Parents as Teachers: Teaching Pediatrics Residents the Art of Engaging in Difficult Conversations

Journal of Graduate Medical Education
Alexandra WilsonMichelle Gallas

Abstract

Physicians often lack the skills and confidence needed to have difficult conversations with patients and their families. Patients and families who have experienced these conversations can provide valuable insight for resident physicians. We developed a communication skills workshop for pediatrics residents using parents and a team of social workers, nurses, chaplains, and physician facilitators in role-playing exercises. From 2007 to 2016, half-day "difficult conversation" workshops were held annually for postgraduate year 1 (PGY-1) and PGY-2 residents that included an interprofessional team and parents of children with life-threatening diagnoses. Questionnaires assessed residents' prior training, effectiveness of the sessions, and narrative feedback on the impact of this approach. Parents and team members were surveyed on the effectiveness of the training and the value of parent involvement. Median self-reported confidence levels for incoming PGY-1 residents following the workshop rose from 2 to 4 on a 5-point Likert scale (99% response rate [128 of 129 surveyed], P < .001). The majority of PGY-2 residents (91%, 115 of 126) reported the workshop increased their confidence in engaging in difficult conversations (91% response ra...Continue Reading

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Citations

Aug 23, 2019·Annals of the American Thoracic Society·Jeffrey D EdwardsMarilyn C Morris
Sep 15, 2021·Pediatrics·Gitanjli AroraJanet R Serwint

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