Posted: March 20, 2018

Towards Clear and Caring Communication Always

Description

We partnered with patient advocates and an interprofessional team of healthcare providers and personnel to create a brief education program that uses simulation and patient feedback to advance medical residents' patient-centered communications skills. After a series of meetings and seeking broader input from patients, students, and other providers, consensus was achieved on the need to focus the program on particularly challenging areas in patient- physician communication. Those areas pertained to clear information sharing, ensuring patient understanding, and handling difficult conversations. The program was pilot tested in 2013 with 16 Internal Medicine residents and 9 Physical Medicine and Rehabilitation residents at Johns Hopkins School of Medicine in Baltimore, Maryland. Residents were provided with pre-simulation preparatory materials that included a short slide set with overview on patient-centered communication skills, pointers on how to handle various simulation scenarios, and a select reference articles. This was followed by a 2 hr simulation activity where residents worked with three Standardized Patients (SPs) on 3 scenarios. The three scenarios were about breaking bad news, dealing with an angry patient, and discussing therapeutic options. Feedback was provided by the SPs after each of the encounters, using a scenario-specific checklist. Simulation encounters were video recorded, and the link was provided to the residents for review after the activity. The vast majority of the residents reported that the SP feedback was helpful and that the simulation was a positive experience.

Keywords

Patient-Centered, Simulation, Standardized Patient Feedback, Communications Skills

Authors

Hanan Aboumatar, MD, MPH, Johns Hopkins School of Medicine

Bickey Chang, MHS, Johns Hopkins School of Medicine

Adrian Alday, Johns Hopkins School of Medicine

Gail Berkenblit MD, PhD, Johns Hopkins School of Medicine

Sanjay Desai, MD, Johns Hopkins School of Medicine

Carol Fleishman, PhD, Johns Hopkins Medicine Simulation Center

Samuel Mayer, MD, Johns Hopkins School of Medicine

Pat Thomas, MD, Johns Hopkins School of Medicine

Zackary Berger, MD, PhD, Johns Hopkins School of Medicine

Mark Hughes, MD, Johns Hopkins School of Medicine

Paula Phurrough, Johns Hopkins Hospital Patient and Family Advisory Council

Charlene Rothkopf, Johns Hopkins Hospital Patient and Family Advisory Council

Peter Pronovost, MD, PhD, Johns Hopkins School of Medicine


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