Teaching communication skills in clinical settings: Comparing two applications of a comprehensive program with standardized and real patients

BMC Medical Education

Volumn 14, Issue 1, 2014, Pages

  Carvalho, Irene P ^a,b   Pais, Vanessa G ^a   Silva, Filipa R ^a   Martins, Raquel ^a   Figueiredo Braga, Margarida ^a   Pedrosa, Raquel ^a   Almeida, Susana S ^a   Correia, Luís ^a   Ribeiro Silva, Raquel ^a   Castro Vale, Ivone ^a   Teles, Ana ^a   Mota Cardoso, Rui ^a  

^a UNIVERSITY OF PORTO   (Portugal)

^b University of Porto   (Portugal)

Author keywords

Communication program; Competence; Healthcare professionals; Real patients; Replication; Standardized patients

Indexed keywords

CLINICAL COMPETENCE; COMPARATIVE STUDY; CURRICULUM; DOCTOR PATIENT RELATION; HUMAN; INTERPERSONAL COMMUNICATION; MEDICAL EDUCATION; PROCEDURES; TEACHING;

CLINICAL COMPETENCE; COMMUNICATION; CURRICULUM; EDUCATION, MEDICAL; HUMANS; PATIENT SIMULATION; PHYSICIAN-PATIENT RELATIONS; TEACHING;

EID: 84904066409     PISSN: None     EISSN: 14726920     Source Type: Journal    
DOI: 10.1186/1472-6920-14-92     Document Type: Article

References (38)

1. BEME guide no.2: Teaching and learning communication skills in medicine-a review with quality grading of articles. Aspegren K, Med Teach 1999 21 563 570 10.1080/01421599978979 21281175
2. Physician communication skills training: A review of theoretical backgrounds, objectives and skills. Cegala DJ, Broz SL, Med Educ 2002 36 1004 1016 10.1046/j.1365-2923.2002.01331.x 12406260
3. Communication skills training in cancer care: Where are we and where are we going? Merckaert I, Libert Y, Razavi D, Curr Opin Oncol 2005 17 319 330 10.1097/01.cco.0000167737.72196.f9 15933461
4. Key communication skills and how to acquire them. Maguire P, Pitceathly C, BMJ 2002 325 697 700 10.1136/bmj.325.7366.697 12351365
5. The implementation and assessment of a comprehensive communication skills training curriculum for oncologists. Bylund CL, Brown R, Gueguen JA, Diamond C, Bianculli J, Kissane DW, Psychooncology 2010 19 583 593 19484714
6. Teaching risk-factor counseling skills: A comparison of two instructional methods. Levenkron JC, Greenland P, Bowley N, Am J Prev Med 1990 6 Suppl 2 29 34 2383410
7. Pedagogical methods and affect tolerance in medical students. Holm U, Aspegren K, Med Educ 1999 33 14 18 10.1046/j.1365-2923.1999.00332.x 10211271
8. Improving residents' confidence in using psychosocial skills. Smith RC, Mettler JA, Stöffelmayr BE, Lyles JS, Marshall AA, van Egeren LF, Osborn GG, Shebroe V, J Gen Intern Med 1995 10 315 320 10.1007/BF02599950 7562122
9. A course for nurses to handle difficult communication situations. A randomized controlled trial of impact on self-efficacy and performance. Doyle D, Copeland HL, Bush D, Stein L, Thompson S, Patient Educ Couns 2011 82 100 109 10.1016/j.pec.2010.02.013 20303230
10. Efficacy of a Cancer Research UK communication skills training model for oncologists: A randomised controlled trial. Fallowfield L, Jenkins V, Farewell V, Saul J, Duffy A, Eves R, Lancet 2002 359 650 656 10.1016/S0140-6736(02)07810- 8 11879860
11. Effects of a 105 hours psychological training program on attitudes, communication skills and occupational stress in oncology: A randomised study. Delvaux N, Razavi D, Marchal S, Bredart A, Farvacques C, Slachmuylder JL, Br J Cancer 2004 90 106 114 10.1038/sj.bjc.6601459 14710215
12. Discussing randomised clinical trials of cancer therapy: Evaluation of a Cancer Research UK training programme. Jenkins V, Fallowfield L, Solis-Trapala I, Langridge C, Farewell V, BMJ 2005 330 400 403 10.1136/bmj.38366.562685.8F 15705666
13. Assessing clinical performance with standardized patients. Colliver JA, Swartz MH, JAMA 1997 278 790 791 10.1001/jama.278.9.790 9286845
14. Defining and assessing professional competence. Epstein RM, Hundert EM, JAMA 2002 287 226 235 10.1001/jama.287.2.226 11779266
15. Assessing competence in communication and interpersonal skills: The Kalamazoo II report. Duffy FD, Gordon GH, Whelan G, Cole-Kelly K, Frankel R, Buffone N, Lofton S, Wallace M, Goode L, Langdon L, Acad Med 2004 79 495 507 10.1097/00001888-200406000-00002 15165967
16. Strengths and weaknesses of simulated and real patients in the teaching of skills to medical students: A review. Bokken L, Rethans JJ, Scherpbier A, van der Vleuten C, Sim Healthc 2008 3 161 169 10.1097/SIH.0b013e318182fc56
17. Feedback by simulated patients in undergraduate medical education: A systematic review of the literature. Bokken L, Linssen T, Scherpbier A, van der Vleuten C, Rethans JJ, Med Educ 2009 43 202 210 10.1111/j.1365-2923.2008.03268.x 19250346
18. The effect of using standardized patients or peer role play on ratings of undergraduate communication training: A randomized controlled trial. Bosse HM, Schultz J-H, Nickel M, Lutz T, Möltner A, Jünger J, Huwendiek S, Nikendei C, Patient Educ Couns 2012 87 300 306 10.1016/j.pec.2011.10.007 22137189
19. The use of simulated patients in medical education: AMEE Guide No. 42. Cleland JA, Abe K, Rethans JJ, Med Teach 2009 31 477 486 10.1080/ 01421590903002821 19811162
20. Ratings of physician communication by real and standardized patients. Fiscella K, Franks P, Srinivasan M, Kravitz RL, Epstein R, Ann Fam Med 2007 5 151 158 10.1370/afm.643 17389540
21. How to optimize physicians' communication skills in cancer care: Results of a randomized study assessing the usefulness of posttraining consolidation workshops. Razavi D, Merckaert I, Marchal S, Libert Y, Conradt S, Boniver J, Etienne AM, Fontaine O, Janne P, Klastersky J, Reynaert C, Scalliet P, Slachmuylder JL, Delvaux N, J Clin Oncol 2003 21 3141 3149 10.1200/JCO.2003.08. 031 12915605
22. Physicians' communication with a cancer patient and a relative: A randomized study assessing the efficacy of consolidation workshops. Delvaux N, Merckaert I, Marchal S, Libert Y, Conradt S, Boniver J, Etienne AM, Fontaine O, Janne P, Klastersky J, Mélot C, Reynaert C, Scalliet P, Slachmuylder JL, Razavi D, Cancer 2005 103 2397 2411 10.1002/cncr.21093 15858816
23. Reliability of consultation skills assessments using standardised versus real patients. Reinders ME, Blankenstein AH, van Marwijk HW, Knol DL, Ram P, van der Horst HE, de Vet HC, Med Educ 2011 45 578 584 10.1111/j.1365-2923.2010. 03917.x 21564197
24. Instructiveness of real patients and simulated patients in undergraduate medical education: A randomized experiment. Bokken L, Rethans JJ, Jöbsis Q, Duvivier R, Scherpbier A, van der Vleuten C, Acad Med 2010 85 148 154 10.1097/ACM.0b013e3181c48130 20042841
25. OSCE checklists do not capture increasing levels of expertise. Hodges B, Regehr G, McNaughton N, Tiberius R, Hanson M, Acad Med 1999 74 1129 1134 10.1097/00001888-199910000-00017 10536636
26. Mind the gap: Learners' perspectives on what they learn in communication compared to how they and others behave in the real world. Malhotra A, Gregory I, Darvill E, Goble E, Pryce-Roberts A, Lundberg K, Konradsen S, Hafstad H, Patient Educ Couns 2009 76 385 390 10.1016/j.pec.2009.07.024 19674863
27. Simulated patients and the assessment of medical students' interpersonal skills. Sanson-Fisher RW, Poole AD, Med Educ 1980 14 249 253 10.1111/j.1365-2923.1980.tb02269.x 7412628
28. Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Kaplan SH, Greenfield S, Ware JE, Med Care 1989 275 Suppl 3 110 127
29. Psychosocial adjustment after treatment for early breast cancer. Fallowfield LJ, Oncology (Williston Park) 1990 4 89 97 2143933
30. The influence of older patient-physician communication on health and health-related outcomes. Stewart M, Meredith L, Brown JB, Galajda J, Clin Geriatr Med 2000 16 25 36 10.1016/S0749-0690(05)70005-7 10723615
31. Learning clinical communication skills: Outcomes of a program for professional practitioners. Carvalho IP, Pais VG, Almeida SS, Ribeiro-Silva R, Figueiredo-Braga M, Teles A, Castro-Vale I, Mota-Cardoso R, Patient Educ Couns 2011 84 84 89 10.1016/j.pec.2010.05.010 20542402
32. The SEGUE Framework for teaching and assessing communication skills. Makoul G, Patient Educ Couns 2001 45 23 34 10.1016/S0738-3991(01)00136-7 11602365
33. Psychometric properties of a standardized-patient checklist and rating-scale form used to assess interpersonal and communication skills. Cohen DS, Colliver JA, Marcy MS, Fried ED, Swartz MH, Acad Med 1996 71 Suppl 1 87 89
34. Assessing communication competence: A review of current tools. Schirmer JM, Mauksch L, Lang F, Marvel MK, Zoppi K, Epstein RM, Brock D, Pryzbylski M, Fam Med 2005 37 184 192 15739134
35. Are patients' ratings of their physicians related to health outcomes? Franks P, Fiscella K, Shields CG, Meldrum SC, Duberstein P, Jerant AF, Tancredi DJ, Epstein RM, Ann Fam Med 2005 3 229 234 10.1370/afm.267 15928226
36. Studying physician effects on patient outcomes: Physician interactional style and performance on quality of care indicators. Franks P, Jerant AF, Fiscella K, Shields CG, Tancredi DJ, Epstein RM, Soc Sci Med 2006 62 422 432 10.1016/j.socscimed.2005.05.027 15993531
37. The assessment of communication skills in palliative medicine: A comparison of the scores of examiners and simulated patients. Finlay IG, Stott NC, Kinnersley P, Med Educ 1995 29 424 429 10.1111/j.1365-2923.1995.tb02866.x 8594406
38. Effects of training in direct observation of medical residents' clinical competence: A randomized trial. Holmboe ES, Hawkins RE, Huot SJ, Ann Intern Med 2004 140 874 881 10.7326/0003-4819-140-11-200406010-00008 15172901