Teaching future doctors to communicate: a communication intervention for medical students in their clinical year

Suojanen, Krista; Woodall, Kirby; Hammonds, Joshua R.; Monie, Daphne; Scribani, Melissa; Krupa, Nicole; Jenkins, Paul; Weil, Henry; Frye, Joshua J.

doi:10.1080/17538068.2018.1507082

Cited by 14 publications

(15 citation statements)

References 28 publications

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“…In terms of analytical studies, there were 18 randomised controlled trials (RCT) [11, 27, 33, 35, 48, 50, 52, 58-61, 63, 64, 66-68, 76, 78] and two non-randomised comparative study [55,71]. Of the RCT, seven studied training programs in tertiary settings [27,33,35,48,50,52,78], ten in primary care [11, 58-61, 63, 64, 66-68] and one for students/residents [76].…”

Section: Methodsmentioning

confidence: 99%

“…Of the 10 SDM programs in primary care, eight were for primary care physicians only [11,24,[58][59][60][61][62][63][64][65][66][67][68][69], one for primary care nurses [70] and one for both primary care physicians and nurses [23]. Of the eight programs for students, all were for medical students or residents [1,[71][72][73][74][75][76][77].…”

Section: Target Audience/clinical Specialtymentioning

confidence: 99%

“…Insert [45,46,51,[66][67][68][69][74][75][76], two focused on an interprofessional approach to SDM (which linked the participation of patients as well as multidisciplinary colleagues in decision-making) [47,57], and three focused on training into the use of a specific SDM tools, including decision boxes [23] and a tool designed to identify patient preferences during discussions about high-risk surgery [53,77,81]. Most programs included an overview of SDM theories, characteristics and effects of SDM, how to avoid coercive communication, and overview of the steps involved in SDM (i.e.…”

Section: Target Audience/clinical Specialtymentioning

confidence: 99%

“…The structure of one training program was not clearly described [49]. [27,31,33,45,47,51,63,64,[70][71][72][73][74][75][76][77][78]81]. Some programs also included feedback on simulated consultations with actors or consultations with real patients [24,29,58,59,78,81], which were sometimes audio- [27,66,78], or video-recorded [33,50,63,64].…”

Section: Training Structure Duration and Deliverymentioning

confidence: 99%

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Training Interventions to Equip Health Care Professionals With Shared Decision-Making Skills: A Systematic Scoping Review

Coates

Teena

2020

J Contin Educ Health Prof

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Despite numerous initiatives to increase SDM worldwide, SDM has not yet been widely implemented in clinical practice. A key barrier to SDM is that many health professionals have not been trained with the relational and communication skills required for SDM. To support the development and implementation of SDM training programs, this paper maps the evidence in relation to SDM training programs for health professionals and students, in terms of training design and content as well as evaluation outcomes. Method:Using a systematic scoping review methodology, quantitative and qualitative evidence were systematically considered to map the literature in relation to SDM training. To identify studies, the databases PubMed, Medline and CINAHL were searched from 2009 to 2019 and reference lists of included studies were examined. Articles were reviewed for inclusion by both authors, and data was extracted using a purposely designed form. Results:The review identified 49 studies evaluating 36 unique training programs, of which 18 were for health professionals in tertiary settings, 10 in primary care and 8 for students. Most programs were evaluated descriptively, mostly using mixed methods, and there were 18 RCTs. There was considerable variation in terms of the design and duration of programs. Most programs included an overview of SDM theories and key competencies, and included SDM skill development through role plays. Few or no programs provided training in reflective practice, in identifying and working with patients' individually preferred decision-making style, or in relation to SDM in a context of medical uncertainty or ambiguity. Overall training was feasible, well received, and improved participants' knowledge and skills, but limited in its impact on patients. Conclusion:While given the diversity in training programs and evaluation methods used this review is limited in its ability to comment on which types of training programs are more effective than others, there remains a need for longer-term and more in-depth training to embed SDM in practice. Eligibility criteria As per Table 1, studies relevant to the implementation and effectiveness and of training interventions were included (see Table 1).Insert Table 1: Inclusion and Exclusion.Table 1: Inclusion and exclusion criteria Inclusion criteria Exclusion criteria Studies about the implementation and/or evaluation of SDM training for health professionals and/or students/trainees/residents, including interventions in the use of decision aids Studies about SDM training for patients only, or the implementation of SDM without a specific training program Studies in relation communication training programs that include SDM as a core component Studies in relation to communication training more broadly, without a SDM component Primary qualitative, quantitative (descriptive and analytic) and mixed method studies Literature reviews, opinion pieces Published in peer reviewed journals Non-peer reviewed studies, conference papers and study protocols Published between 2009 and March...

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Section: Methodsmentioning

confidence: 99%

Section: Target Audience/clinical Specialtymentioning

confidence: 99%

Section: Target Audience/clinical Specialtymentioning

confidence: 99%

Section: Training Structure Duration and Deliverymentioning

confidence: 99%

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Training Interventions to Equip Health Care Professionals With Shared Decision-Making Skills: A Systematic Scoping Review

Coates

Teena

2020

J Contin Educ Health Prof

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“…Worldwide, effective doctor–patient communication has been linked to patient satisfaction and trust, treatment compliance, symptom improvement and positive health outcomes, while poor communication between doctors and patients is associated with patient dissatisfaction, medical mistakes and errors, disputes and malpractice litigation . Besides, for health professionals, better communication ratings are linked to higher job satisfaction, lower feelings of stress and burnout, and fewer malpractice suits . Doctor–patient communication largely determines the doctor–patient relationship.…”

Section: Introductionmentioning

confidence: 99%

Outpatient communication patterns in a cancer hospital in China: A qualitative study of doctor–patient encounters

Kang

Zhong

et al. 2019

Health Expectations

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Objective The paper characterizes outpatient communication in a major cancer hospital in southern China with regard to the structure, style and focus of doctor–patient communication. Method Fifty‐one encounters between doctors and patients were recorded in the outpatient department of the cancer hospital and analysed inductively to identify patterns of doctor–patient outpatient communication. Results Outpatient communication in the cancer hospital is characterized by structuralized conversation, doctor domination of the conversation and a focus on technology during communication. These characteristics suggest an extreme inequality of power between Chinese doctors and patients at the individual level. They are also shaped by the institutional environment of Chinese hospitals. Discussion Measures should be taken at both the interpersonal and institutional level to improve doctor–patient communication. At the micro‐interpersonal level, public education and professional skills training are needed to improve communication and promote mutual understanding between patients and doctors. At the macro‐institutional level, changes are needed in terms of transforming the structural factors that shape doctor–patient communication. Conclusions Structuralized conversation, doctor domination of the conversation and a focus on technology during outpatient encounters present challenges to effective doctor–patient communication. These patterns are shaped by the institutional environment of Chinese hospitals and suggest the extreme power imbalance between Chinese doctors and patients.

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Providers working with parents who are diagnosed with cancer: education and role perceptions regarding communication efforts between parents and children

Kazlauskaite,

Mendenhall

2023

Curr Psychol

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Teaching future doctors to communicate: a communication intervention for medical students in their clinical year

Cited by 14 publications

References 28 publications

Training Interventions to Equip Health Care Professionals With Shared Decision-Making Skills: A Systematic Scoping Review

Training Interventions to Equip Health Care Professionals With Shared Decision-Making Skills: A Systematic Scoping Review

Outpatient communication patterns in a cancer hospital in China: A qualitative study of doctor–patient encounters

Providers working with parents who are diagnosed with cancer: education and role perceptions regarding communication efforts between parents and children

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