Developing and Implementing an Advanced Communication Training Program in Oncology at a Comprehensive Cancer Center
Developing and Implementing an Advanced Communication Training Program in Oncology at a Comprehensive Cancer Center
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DOI：
10.1007/s13187-011-0226-y
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发表时间：
2011-12-01
影响因子：
1.6
通讯作者：
Kissane, David W.
中科院分区：
文献类型：
--
作者：
Bylund, Carma L.;Brown, Richard F.;Kissane, David W.
癌症患者报告在通信领域的未满足的需求的显着水平。沟通技能培训计划已被证明可以改善临床沟通。然而，先进的沟通技能培训项目在肿瘤学缺乏机构整合，因此没有参加机构规范和文化，可能会抵消明确的沟通技能培训。我们开发和实施了一个先进的沟通技能培训计划，由九个教学模块的教师，研究员和居民。培训包括教学和体验式小组工作。自我效能和行为变化进行了评估，为个人参与者。自2006年以来，已有515名临床医生参加了这一培训方案。参与者在各种情况下与患者沟通的自我效能方面表现出显着的进步。我们在这一领域的初步工作表明，在一个主要的癌症中心实施这样的计划是可行的，是可以接受的，并对参与者的自我效能感产生重大影响。
Cancer patients report significant levels of unmet needs in the realm of communication. Communication skills training programs have been shown to improve clinical communication. However, advanced communication skills training programs in oncology have lacked institutional integration, and thus have not attended to institutional norms and cultures that may counteract explicit communication skills training. We developed and implemented an advanced communication skills training program made up of nine teaching modules for faculty, fellows, and residents. Training included didactic and experiential small group work. Self-efficacy and behavior change were assessed for individual participants. Since 2006, 515 clinicians have participated in this training program. Participants have shown significant gains in self-efficacy regarding communicating with patients in various contexts. Our initial work in this area demonstrates the implementation of such a program at a major cancer center to be feasible, to be acceptable, and to have a significant impact on participants' self-efficacy.