Physician communication skills training: a review of theoretical backgrounds, objectives and skills

Cegala, Donald J.; Broz, Stefne Lenzmeier

doi:10.1046/j.1365-2923.2002.01331.x

Cited by 263 publications

(193 citation statements)

References 40 publications

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“…It was developed in conjunction with the curriculum designed for the intervention. A key strength of this approach is the ability to obtain observational data and code it using an assessment measure grounded in the curriculum, ensuring that the assessment truly matches the intervention [11]. Similar to interaction analysis systems (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…While developing the curriculum for the training program, we carefully considered the assessment of the program as well, with the end goal of ensuring that the assessment matched the curriculum [11,55]. We planned to use video recordings of clinical consultations to assess participants' skill usage both pre-and post-training.…”

Section: Mskcc Comskil Training Programmentioning

confidence: 99%

“…Such interventions have shown improvement in doctor behavior as a result of training [11]. We recently reviewed the CST literature, with inclusion criteria of: published studies about doctor CST interventions, a context of oncology, and a description of the intervention and outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…We recently reviewed the CST literature, with inclusion criteria of: published studies about doctor CST interventions, a context of oncology, and a description of the intervention and outcomes. We began by examining the projects listed in a 2002 literature review by Cegala and Broz [11], filtering those 26 studies through our inclusion criteria. Next, we conducted PubMed and Web of Science searches, and searched reference lists of CST articles and other publications to find relevant studies.…”

Section: Introductionmentioning

confidence: 99%

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The implementation and assessment of a comprehensive communication skills training curriculum for oncologists

et al. 2009

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Objective: The objective of this paper is to report the implementation and assessment of the Comskil Training Curriculum at Memorial Sloan-Kettering Cancer Center.Method: Twenty-eight attending physicians and surgeons participated in communication skills training modules as part of a train-the-trainer program. Doctors were video recorded in clinical consultations with patients two times before training and two times after training, resulting in 112 video recordings for analysis. Recordings were coded using the Comskil Coding System.Results: Communication skills related to two of the six major skill sets, Establishing the Consultation Framework and Checking, increased following training. Limited changes emerged in three skill sets, while one skill set, Shared Decision Making, did not change. Doctors who attended more training modules had higher levels of change. Female participants demonstrated three skills more frequently than males post-training.Conclusions: The intervention produced significant communication skills uptake in a group of experienced attending clinicians, mediated by the amount of training. Future research should focus on the dose of training necessary to achieve skills uptake and the effect of skills training on patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Mskcc Comskil Training Programmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The implementation and assessment of a comprehensive communication skills training curriculum for oncologists

et al. 2009

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“…Aun cuando no existen dudas de la importancia que tiene la IPYF en el acto médico, es necesario considerar las dificultades que existen para evaluarla 20,25,26 , ya sea en términos de resultados focales como: análisis de estructura de la comunicación, eficacia comunicacional, satisfacción usuaria, tranquilidad del paciente y su familia, impacto clínico, calidad de vida o bien, ante resultados globales o integrales. Existen autores que tienen posturas entusiastas sobre los protocolos y la capacitación en IPYF [27][28][29] , otros mantienen una postura de activa evaluación sobre sus posibles beneficios 30 y algunos tienen actitudes muy críticas, respecto de las guías y protocolos de IPYF 31 .…”

Section: Reflexión Finalunclassified

Información médica a pacientes y familiares: aspectos clínicos, éticos y legales

2013

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Clinical, ethical and legal issues on medical information to patients and relatives gmail.com L a información al paciente y familiares (IPYF) es un valor fundamental de la relación médico-paciente, cuyo sustento clínico, ético, legal y deontológico ha ido variando en relevancia, acorde a los cambios culturales de la sociedad 1-3 . La IPYF es una actividad tan propia y cotidiana del quehacer clínico como lo es el proceso diagnóstico o de tratamiento, pudiendo en algunos casos ser la pieza central de la recuperación del paciente o un elemento trazador para evaluar la calidad de la atención 4 . La adecuada comunicación también ha sido correlacionada positivamente, con un mejor diagnóstico, menos juicios por mala práctica, mejor adherencia al tratamiento, mayor satisfacción usuaria y mejor desenlace 5,6 . En lo ético, el paciente no sólo es el sujeto y usuario del acto médico, sino su principal dueño y quien debe decidir de manera informada sobre las opciones de estudio y tratamiento que le afectarán directamente 4 . En Chile, la promulgación de la ley 20.584, culmina un desarrollo legislativo 4,7-9 sobre el marco de los "derechos y deberes que tienen las personas en relación con acciones vinculadas a su atención en salud", definiendo en el Artículo 8º algunas características de la información que deben entregar los prestadores profesionales e institucionales. De acuerdo con este artículo la IPYF debe ser suficiente, oportuna, veraz y comprensible, ya sea en forma visual, verbal o por escrito, respecto de los siguientes elementos: a) Las atenciones de salud o tipos de acciones de salud que el prestador respectivo ofrece o tiene disponible y los mecanismos a través de los cuales se puede acceder a dichas prestaciones, así como el valor de las mismas; b) Las condiciones previsionales de salud requeridas Providing information to patients and relatives (IPAR) is a clinical, ethical and legal need. IPAR is inherent to the medical team work as diagnostic and therapeutic

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Relationship, Communication, and Efficiency in the Medical Encounter<subtitle>Creating a Clinical Model From a Literature Review</subtitle>

et al. 2008

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Physician communication skills training: a review of theoretical backgrounds, objectives and skills

Cited by 263 publications

References 40 publications

The implementation and assessment of a comprehensive communication skills training curriculum for oncologists

The implementation and assessment of a comprehensive communication skills training curriculum for oncologists

Información médica a pacientes y familiares: aspectos clínicos, éticos y legales

Relationship, Communication, and Efficiency in the Medical Encounter<subtitle>Creating a Clinical Model From a Literature Review</subtitle>

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