From the Department of Behavioral and Community Health Sciences, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania; and the Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
South Med J. 2022 Dec;115(12):870-873. doi: 10.14423/SMJ.0000000000001474.
Effective interprofessional (IP) communication is crucial to high-quality patient care, but significant obstacles remain regarding implementing IP communication curricula for undergraduate medical students. As such, as part of a bootcamp required for University of Pittsburgh graduating medical students in 2021, we developed and evaluated a workshop using clips from medical television shows (eg, ) to teach IP communication skills.
The workshop was hosted on Zoom videoconferencing software and evaluated using pre- and postcurricular surveys that included adapted Communication Skills Attitude Scale (CSAS) and Student Perceptions of Interprofessional Clinical Education-Revised (SPICE-R) instruments. The postcurricular survey also included two open-ended items. We used Wilcoxon signed-rank tests to compare pre- and postcurricular CSAS and SPICE-R scores and used thematic analysis for qualitative data.
Approximately 94% (n = 105) of assigned students attended the workshop. Comparison of pre- and postcurricular means for all CSAS and SPICE-R items indicated improvements in attitudes toward communication training and IP communication, with statistically significant ( 0.05) changes for 4 of 10 (40%) CSAS items and 8 of 10 (80%) SPICE-R items. Thematic analysis of open-ended items suggests that the workshop is acceptable to students and may be efficacious at improving both their IP communication skills and skills related to addressing equity and bias.
Results suggest that using clips from fictional medical television programs may be a valuable approach to teaching graduating medical students IP communication skills. Future research could examine whether improved attitudes are sustained over time and the influence of the workshop on clinical IP communication behavior.
有效的跨专业（IP）沟通对于高质量的患者护理至关重要，但在为本科医学生实施 IP 沟通课程方面仍然存在重大障碍。因此，作为匹兹堡大学 2021 年毕业医学生必修训练营的一部分，我们开发并评估了一个使用医学电视剧剪辑（例如《实习医生格蕾》）来教授 IP 沟通技巧的研讨会。
该研讨会在 Zoom 视频会议软件上进行，并使用课前和课后课程调查进行评估，其中包括改编的沟通技巧态度量表（CSAS）和学生对跨专业临床教育的感知修订版（SPICE-R）工具。课后调查还包括两个开放式问题。我们使用 Wilcoxon 符号秩检验比较课前和课后 CSAS 和 SPICE-R 评分，并使用主题分析进行定性数据分析。
大约 94%（n=105）的指定学生参加了研讨会。所有 CSAS 和 SPICE-R 项目的课前和课后平均值比较表明，沟通培训和 IP 沟通态度有所改善，10 项中的 4 项（40%）CSAS 项目和 10 项中的 8 项（80%）SPICE-R 项目的变化具有统计学意义（P<0.05）。开放式问题的主题分析表明，该研讨会受到学生的欢迎，并且可能在提高他们的 IP 沟通技巧以及解决公平和偏见相关技能方面是有效的。
结果表明，使用虚构医学电视剧的剪辑可能是教授即将毕业的医学生 IP 沟通技巧的一种有价值的方法。未来的研究可以考察改善的态度是否随着时间的推移而保持，以及研讨会对临床 IP 沟通行为的影响。
