A Cross-Specialty Examination of Resident Error Disclosure and Communication Skills Using Simulation

Journal of Graduate Medical Education
Aimee K GardnerM Tyson Pillow

Abstract

Disclosure of medical errors is important to patients and physicians, but formal disclosure training during the graduate medical education curriculum is limited. We examined resident competence related to error disclosure, using standardized patient (SP) ratings of resident communication skills. All first-year residents from medicine, radiology, emergency medicine, orthopedic surgery, and neurological surgery completed a 20-minute simulated session in which they were provided background information on a medical error they had made and were asked to disclose the error to an SP acting as a family member. Residents were then debriefed and completed a postscenario questionnaire. The SPs completed an 11-item communication assessment and 3 milestone rating tools on professionalism (PROF-1, PROF-3) and interpersonal and communication skills (ICS-1). Ninety-six residents from a single institution participated toward the end of the intern year. Communication assessment scores ranged from 23% to 100% (mean [SD], 80.6 [17.0]). Mean (SD) milestone ratings across specialties were 2.80 ± 0.92 for PROF-1, 2.48 ± 0.92 for PROF-3, and 2.45 ± 0.92 for ICS-1. One-way analysis of variance revealed no significant differences among specialties on mi...Continue Reading

References

May 3, 2007·Journal of General Internal Medicine·Lauris C KaldjianGary E Rosenthal
Mar 5, 2008·Academic Medicine : Journal of the Association of American Medical Colleges·Andrew A WhiteEric B Larson
Nov 19, 2009·Journal of Patient Safety·Ranjit SinghGurdev Singh
Jan 22, 2013·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Francisco M Matos, Daniel B Raemer

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Citations

Aug 30, 2018·Journal of Graduate Medical Education·Julia Vermylen, Gordon J Wood
Sep 30, 2020·Journal of Surgical Education·Esther H ChungBrittany A Davidson
Dec 8, 2020·Patient Education and Counseling·Lauris Christopher Kaldjian

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