Melanie Marsh1, Stephanie M Lauden2, John D Mahan3, Lydia Schneider4, Laura Saldivar4, Nina Hill4, Christopher Diaz4, Mahmoud Abdel-Rasoul3, Suzanne Reed2. 1. Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH USA. Electronic address: marshmcln@gmail.com. 2. Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH USA. 3. Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH USA; The Ohio State University, College of Medicine Columbus, OH USA. 4. The Ohio State University, College of Medicine Columbus, OH USA.
Abstract
OBJECTIVE: There are few opportunities in medical education dedicated to learning skills for effective communication in life altering patient scenarios. We therefore aimed to develop and assess a longitudinal advanced communication curriculum for pediatric residents using patient feedback and deliberate practice. METHODS: Pediatric residents at a large academic center were randomized into 2 groups. The intervention group received 6 educational sessions from 2019 to 2020, parent feedback of performance via the Communication Assessment Tool (CAT), and monthly communication tips. Communication skills of both groups were assessed at the end of the intervention. RESULTS: We collected 937 CAT assessments on 36 first-year residents. The intervention group demonstrated statistically significant improvement in communication skills from pre to post assessment (p = 0.0063, (odds ratio (OR) 1.76, 95 % confidence interval (CI) [1.17, 2.63]) compared to the control group (p = 0.080, OR 1.41, 95 % CI [0.96, 2.05]). CONCLUSIONS: There are patient and self-identified performance gaps in communication skills for pediatric residents, underscoring the need for formalized curricula dedicated to these skills. PRACTICE IMPLICATIONS: Our study highlights the value of deliberate practice and the integration of family feedback as an educational tool in communication skills development. Published by Elsevier B.V.
OBJECTIVE: There are few opportunities in medical education dedicated to learning skills for effective communication in life altering patient scenarios. We therefore aimed to develop and assess a longitudinal advanced communication curriculum for pediatric residents using patient feedback and deliberate practice. METHODS: Pediatric residents at a large academic center were randomized into 2 groups. The intervention group received 6 educational sessions from 2019 to 2020, parent feedback of performance via the Communication Assessment Tool (CAT), and monthly communication tips. Communication skills of both groups were assessed at the end of the intervention. RESULTS: We collected 937 CAT assessments on 36 first-year residents. The intervention group demonstrated statistically significant improvement in communication skills from pre to post assessment (p = 0.0063, (odds ratio (OR) 1.76, 95 % confidence interval (CI) [1.17, 2.63]) compared to the control group (p = 0.080, OR 1.41, 95 % CI [0.96, 2.05]). CONCLUSIONS: There are patient and self-identified performance gaps in communication skills for pediatric residents, underscoring the need for formalized curricula dedicated to these skills. PRACTICE IMPLICATIONS: Our study highlights the value of deliberate practice and the integration of family feedback as an educational tool in communication skills development. Published by Elsevier B.V.
Authors: Melanie C Marsh; Suzanne M Reed; John D Mahan; Lydia Schneider; Ashley K Fernandes; Nancy Liao; Isaac Spears; Stephanie Lauden Journal: J Med Educ Curric Dev Date: 2021-10-04