Learning by (video) example: a randomized study of communication skills training for end-of-life and error disclosure family care conferences Journal Article uri icon
  • BACKGROUND: Teaching residents to lead end of life (EOL) and error disclosure (ED) conferences is important. METHODS: We developed and tested an intervention using videotapes of EOL and error disclosure encounters from previous Objective Structured Clinical Exams. Residents (n = 72) from general and orthopedic surgery programs at 2 sites were enrolled. Using a prospective, pre-post, block group design with stratified randomization, we hypothesized the treatment group would outperform the control on EOL and ED cases. We also hypothesized that online course usage would correlate positively with post-test scores. RESULTS: All residents improved (pre-post). At the group level, treatment effects were insignificant, and post-test performance was unrelated to course usage. At the subgroup level for EOL, low performers assigned to treatment scored higher than controls at post-test; and within the treatment group, post graduate year 3 residents outperformed post graduate year ‚Äč1 residents. CONCLUSIONS: To be effective, online curricula illustrating communication behaviors need face-to-face interaction, individual role play with feedback and discussion.

  • Link to Article
    publication date
  • 2016
  • published in
  • Communication
  • Education, Medical
  • Measurement
  • Orthopedics
  • Physician-Patient Relations
  • Randomized Controlled Trials
  • Residency
  • Surgery
  • Terminal Care
  • Additional Document Info
  • 212
  • issue
  • 5