Impact Of Communication Skills Training in Postgraduate Medical Education

Authors

  • KK Shyamala Dr. B. R. Ambedkar Medical College, Bangalore, Karnataka
  • Vasudha Kulkarni Dr. B. R. Ambedkar Medical College, Bengaluru, Karnataka, India
  • Vasanth Shenoy Dr. B. R. Ambedkar Medical College, Bengaluru, Karnataka, India
  • Bidhata Khatri Independent Researcher, Bengaluru, Karnataka, India
  • Thapashwi Dr. B. R. Ambedkar Medical College, Bengaluru, Karnataka, India
  • Lakshmi TA St. John’s Medical College, Bengaluru, Karnataka, India
  • Mary Joseph St. John’s Medical College, Bengaluru, Karnataka, India

DOI:

https://doi.org/10.55489/njcm.13062022403

Keywords:

Communication skills, assessment, Kalamazoo, postgraduate medical education

Abstract

Background: Effective communication is a key feature of optimal doctor-patient relationship.  As the postgraduate curriculum lacks standardized teaching and assessment, this study aimed   to assess effectiveness of training program on communication skills of postgraduate medical students.

Materials and methods: A prospective interventional study was conducted among first year postgraduate medical students from different clinical specialty. Training program included introduction to principles of communication with basics of doctor-patient relationship, administering informed consent, breaking bad news and counselling patients with HIV/cancer. Pre-test and post-test skill assessment by Faculty and postgraduate (PG) self-rating was carried out using KEECC-A Assessment tool for seven core communication competencies. Perception of students on training program was collected via feedback questionnaire.

Results: Forty-three postgraduate medical students participated. Statistically significant increase in communication skills scores post training was observed with mean post-test assessment scores of 24.26±2.94, p<0.001(faculty rating), 25.19±3.76, p<0.001(PG self-rating) and high degree of internal consistency was found. Students perceived the training program as valuable and highlighted its importance as a part of curriculum.

Conclusion: Training program significantly enhanced communication skills of postgraduate medical students. Integration of standardized teaching and assessment of communication skills is essential for better healthcare practice and optimal doctor-patient relationship.

References

World Health Organization. Division of Mental Health. (‎1993)‎. Doctor-patient interaction and communication. World Health Organ-ization. WHO/MNH/PSF/93.11.Available at https://apps.who.int/iris/handle/10665/60263. Accessed on March 5, 2022

World health organization principles for effective communication. Available at https://www.who.int/about/communications/principles. Accessed on March 5, 2022

Dacre, Richardson, Noble et al. Communication skills training in postgraduate medicine: the development of a new course. Postgrad Med J 2004; 80:711-715. Doi: https://doi.org/10.1136/pgmj.2004.022129 PMid:15579610 PMCid:PMC1743150

Joyce BL, Scher E, Steenbergh T, Voutt-Goos MJ. Development of an institutional resident curriculum in communication skills. J Grad Med Educ. 2011 December; 3(4): 524-528. Doi: https://doi.org/10.4300/JGME-D-10-00233.1 PMid:23205202 PMCid:PMC3244319

Levin EM, Scurry NT, Bosshart DA. The teaching of interviewing and counselling skills to internal medicine residents. JMed Educ 1979; 54:819-21. Doi: https://doi.org/10.1097/00001888-197910000-00012 PMid:490600

David NS. Teaching communication skills in postgraduate medical education. Journal of the Royal Society of Medicine Volume 79 Oc-tober 1986 575. Doi: https://doi.org/10.1177/014107688607901005 PMid:3783545 PMCid:PMC1290495

BEME Guide, no 2: Teaching and learning communication skills in medicine: a review with quality grading of articles; Med Teach. 1999;21(6):563-70. Doi: https://doi.org/10.1080/01421599978979 PMid:21281175

The Bayer-Fetzer Conference on Physician-Patient Communication in Medical Education. Essential ele-ments of communication in medical encounters: the Kalamazoo consensus statement. Acad Med. 2001 Apr;76(4):390-3. Doi: https://doi.org/10.1097/00001888-200104000-00021 PMid:11299158

Rider EA. Interpersonal and communication skills. In: Rider EA, Nawotniak RH, eds. A Practical Guide to Teaching and Assessing the ACGME Core Competencies. 2nd Ed. Marblehead, MA: HCPro, Inc.; 2010.

Joyce BL, Steenbergh T, Scher E. Use of the kalamazoo essential elements communication checklist (adapted) in an institutional in-terpersonal and communication skills curriculum. J Grad Med Educ. 2010 Jun;2(2):165-9. Doi: https://doi.org/10.4300/JGME-D-10-00024.1 PMid:21975614 PMCid:PMC2941375

Voichita Bar-Ad, Tu Dan, Jennifer Arfaa, John McAna, Nicholas G Zaorsky, et al. Interventions to Promote a Patient-Centered Ap-proach in Clinical Consultations: Improving the Physician-Patient Communication Skills of Thomas Jefferson University Hospitals' Residents and Fellows. International Journal of Health Sciences June 2015, Vol. 3, No. 2, pp. 20-26. Doi: https://doi.org/10.15640/ijhs.v3n2a4

Hoffman MFerri JSison CRoter DSchapira LBaile W Teaching communication skills: an AACE survey of oncology training pro-grams. J Cancer Educ 2004;19220- 224. Doi: https://doi.org/10.1207/s15430154jce1904_8 PMid:15725639

Chakraborty S, Mashreky SR, Dalal K. Violence against physicians and nurses: a systematic literature review. Z Gesundh Wiss. 2022 Jan 22:1-19. Doi: https://doi.org/10.1007/s10389-021-01689-6 PMid:35096514 PMCid:PMC8783572

Mata ÁNS, de Azevedo KPM, Braga LP, de Medeiros GCBS, de Oliveira Segundo VH, Bezerra INM, Pimenta IDSF, Nicolás IM, Piuvezam G. Training in communication skills for self-efficacy of health professionals: a systematic review. Hum Resour Health. 2021 Mar 6;19(1):30. Doi: https://doi.org/10.1186/s12960-021-00574-3 PMid:33676515 PMCid:PMC7937280

Fallowfield L, Jenkins V, Farewell V, Solis-Trapala I. Enduring impact of communication skills training: results of a 12-month follow-up. Br J Cancer. 2003; 8:1445-9. Doi: https://doi.org/10.1038/sj.bjc.6601309 PMid:14562015 PMCid:PMC2394345

Bruera E, Sweeney C, Calder K, Palmer L, Benisch-Tolley S (2001) Patient preferences versus physician perceptions of treatment de-cisions in cancer care. J Clin Oncol 19: 2883-2885. Doi: https://doi.org/10.1200/JCO.2001.19.11.2883 PMid:11387361

Attitude, Ethics and Communication (AETCOM) Competencies for the Indian Medical Graduate. Medical Council of India. 2019 Avail-able at: https://www.nmc.org.in/wp-content/uploads/2020/01/AETCOM_book.pdf Accessed on April 16, 2022

Arneja I, Lal P. Communications skills training - a missing link in medical education curriculum. MAMC J Med Sci. 2017; 3:117-9. Doi: https://doi.org/10.4103/mamcjms.mamcjms_70_17

19.C, Tan, X.H., Foo, M.A., Lim, S.L.H. et al. Teaching and assessing communication skills in the postgraduate medical setting: a sys-tematic scoping review. BMC Med Educ 21, 483 (2021). Doi: https://doi.org/10.1186/s12909-021-02892-5 PMid:34503497 PMCid:PMC8431930

Patki A, Puscas L. A video-based module for teaching communication skills to otolaryngology residents. J Surg Educ. 2015;72(6):1090-4. Doi: https://doi.org/10.1016/j.jsurg.2015.07.008 PMid:26610354

Peterson EB, Boland KA, Bryant KA, McKinley TF, Porter MB, Potter KE, et al. Development of a comprehensive communication skills curriculum for pediatrics residents. J Grad Med Educ. 2016;8(5):739-46. Doi: https://doi.org/10.4300/JGME-D-15-00485.1 PMid:28018540 PMCid:PMC5180530

Raper SE, Gupta M, Okusanya O, Morris JB. Improving communication skills: a course for Academic Medical Center surgery resi-dents and faculty. J Surg Educ. 2015;72(6): e202-11. Doi: https://doi.org/10.1016/j.jsurg.2015.06.008 PMid:26183787

Trickey AW, Newcomb AB, Porrey M, Wright J, Bayless J, Piscitani F, et al. Assessment of surgery Residents' interpersonal commu-nication skills: validation evidence for the communication assessment tool in a simulation environment. J Surg Educ. 2016;73(6): e19-27. Doi: https://doi.org/10.1016/j.jsurg.2016.04.016 PMid:27216300

Bhagat PR, Prajapati KM, Bhatt RB, Prajapati VK, Dureja R, Tank GP. Development and introduction of a communication skills mod-ule for postgraduate students of ophthalmology. Indian J Ophthalmol. 2019 Nov;67(11):1810-1815. Doi: https://doi.org/10.4103/ijo.IJO_366_19 PMid:31638038 PMCid:PMC6836600

Salmon P, Young B. A new paradigm for clinical communication: critical review of literature in cancer care. Med Educ. 2017 Mar;51(3):258-268. Doi: https://doi.org/10.1111/medu.13204 PMid:27995660 PMCid:PMC5324633

Moore PM, Rivera S, Bravo-Soto GA, Olivares C, Lawrie TA. Communication skills training for healthcare professionals working with people who have cancer. Cochrane Database Syst Rev. 2018 Jul 24;7(7):CD003751. Doi: https://doi.org/10.1002/14651858.CD003751.pub4 PMid:30039853

Epstein RM, Duberstein PR, Fenton JJ, Fiscella K, Hoerger M, Tancredi DJ, et al. Effect of a Patient-Centered Communication Interven-tion on Oncologist-Patient Communication, Quality of Life, and Health Care Utilization in Advanced Cancer: The VOICE Randomized Clinical Trial. JAMA Oncol. 2017 Jan 1;3(1):92-100.

Stewart M, Brown JB, Hammerton J, Donner A, Gavin A, Holliday RL, et al. Improving communication between doctors and breast cancer patients. Annals of Family Medicine 2007;5(5):387‐94. Doi: https://doi.org/10.1370/afm.721 PMid:17893379 PMCid:PMC2000315

Merckaert I, Delevallez F, Gibon AS, Liénard A, Libert Y, Delvaux N et al, Transfer of communication skills to the workplace: impact of a 38-hour communication skills training program designed for radiotherapy teams. J Clin Oncol. 2015 Mar 10;33(8):901-9. Doi: https://doi.org/10.1200/JCO.2014.57.3287 PMid:25624435

Douglas, A.H., Acharya, S.P. & Allery, L.A. Communication skills teaching and learning in Nepal; what are medical students' percep-tions and experiences? A qualitative study. BMC Med Educ 20, 391 (2020). Doi: https://doi.org/10.1186/s12909-020-02330-y PMid:33121504 PMCid:PMC7596984

Tanzi, S., De Panfilis, L., Costantini, M. et al. Development and preliminary evaluation of a communication skills training programme for hospital physicians by a specialized palliative care service: the 'Teach to Talk' programme. BMC Med Educ 20, 363 (2020). Doi: https://doi.org/10.1186/s12909-020-02275-2 PMid:33059642 PMCid:PMC7560022

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Published

2022-06-30

How to Cite

1.
KK Shyamala, Kulkarni V, Shenoy V, Bidhata Khatri, Thapashwi, TA L, Joseph M. Impact Of Communication Skills Training in Postgraduate Medical Education. Natl J Community Med [Internet]. 2022 Jun. 30 [cited 2024 Dec. 22];13(06):359-63. Available from: https://njcmindia.com/index.php/file/article/view/403

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Original Research Articles