Byrd Angela, Iheagwara Kelechi, McMahon Pamela, Bolton Michael, Roy Melissa
Pediatric Hospital Medicine, Our Lady of the Lake Children's Hospital, Baton Rouge, LA.
Pediatric Residency Program, Academic Research, Our Lady of the Lake Children's Hospital, Baton Rouge, LA.
Ochsner J. 2020 Fall;20(3):255-260. doi: 10.31486/toj.19.0054.
The Accreditation Council for Graduate Medical Education (ACGME) requires evaluation of residents' communication skills. These evaluations should involve assessments from a variety of persons with different perspectives and opportunities to observe resident behavior. Our objectives with this study were to determine if parents, nurses, and physicians significantly differed in their ratings of residents' communication skills; to ascertain the degree of association between these evaluations and ACGME milestone data; and to elicit feedback from residents about the specificity and usefulness of this type of evaluation compared to the evaluations they were typically provided. During the 2016-2017 academic year, parents of patients ready for discharge, nurses, and attending physicians completed evaluations of resident communication skills. A repeated measures multivariate analysis of variance compared communication skills scores across the 3 groups of raters. Resident ACGME milestone ratings for interpersonal and communication skills were correlated with the communication skills evaluations. Residents rated the specificity and usefulness of the 360-degree evaluations. Parents rated residents' communication skills significantly higher than nurses and physicians rated them. We found no significant difference between the nurse and physician ratings. A significant correlation was found between resident ratings by physicians and ACGME milestone data. Residents found the feedback from these evaluations to be more specific and useful in delineating their communication strengths and weaknesses than typical milestone feedback. Parents added a unique perspective about residents' communication and should be included in resident evaluation when feasible. Residents appreciated the specificity and usefulness of the evaluation instrument.
毕业后医学教育认证委员会（ACGME）要求对住院医师的沟通技能进行评估。这些评估应涉及来自不同视角且有机会观察住院医师行为的各类人员的评价。我们开展这项研究的目的是确定家长、护士和医生对住院医师沟通技能的评分是否存在显著差异；确定这些评价与ACGME里程碑数据之间的关联程度；并征求住院医师对这类评价与他们通常接受的评价相比的特异性和有用性的反馈。在2016 - 2017学年期间，准备出院患者的家长、护士和主治医生完成了对住院医师沟通技能的评价。采用重复测量多变量方差分析比较了三组评分者的沟通技能得分。住院医师ACGME人际和沟通技能的里程碑评分与沟通技能评价相关。住院医师对360度评价的特异性和有用性进行了评分。家长对住院医师沟通技能的评分显著高于护士和医生的评分。我们发现护士和医生的评分之间没有显著差异。在医生对住院医师的评分与ACGME里程碑数据之间发现了显著相关性。住院医师发现，与典型的里程碑反馈相比，这些评价的反馈在界定他们的沟通优势和劣势方面更具特异性和有用性。家长对住院医师的沟通提供了独特的视角，在可行的情况下应纳入住院医师评价。住院医师赞赏该评价工具的特异性和有用性。
