Robert M Arnold1, Anthony L Back2, Amber E Barnato3, Thomas J Prendergast4, Lillian L Emlet5, Irina Karpov6, Patrick H White7, Judith E Nelson8. 1. Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh PA, USA; UPMC Supportive and Palliative Care Program, University of Pittsburgh Medical Center, Pittsburgh PA, USA. Electronic address: rabob@pitt.edu. 2. Department of Medical Oncology, University of Washington, Seattle, WA, USA. 3. Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh PA, USA. 4. Department of Medicine, Oregon Health Science University, Portland OR, USA; Section of Pulmonary and Critical Care, Portland VAMC, Portland, OR, USA. 5. Department of Critical Care Medicine & Emergency Medicine, University of Pittsburgh, Pittsburgh, PA, USA. 6. Center for Research on Health Care Data Center, University of Pittsburgh, Pittsburgh PA, USA. 7. Clinical and Translational Science Program, University of Pittsburgh, Pittsburgh PA, USA. 8. Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine. Icahn School of Medicine at Mt. Sinai, New York, NY, USA.
Abstract
PURPOSE: The aim of this study was to develop an evidence-based communication skills training workshop to improve the communication skills of critical care fellows. MATERIALS AND METHODS: Pulmonary and critical care fellows (N = 38) participated in a 3-day communication skills workshop between 2008 and 2010 involving brief didactic talks, faculty demonstration of skills, and faculty-supervised small group skills practice sessions with simulated families. Skills included the following: giving bad news, achieving consensus on goals of therapy, and discussing the limitations of life-sustaining treatment. Participants rated their skill levels in a pre-post survey in 11 core communication tasks using a 5-point Likert scale. RESULTS: Of 38 fellows, 36 (95%) completed all 3 days of the workshop. We compared pre and post scores using the Wilcoxon signed rank test. Overall, self-rated skills increased for all 11 tasks. In analyses by participant, 95% reported improvement in at least 1 skill; with improvement in a median of 10 of 11 skills. Ninety-two percent rated the course as either very good/excellent, and 80% recommended that it be mandatory for future fellows. CONCLUSIONS: This 3-day communication skills training program increased critical care fellows' self-reported family meeting communication skills.
PURPOSE: The aim of this study was to develop an evidence-based communication skills training workshop to improve the communication skills of critical care fellows. MATERIALS AND METHODS: Pulmonary and critical care fellows (N = 38) participated in a 3-day communication skills workshop between 2008 and 2010 involving brief didactic talks, faculty demonstration of skills, and faculty-supervised small group skills practice sessions with simulated families. Skills included the following: giving bad news, achieving consensus on goals of therapy, and discussing the limitations of life-sustaining treatment. Participants rated their skill levels in a pre-post survey in 11 core communication tasks using a 5-point Likert scale. RESULTS: Of 38 fellows, 36 (95%) completed all 3 days of the workshop. We compared pre and post scores using the Wilcoxon signed rank test. Overall, self-rated skills increased for all 11 tasks. In analyses by participant, 95% reported improvement in at least 1 skill; with improvement in a median of 10 of 11 skills. Ninety-two percent rated the course as either very good/excellent, and 80% recommended that it be mandatory for future fellows. CONCLUSIONS: This 3-day communication skills training program increased critical care fellows' self-reported family meeting communication skills.
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