Teaching Clinician-Patient Communication in the Treatment of Breast Diseases

White, Maysel Kemp; Malik, Tariq

doi:10.1089/jwh.1999.8.39

Cited by 10 publications

(9 citation statements)

References 3 publications

(1 reference statement)

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“…Brown et al 2002;Butow et al 2002a,b;Kerr et al 2003 No HCP behaviours in real patient encounters 2 papers: Hietanen et al 2007;Stewart et al 2007 No patient outcomes reported 35 papers: Razavi et al 1993Razavi et al , 2000Razavi et al , 2002Faulkner et al 1995;Booth et al 1996;Heaven & Maguire 1996;Maguire et al 1996a,b;Baile et al 1997;Hulsman et al 1997;Parle et al 1997;Wilkinson et al 1998Wilkinson et al , 1999Wilkinson et al , 2002Wilkinson et al , 2003Baile et al 1999;Fallowfield et al 1998;White & Malik 1999;Klein et al 2000;Abel et al 2001;Fallowfield et al 2001;Hellbom et al 2001;Kruijver et al 2001a;Fallowfield et al 2002;Fallowfield et al 2003;Finset et al 2003;Fujimori et al 2003;Kruse et al 2003; (2008) also reported on the same study; Delvaux et al reported the effect of a training programme on the communicative behaviour of the HCP in a three-person interview (HCP, patient and relative) and patient satisfaction, while Liénard et al reported the effect of the same communication training programme on patient distress. Brown et al 2002;Butow et al 2002a,b;Kerr et al 2003 No HCP behaviours in real patient encounters 2 papers: Hietanen et al 2007;…”

Section: Resultsmentioning

confidence: 99%

The effect of communication skills training on patient outcomes in cancer care: a systematic review of the literature

Uitterhoeve

Bensing

Grol

et al. 2009

European Journal of Cancer Care

152

103

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The objective of this review was to determine whether communication training for healthcare professionals (HCP), including nurses and medical doctors, in cancer care improves patient outcomes. Eligible studies with a focus on patient outcomes and a controlled or single group pretest-posttest design were identified according to Cochrane Collaboration Guidelines. Seven studies, encompassing 10 papers and involving five randomised controlled trials, were included. Studies involved 411 HCP, including a total of 1677 encounters with adult cancer patients. Forty-nine papers were excluded, primarily because no patient outcomes were reported. Regarding patient satisfaction outcomes, estimated effects in favour of communication training ranged from 0.07 (95% CI: -0.30 to 0.44) for satisfaction with information and support to 0.70 (95% CI: 0.16 to 1.24) for satisfaction with assessment of concerns. No evidence was found for the effectiveness of communication training on patient distress outcomes. We concluded that the current review reveals inconclusive evidence to prove the effectiveness of communication training on patient satisfaction and patient distress. More high-quality studies are needed.

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Section: Resultsmentioning

confidence: 99%

The effect of communication skills training on patient outcomes in cancer care: a systematic review of the literature

Uitterhoeve

Bensing

Grol

et al. 2009

European Journal of Cancer Care

152

103

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“…Various studies reported improvements in skills related to communication, including counselling skills, 8,65 professionalism, 29 awareness of patient comfort 7 and interpersonal skills 8,51,72 …”

Section: Resultsmentioning

confidence: 99%

“…The remainder described outcomes amongst postgraduate trainees, [56][57][58][59][60][61][62][63] practising clinicians, [64][65][66][67][68][69] other health professionals 70 and other groups [71][72][73] ( Table 1).…”

Section: Samplesmentioning

confidence: 99%

Patient involvement in teaching and assessing intimate examination skills: a systematic review

et al. 2010

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OBJECTIVES There are recognised difficulties in teaching and assessing intimate examination skills that relate to the sensitive nature of the various examinations and the anxiety faced by novice learners. This systematic review provides a summary of the evidence for the involvement of real patients (RPs) and simulated patients (SPs) in the training of health care professionals in intimate examination skills.METHODS For the review, 'intimate examinations' included pelvic, breast, testicular and rectal examinations. Major databases were searched from the start of the database to December 2008. The synthesis of findings is integrated by narrative structured to address the main research questions, which sought to establish: the objectives of programmes involving RPs and SPs as teachers of intimate examination skills; reasons why SPs have been involved in this training; the evidence for the effectiveness of such training programmes; the evidence for measures of anxiety in students learning how to perform intimate examinations; how well issues of sexuality are addressed in the literature; any reported negative effects of involvement in teaching on the patients, and suggestions for practical strategies for involving patients in the teaching of intimate examination skills.RESULTS A total of 65 articles were included in the review. Involving patients in teaching intimate examination skills offers advantages over traditional methods of teaching. Objective evidence for the effectiveness of this method is demonstrated through improved clinical performance, reduced anxiety and positive evaluation of programmes. Practical strategies for implementing such programmes are also reported.CONCLUSIONS There is evidence of a shortterm positive impact of patient involvement in the teaching and assessment of intimate examination skills; however, evidence of longer-term impact is still limited. The influences of sexuality and anxiety related to such examinations are explored to some extent, but the psychological impact on learners and patients is not well addressed.

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“…To our knowledge, this is the first curriculum specifically developed with the goal of improving breast health skills and knowledge for internal medicine residents. Related prior studies 23 include a weeklong intervention among internal medicine, family medicine, and pediatrics attending physicians, residents, and nurses, with a focus on communication skills about the treatment of breast diseases. Another curriculum used observed structured clinical examinations to evaluate a curriculum that taught breast clinical examination skills to surgery residents and fourth-year medical students.…”

Section: Discussionmentioning

confidence: 99%

An Effective Multimodal Curriculum to Teach Internal Medicine Residents Evidence-Based Breast Health

Corbelli¹,

Bonnema²,

Rubio³

et al. 2014

Journal of Graduate Medical Education

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Background Breast health is an area fraught with controversy and missed opportunities to meet women's needs, and the state of internal medicine residency training in this area is inadequate. Objective Our objective was to develop, implement, and evaluate a curriculum to equip internal medicine residents with the knowledge and skills to deliver high-quality, comprehensive breast health care. Methods We developed a 4-hour curriculum for internal medicine interns. It incorporated a team-based learning format and used MammaCare breast model software to teach and evaluate the clinical breast examination. We compared interns' precurriculum and postcurriculum test results to a historical comparison group of postgraduate year (PGY)–2 interns who did not complete the curriculum. We retested interns as PGY-2s to assess knowledge retention. Results A total 41 of 52 interns (79%) completed the curriculum. Their average MammaCare scores improved from 63% to 91%. Scores on a knowledge-based assessment improved from 47% on the pretest to 85% on the posttest (P < .001). Comparison PGY-2s who did not complete the curriculum averaged a score of 52% (P < .001). When retested 9 months after exposure to the curriculum, participants' mean score was 63% (compared to historical comparison PGY-2 group, P < .001). Only 9% of interns who retook the test as PGY-2s reported having received any breast health training subsequent to curriculum completion. Conclusions A targeted half-day, low-cost breast health curriculum significantly improved knowledge and skills in multiple domains, and these improvements were retained in subsequent assessment despite minimal reinforcement in residency training.

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Teaching Clinician-Patient Communication in the Treatment of Breast Diseases

Cited by 10 publications

References 3 publications

The effect of communication skills training on patient outcomes in cancer care: a systematic review of the literature

The effect of communication skills training on patient outcomes in cancer care: a systematic review of the literature

Patient involvement in teaching and assessing intimate examination skills: a systematic review

An Effective Multimodal Curriculum to Teach Internal Medicine Residents Evidence-Based Breast Health

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