Communication skills training curriculum for pulmonary and critical care fellows

Annals of the American Thoracic Society
Jennifer W McCallisterJohn G Mastronarde

Abstract

The Accreditation Council for Graduate Medical Education requires physicians training in pulmonary and critical care medicine to demonstrate competency in interpersonal communication. Studies have shown that residency training is often insufficient to prepare physicians to provide end-of-life care and facilitate patient and family decision-making. Poor communication in the intensive care unit (ICU) can adversely affect outcomes for critically ill patients and their family members. Despite this, communication training curricula in pulmonary and critical care medicine are largely absent in the published literature. We evaluated the effectiveness of a communication skills curriculum during the first year of a pulmonary and critical care medicine fellowship using a family meeting checklist to provide formative feedback to fellows during ICU rotations. We hypothesized that fellows would demonstrate increased competence and confidence in the behavioral skills necessary for facilitating family meetings. We evaluated a 12-month communication skills curriculum using a pre-post, quasiexperimental design. Subjects for this study included 11 first-year fellows who participated in the new curriculum (intervention group) and a historical con...Continue Reading

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Jun 18, 2016·Journal of Palliative Medicine·Kathryn WhitakerJ Randall Curtis
Jun 2, 2016·Annals of the American Thoracic Society·Jillian L GustinJennifer W McCallister
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