家长对表现的反馈，并每月提供沟通技巧。在干预结束时评估两组的沟通技巧。
我们共收集了 36 名一年级住院医师的 937 份 CAT 评估。与对照组（p = 0.080，OR 1.41，95%CI[0.96,2.05]）相比，干预组的沟通技巧从预评估到后评估显示出统计学上的显著改善（p = 0.0063，（优势比（OR）1.76，95%置信区间（CI）[1.17,2.63]）。
儿科住院医师在沟通技巧方面存在患者和自我认定的表现差距，这突显了需要专门针对这些技能制定正式课程的必要性。
我们的研究强调了刻意练习和整合家庭反馈作为沟通技巧发展的教育工具的价值。
