Department of Pediatrics, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Department of Pediatrics, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Clin Pediatr (Phila). 2024 Feb;63(2):263-271. doi: 10.1177/00099228231183502. Epub 2023 Jul 20.
Communication skills are an important part of patient care, but an often neglected part of residency training. Longitudinal active coaching of communication has the potential to effectively improve communication curricula. A novel communication coach curriculum was implemented with approximately half of a pediatric residency class. Residents were coached by both a parent and faculty coach on multiple occasions throughout their intern year. Effectiveness was evaluated through self-assessment, direct observation, chart review, and follow-up phone calls with families. This longitudinal communication coach curriculum was well-received and resulted in increased self-awareness of communication skills. Coachable behaviors improved in intervention residents, and their patients spoke more positively of their experiences with communication. Additionally, these patients were less likely to be readmitted than patients cared for by control residents. A longitudinal communication coaching model is a feasible and effective curriculum for pediatric residents.
沟通技巧是患者护理的重要组成部分，但也是住院医师培训中经常被忽视的部分。长期的主动沟通指导有可能有效地改进沟通课程。我们采用了一种新颖的沟通教练课程，对儿科住院医师培训班级的一半左右的学生实施了这一课程。在实习年期间，住院医师会多次接受家长和教师教练的指导。通过自我评估、直接观察、病历审查以及与家长的后续电话随访来评估效果。这种纵向沟通教练课程受到了好评，并提高了住院医师对沟通技巧的自我意识。干预组住院医师的可指导行为有所改善，其患者对沟通体验的评价更为积极。此外，与对照组住院医师治疗的患者相比，这些患者的再入院率较低。纵向沟通辅导模式是儿科住院医师的一种可行且有效的课程。
