Transfer of communication skills to the workplace during clinical rounds: impact of a program for residents

Communication with patients is a core clinical skill in medicine that can be acquired through communication skills training. Meanwhile, the importance of transfer of communication skills to the workplace has not been sufficiently studied. This study aims to assess the efficacy of a 40-hour training...

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Bibliographic Details
Published in:PloS one 2010-08, Vol.5 (8), p.e12426-e12426
Main Authors: Liénard, Aurore, Merckaert, Isabelle, Libert, Yves, Bragard, Isabelle, Delvaux, Nicole, Etienne, Anne-Marie, Marchal, Serge, Meunier, Julie, Reynaert, Christine, Slachmuylder, Jean-Louis, Razavi, Darius
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Cancer
Clinical medicine
Communication
Communication skills
Confidence intervals
Content analysis
Curricula
Education
Education, Medical, Continuing
Evidence-Based Healthcare
Evidence-Based Healthcare/Quality and Safety in Medical Practice
Female
Human health sciences
Humans
Internship and Residency
Male
Medical personnel
Medical research
Medical Staff, Hospital - education
Medical Staff, Hospital - psychology
Middle Aged
Non-Clinical Medicine/Communication in Health Care
Non-Clinical Medicine/Medical Education
Occupational stress
Oncologie
Oncology
Patient Satisfaction
Patients
Patients' Satisfaction
Physician-Patient Relations
Poisson density functions
Regression analysis
Regression models
Residents
Sciences de la santé humaine
Skill development
Statistical analysis
Studies
Training
Training program
Transfer learning
Young Adult
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Summary:Communication with patients is a core clinical skill in medicine that can be acquired through communication skills training. Meanwhile, the importance of transfer of communication skills to the workplace has not been sufficiently studied. This study aims to assess the efficacy of a 40-hour training program designed to improve patients' satisfaction and residents' communication skills during their daily clinical rounds. Residents were randomly assigned to the training program or to a waiting list. Patients' satisfaction was assessed with a visual analog scale after each visit. Transfer of residents' communication skills was assessed in audiotaped actual inpatient visits during a half-day clinical round. Transcripted audiotapes were analyzed using content analysis software (LaComm). Training effects were tested with Mann-Whitney tests and generalized linear Poisson regression models. Eighty-eight residents were included. First, patients interacting with trained residents reported a higher satisfaction with residents' communication (Median=92) compared to patients interacting with untrained residents (Median=88) (p=.046). Second, trained residents used more assessment utterances (Relative Risk (RR)=1.17; 95% Confidence intervals (95%CI)=1.02-1.34; p=.023). Third, transfer was also observed when residents' training attendance was considered: residents' use of assessment utterances (RR=1.01; 95%CI=1.01-1.02; p=.018) and supportive utterances (RR=0.99; 95%CI=0.98-1.00; p=.042) (respectively 1.15 (RR), 1.08-1.23 (95%CI), p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0012426