Serious Illness Communication Training Among Radiation Oncology Residents.
Serious Illness Communication Training Among Radiation Oncology Residents.
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DOI：
10.1016/j.prro.2022.11.008
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发表时间：
2023-05
影响因子：
3.3
通讯作者：
Siropaides, Caitlin
中科院分区：
文献类型：
--
作者：
Christensen, Michael;Kumar, Kiran A.;Wang, Winnie S.;Dharmarajan, Kavita V.;Chang, Zieanna;McStay, Carla Khalaf;Barina, Alexis;Siropaides, Caitlin
缺乏针对放射肿瘤科住院医师的严重疾病沟通技巧的教育和专门培训。研究生医学教育认证委员会要求放射肿瘤科住院医师展现人际交往和沟通技巧；然而，实施具体培训来解决这一问题是一个持续的挑战。本研究评估了单一放射肿瘤学住院医师计划中放射肿瘤学特定严重疾病沟通课程的可行性和有效性。主要目标是评估放射肿瘤科住院医师可观察到的沟通技巧，以及他们对患者遇到严重疾病的准备程度和舒适度的感知水平。每位住院医师都参与了基线模拟患者接触活动。举办了两场为期半天的虚拟体验式学习课程，由接受过严重疾病沟通教学培训的教师专家主持。培训包括简短的教学，重点是在放射肿瘤学特定场景中对模拟患者进行小组指导实践。每位住院医生都参加了课后模拟患者接触活动。三名接受过严重疾病沟通培训的盲法教师完成了可观察到的沟通技巧的客观评估，以比较课前和课后的表现。基于由盲法教师审查的有效评估进行的 t 检验表明，与课前接触相比，放射肿瘤科住院医师在课后接触中的整体可观察到的沟通技巧有显着改善 (P = .0067)。总体而言，与课程之前相比，9 名住院医师中的 8 名（89%）在课程结束后对放射肿瘤学特定的严重疾病沟通感到更舒服并做好了准备。与课前评估 (Likert 4.09/5) 相比，模拟患者对课后评估 (Likert 4.89/5) 的住院医师总体平均表现评价较高，并有显着改善的趋势 (P = .0515)。参加基于经验的培训课程后，放射肿瘤科住院医师的沟通技巧明显提高。本课程可以作为其他放射肿瘤学住院医师计划实施的适应性模型。
Education and specific training on serious illness communication skills for radiation oncology residents is lacking. The Accreditation Council for Graduate Medical Education requires radiation oncology residents to demonstrate interpersonal and communication skills; however, implementing specific training to address this poses an ongoing challenge. This study assesses the feasibility and effectiveness of a radiation oncology specific serious illness communication curriculum at a single radiation oncology residency program. The primary objectives were to assess observable communication skills among radiation oncology residents and their perceived level of preparedness and comfort with patient encounters surrounding serious illness. Each resident participated in a baseline simulated patient encounter. Two virtual half-day experience-based learning sessions led by faculty experts trained in teaching serious illness communication were held. The training consisted of brief didactic teaching, with the emphasis on small group guided practice with simulated patients in scenarios specific to radiation oncology. Each resident participated in a postcourse simulated patient encounter. Three blinded faculty trained in serious illness communication completed objective assessments of observable communication skills to compare pre- and postcourse performance. A t test based on validated assessments reviewed by blinded faculty demonstrated significant improvement in overall observable communication skills among radiation oncology residents in the postcourse encounter compared with the precourse encounter (P = .0067). Overall, 8 of 9 (89%) residents felt more comfortable and prepared with radiation oncology-specific serious illness communication after the course compared with prior. The simulated patients rated the overall average resident performance higher on the postcourse assessment (Likert 4.89/5) compared with the precourse assessment (Likert 4.09/5), which trended toward a significant improvement (P = .0515). Radiation oncology residents had a significant improvement in observable communication skills after participating in an experience-based training curriculum. This course can serve as an adaptable model that may be implemented by other radiation oncology residency programs.
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影响因子：
4.7
作者：
Frydman JL;Gelfman LP;Lindenberger EC;Smith CB;Berns S;Kelley AS;Dow LA
通讯作者：
Dow LA
影响因子：
168.9
作者：
Fallowfield, L;Jenkins, V;Eves, R
通讯作者：
Eves, R
影响因子：
4.7
作者：
Vermylen, Julia H.;Wood, Gordon J.;Wayne, Diane B.
通讯作者：
Wayne, Diane B.
影响因子：
6.3
作者：
Back, Anthony L.;Fromme, Erik K.;Meier, Diane E.
通讯作者：
Meier, Diane E.
影响因子：
50.5
作者：
Fallowfield, LJ
通讯作者：
Fallowfield, LJ