Abstract
BackgroundAppropriate and timely feedback is essential in improving communication skills and is endorsed as a core competency of emergency medicine residency (EMR) education by the Accreditation Council for Graduate Medical Education.AimThe study aimed to improve the telephone referral skills through a structured feedback session using ISBAR and to gauge residents’ opinions about this approach.MethodsThis was a pilot, educational project that included emergency medicine residents in current training program from October 2018 to March 2019. A senior faculty observed and audiotaped the telephone referral of the residents during a clinical shift. Personalized feedback was provided immediately after the consultation based on the ISBAR tool. The resident’s opinion was transcribed by the faculty.ResultsSeventeen residents agreed to participate, but 14 (3 female and 11 male) were able to complete the study. Three residents, all male, could not complete the study due to busy clinical shifts. Thirteen (out of 14) really liked this method of feedback “eye opener”, “really helped me to reflect” and 10 indicated to self-record some of their future consultations for self-improvement. Thirteen preferred this form of feedback as compared to conventional feedback. One resident disliked this approach as she was extremely nervous during direct observation and audio recording.ConclusionA combination approach of direct observations and audio recordings may be a useful pedagogy in teaching effective telephone referral skills to ED residents.
Highlights
Appropriate communication is an indispensable skill for doctors and the Accreditation Council for Graduate Medical Education considers it a core competency to be imparted during resident education.[1]
An Emergency Department (ED) physician (EP) can request other physicians from inpatient teams to assist in patient care in the form of admission, opinion, or assistance in a special procedure while the patient remains under the care of the EP.[3]
A tool that is highly recommended for improving communication skills is called ISBAR (Table 1)
Summary
Appropriate communication is an indispensable skill for doctors and the Accreditation Council for Graduate Medical Education considers it a core competency to be imparted during resident education.[1] Patient safety may be threatened by the failure of effective communication within healthcare teams.[2] Internal telephone consultations represent a specific type of communication process in the Emergency Department (ED) of hospitals. Through this method, an ED physician (EP) can request other physicians from inpatient teams to assist in patient care in the form of admission, opinion, or assistance in a special procedure while the patient remains under the care of the EP.[3] The ED consultation process differs from outpatient consultation where a specialist physician undertakes responsibility for patient care on subsequent visits.
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