Chiarchiaro Jared, Arnold Robert M, Ernecoff Natalie C, Claxton Rene, Childers Julie W, Schell Jane O
Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Oregon Health Science University, Portland, Oregon; and.
Section of Palliative Care and Medical Ethics, and.
ATS Sch. 2021 Nov 16;3(1):64-75. doi: 10.34197/ats-scholar.2021-0074OC. eCollection 2022 Mar.
Communication skills is a core competency for critical care fellowship training. The coronavirus disease (COVID-19) pandemic has made it increasingly difficult to teach these skills in graduate medical education. We developed and implemented a novel, hybrid version of the Critical Care Communication (C3) skills with virtual and in-person components for pulmonary and critical care fellows.
To develop and implement a new hybrid virtual/in-person version of the traditional C3 serious illness communication skills course and to compare learner outcomes to prior courses.
We modified the C3 course in 2020 in response to the COVID-19 pandemic by adapting large-group didactic content to an online format that included both virtual asynchronous and virtual live content. Small-group skills training remained in person with trained actors and facilitators. We administered self-assessments to the participants and compared with historical data from the traditional in-person courses beginning in 2012. After the 2020 course, we collected informal feedback from a portion of the learners.
Like the traditional in-person version, participants rated the hybrid version highly. Learners reported feeling well prepared or very well prepared over 90% of the time in most communication skills after both versions of the course. Over 90% of participants in both versions of the course rated the specific course components as effective or very effective. Feedback from the learners indicates that they prefer the virtual didactics over traditional in-person didactics.
Pulmonary and critical care fellows rated a hybrid version of a communication skills training similarly to the traditional in-person version of the course. We have provided a scaffolding on how to implement such a course. We anticipate some of the virtual components of this training will outlive the current pandemic based on learner feedback.
沟通技巧是重症医学 fellowship 培训的核心能力。冠状病毒病（COVID-19）大流行使得在研究生医学教育中教授这些技能变得越来越困难。我们为肺科和重症医学 fellows 开发并实施了一种新颖的、混合式的重症护理沟通（C3）技能培训，包括虚拟和面对面的部分。
开发并实施传统 C3 重症疾病沟通技能课程的新型混合式虚拟/面对面版本，并将学习者的成果与之前的课程进行比较。
我们在 2020 年针对 COVID-19 大流行对 C3 课程进行了修改，将大班授课内容改编为在线形式，包括虚拟异步和虚拟直播内容。小组技能培训仍由经过培训的演员和辅导员进行面对面教学。我们对参与者进行了自我评估，并与 2012 年开始的传统面对面课程的历史数据进行了比较。在 2020 年课程结束后，我们收集了一部分学习者的非正式反馈。
与传统的面对面版本一样，参与者对混合版本评价很高。在两个版本的课程之后，学习者在大多数沟通技能方面报告称，超过 90%的时间感觉准备充分或非常充分。两个版本课程中超过 90%的参与者将特定课程组件评为有效或非常有效。学习者的反馈表明，他们更喜欢虚拟教学而不是传统的面对面教学。
肺科和重症医学 fellows 对沟通技能培训的混合版本评价与该课程的传统面对面版本相似。我们提供了如何实施此类课程的框架。基于学习者的反馈，我们预计该培训的一些虚拟组件将在当前大流行之后继续存在。
