A rigorous evaluation of an institutionally-based communication skills program for post-graduate oncology trainees

Abstract

ObjectiveIntegrating education about physician-patient communication into oncology specialists’ education is important to improve quality of care. Our aim was to rigorously evaluate a 4-year institutionally-based patient communication skills program for oncology post-graduate trainees. MethodsTrainees from 10 specialties in the U.S. participated in patient communication skills modules tailored to sub-specialties. The program was evaluated by comparing pre-post scores on hierarchical outcomes: course evaluation, self-confidence, skills uptake in standardized and real patient encounters, and patient evaluations of satisfaction with communication. We examined breadth of skill usage as key outcome. Generalized estimating equations were used in data analysis. ResultsTwo hundred and sixty-two trainees’ data were analyzed, resulting in 984 standardized and 753 real patient encounters. Participants reported high satisfaction and demonstrated significant skill growth with standardized patients, but transfer of these skills into real patient encounters was incomplete. Participants with lower baseline scores had larger improvements with both standardized and real patients. ConclusionThe program was well received and increased participant skills in the simulated setting without effective transfer to real patient encounters. Practice ImplicationsFuture work should allocate proportionally greater resources to trainees with lower baseline scores and measure breadth of participant skill usage as an outcome.