Learning by (video) example: a randomized study of communication skills training for end-of-life and error disclosure family care conferences - 22/10/16
, Jonathan P. Braman, M.D. b, Norman Turner, M.D. c, Stephanie Heller, M.D. d, David M. Radosevich, Ph.D. a, Yelena Yan, M.A. e, Jane Miller, Ph.D. f, Jeffrey G. Chipman, M.D. aAbstract |
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 1 residents.
Conclusions |
To be effective, online curricula illustrating communication behaviors need face-to-face interaction, individual role play with feedback and discussion.
Le texte complet de cet article est disponible en PDF.Highlights |
• | We tested an online intervention with general and orthopedic surgery residents. |
• | We used reliable instruments to measure end-of-life and error disclosure encounters. |
• | All residents improved from pre- to post-test on both encounters. |
• | Low scoring residents assigned to treatment outperformed controls on end-of-life. |
• | Online resources alone are insufficient. |
Keywords : End of life, Medical error, Family care conference, OSCE, Online education, Surgery resident
Plan
| There were no relevant financial relationships or any sources of support in the form of grants, equipment, or drugs. |
|
| The authors declare no conflicts of interest. |
Vol 212 - N° 5
P. 996-1004 - novembre 2016 Retour au numéro
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