Implementation of a skills-based virtual communication curriculum for medical students interested in surgery

Abstract

Background Communication skills are essential to providing patient-centered care. The need for standardized communication skills training is at the forefront of medical school and residency education. We aimed to design and implement a curriculum teaching virtual communications skills to medical students. The purpose of this report is to describe our experience and to offer guidance for training programs developing similar curricula in the future. Methods The curriculum was presented in weekly modules over 5 weeks using Zoom technology. We focused on proven strategies for interacting with patients and other providers, adapted to a virtual platform. Skill levels during role-play were assessed by the Simulated Participants and students observing the simulation using the 14-item, physician specific Communication Assessment Tool (CAT). The primary outcome of the CAT is the percentage of “excellent” for each item ranked both years. Participants provided feedback on what worked well or how the module could be improved in open-ended responses. Results Twenty-eight and 25 students registered for the course in Year 1 and Year 2, respectively. Students’ post-session confidence in their ability to perform target skills was statistically higher than their pre-session scores in most sessions. Modules with the lowest pre-session confidence for both years were “Disclosing a Medical Error” and “Responding to Patient Bias.” The mean percentage of students receiving “excellent” scores on individual CAT items ranged from 5 to 73% over the course of both years. Verbal and written feedback in Year 1 provided direction for the curriculum developers to improve the course in Year 2. Conclusions Developing and implementing a new education curriculum is a complex process. We describe an intensive curriculum for medical students as we strive to allow students extra “clinical” time during COVID-related restriction. We believe continued focus on patient and family communication skills will enhance patient care. Supplementary Information The online version contains supplementary material available at 10.1007/s44186-022-00054-9.