Improving surgical residents' communication in disclosing complications: A qualitative analysis of simulated physician and patient surrogate conversations

Branson, Carolina Fernandez; Chipman, Jeffrey G.

doi:10.1016/j.amjsurg.2017.10.041

Cited by 7 publications

(6 citation statements)

References 15 publications

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“…Examples of OSCE workshops for practicing physicians in the literature are limited. There are few articles that identify the use of OSCEs in training surgical residents and emergency medicine residents, and there are two communication-specific OSCEs among primary care residents [ 7 , 8 , 11 , 17 ]. Among practicing physicians, there are several identified publications that report the use of OSCEs to enhance communication skills [ 10 , 18 – 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…While effective communication is considered a vital skill, many physicians believe they have inadequate training [ 2 , 7 ]. Physicians struggle with delivering bad news and disclosing medical errors, often using poor methods of communication with their patients [ 8 ]. Despite the emphasis on communication skills in current medical school curricula, practicing physicians rarely have opportunities to receive constructive feedback and coaching on communication [ 8 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Physicians struggle with delivering bad news and disclosing medical errors, often using poor methods of communication with their patients [ 8 ]. Despite the emphasis on communication skills in current medical school curricula, practicing physicians rarely have opportunities to receive constructive feedback and coaching on communication [ 8 – 10 ]. Some communication-focused training workshops have been described in graduate medical education, including simulated patient encounters for surgery residents [ 8 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Despite the emphasis on communication skills in current medical school curricula, practicing physicians rarely have opportunities to receive constructive feedback and coaching on communication [ 8 – 10 ]. Some communication-focused training workshops have been described in graduate medical education, including simulated patient encounters for surgery residents [ 8 , 11 ]. To address this practice gap, we developed an objective structured clinical examination (OSCE) for physicians to practice, be evaluated, and receive coaching on their communication skills in a simulation setting.…”

Section: Introductionmentioning

confidence: 99%

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A Simulation-Based Workshop to Improve Dermatologists’ Communication Skills: A Pilot for Continuing Medical Education

Saeed

Sanchez

Botto

et al. 2018

Dermatol Ther (Heidelb)

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Introduction Communication skills influence the quality of health care and patient experience; both may affect provider reimbursement. There are few opportunities available for practicing physicians to receive direct feedback on communication in patient encounters. The purpose of this simulation-based patient encounter workshop was for dermatologists to practice and obtain feedback on their communication skills. Methods In March 2016, dermatologists participated in a workshop with four simulated patient encounters. Cases were developed based on a prior needs assessment. Standardized patient educators evaluated participants’ communication using the Master Interview Rating Scale and provided verbal feedback. Physicians rated the usefulness of the simulation and the feedback received through a survey upon workshop completion. Results Of the 170 physicians who registered, 103 participated in the simulation. The workshop was highly rated in meeting its three learning objectives (score of 4.5–4.6 out of a maximum score of 5). The lowest-rated communication skills were as follows: allowing the patient to share their narrative thread (3.1), summarizing the patient’s history from the provider (3.8), and assessing patient understanding (3.8). Conclusions Participants reported that this communication workshop effectively satisfied its learning objectives. Opportunities to practice and improve communication skills as part of continuing medical education will benefit the clinical experience of patients and physicians alike, and the workshop may be formatted to serve physicians of other specialties. The lowest-scoring communication areas identified in this study present an opportunity to develop a tailored curriculum for physician–patient communication in the future.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Simulation-Based Workshop to Improve Dermatologists’ Communication Skills: A Pilot for Continuing Medical Education

Saeed

Sanchez

Botto

et al. 2018

Dermatol Ther (Heidelb)

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“…29 In addition, empathy and collaborative language were lacking; residents tended more toward controlling, paternalistic language in uncomfortable situations. [28][29][30] If residents are more aware of how their behavior affects patient communication, they can work toward monitoring and adjusting their behavior to better gain patient trust. 9,11,31 Plastic and general surgery combined had a significantly greater number of natural C styles than the general population.…”

Section: Resident-patient Relationshipmentioning

confidence: 99%

“Know Thy Self: Natural and Adapted Behavior Styles of General and Plastic Surgery Residents”

Meade¹,

Chang²,

Duque³

et al. 2022

Plastic &Amp; Reconstructive Surgery

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he stressors of surgical residency, combined with personal characteristics of self-judgment and poor emotional regulation common among medical trainees, result in a high percentage of residents experiencing burnout. [1][2][3][4] Burnout is defined as a work-related syndrome characterized by three components: emotional exhaustion, depersonalization, and reduced personal accomplishment. 1 It commonly peaks during residency and is experienced by 69 percent of surgical residents nationally. 2,5 Interventions aimed at allowing self-reflection and promoting personal and professional development improve the clinical learning climate and help reduce burnout. 3,[6][7][8][9] To provide insight into behavioral traits that put them at risk for burnout, people need to better understand their own personality, needs, and motives. 10,11 Individuals can then adjust their behaviors and the way they approach work situations to optimize care results and team dynamics. 10,12 Our institution developed programs to improve resiliency and well-being through leadership training among general surgery and plastic surgery residents. Residents first need to gain insight into the personality and behavioral styles of themselves and those around them to potentially adopt new coping techniques for their personal and professional lives. 9 As such, personality and behavioral assessment is a foundation of the leadership skills training program. These assessments have been used in the workforce to help employees understand their strengths and weaknesses. Furthermore, the assessments serve as team-building exercises among employees. 13,14 Meta-analyses indicate that cognitive, behavioral, and mindfulness approaches contribute

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Surgical Empathy

Fennern

Sur

2022

Difficult Decisions in Surgery: An Evidence-Based Approach

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Improving surgical residents' communication in disclosing complications: A qualitative analysis of simulated physician and patient surrogate conversations

Cited by 7 publications

References 15 publications

A Simulation-Based Workshop to Improve Dermatologists’ Communication Skills: A Pilot for Continuing Medical Education

A Simulation-Based Workshop to Improve Dermatologists’ Communication Skills: A Pilot for Continuing Medical Education

“Know Thy Self: Natural and Adapted Behavior Styles of General and Plastic Surgery Residents”

Surgical Empathy

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