Effect of Repetitive Feedback on Residents' Communication Skills Improvement

  • Ali Labaf Department of Emergency Medicine, Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
  • Kazem Jamali Department of Emergency Medicine, Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
  • Mohammad Jalili Department of Emergency Medicine, Center for Educational Research in Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.
  • Hamid R Baradaran Center for Educational Research in Medical Sciences, Iran University of Medical Sciences, Tehran, Iran.
  • Parisa Eizadi Mail Department of Emergency Medicine, Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Keywords:
Feedback, Repetitive, Communication skills

Abstract

To evaluate the effect of frequent feedback on residents' communication skills as measured by a standardized checklist. Five medical students were recruited in order to assess twelve emergency medicine residents' communication skills during a one-year period. Students employed a modified checklist based on Calgary-Cambridge observation guide. The checklist was designed by faculty members of Tehran University of Medical Science, used for assessment of students' communication skills. 24 items from 71 items of observational guide were selected, considering study setting and objects. Every two months an expert faculty, based on descriptive results of observation, gave structured feedback to each resident during a 15-minute private session. Total mean score for baseline observation standing at 20.58 was increased significantly to 28.75 after feedbacks. Results markedly improved on "gathering information" (T1=5.5, T6=8.33, P=0.001), "building relationship" (T1=1.5, T6=4.25, P<0.001) and "closing the session" (T1=0.75, T6=2.5, P=0.001) and it mildly dropped on "understanding patients view" (T1=3, T6=2.33, P=0.007) and "providing structure" (T1=4.17, T6=4.00, P=0.034). Changes in result of "initiating the session" and "explanation and planning" dimensions are not statically significant (P=0.159, P=0.415 respectively). Frequent feedback provided by faculty member can improve residents' communication skills. Feedback can affect communication skills educational programs, and it can be more effective if it is combined with other educational methods.

References

Barrier PA, Li JT, Jensen NM. Two Words to Improve Physician-Patient Communication: What Else? Mayo Clin Proc 2003;78(2):211-4.

Maguire P, Pitceathly C. Key communication skills and how to acquire them. BMJ 2002;325(7366):697-700.

Laidlaw TS, Kaufman DM, Macleod, et al. Patients’ Satisfaction with Their Family Physicians’ Communication Skills: A Nova Scotia Survey. Acad Med 2001;76(10 Suppl):S77-9.

Trumble SC, O'Brien ML, O'Brien M, et al. Communication skills training for doctors increases patient satisfaction. Clin Gov 2006;11(4):299-307.

Perera J, Mohamadou G, Kaur S. The use of objective structured self-assessment and peer-feedback (OSSP) for learning communication skills: evaluation using a controlled trial. Adv Health Sci Educ Theory Pract 2010;15(2):93-185.

van Dalen. Communication skills in the context: Trends and perspectives. Patient Educ Couns 2013;92(3):292-5.

O'Sullivan P, Chao S, Russell M, et al. Development and Implementation of an Objective Structured Clinical Examination to Provide Formative Feedback on Communication and Interpersonal Skills in Geriatric Training. J Am Geriatr Soc 2008;56(9):1730-5.

Lang F, Everett K, McGowen R, et al. Faculty Development in Communication Skills Instruction: Insights from a Longitudinal Program with ‘‘Real-time Feedback’’. Acad Med 2000;75(12):1222-8.

Henwood PG, Altmaier EM. Evaluating the effectiveness of communication skills training: a review of research. Clin Perform Qual Health Care 1996;4(3):154-8.

Bosse HM, Schultz JH, Nickel M, et al. The effect of using standardized patients or peer role play on ratings of undergraduate communication training: A randomized controlled trial. Patient Educ Couns 2012;87(3):300-6.

Simpson M, Buckman R, Stewart M, et al. Doctor-patient communication: the Toronto consensus statement. BMJ 1991;303(6814):1385-7.

Nestel D, Tierney T. Role-play for medical students learning about communication: Guidelines for maximising benefits. BMC Med Educ 2007;7(2):3.

Chou Cl, Masters DE, Chang A, et al. Effects of longitudinal small-group learning on delivery and receipt of communication skills feedback. Med Educ 2013;47(11):1073-9.

Berkhofa M, van Rijssen HJ, Schellart AJ, et al. Effective training strategies for teaching communication skills to physicians: An overview of systematic reviews. Patient Educ Couns 2011;84(2):152-62.

Sherbino J, Bandiera G. Improving Communication Skills: Feedback from Faculty and Residents. Acad Emerg Med 2006;13(4):467-70.

van de Ridder JM, Stokking KM, McGaghie WC, et al. What is feedback in clinical education? Med Educ 2008;42(2):189-97.

Ross S, Poth CN, Donoff M, et al. Competency-Based Achievement System Using formative feedback to teach and assess family medicine residents’ skills. Can Fam Physician 2011;57(9):e323-30.

Branch WT Jr, Paranjape A. Feedback and Reflection: Teaching Methods for Clinical Settings. Acad Med 2002;77(12 Pt 1):1185-8.

19. Ende J. Feedback in medical education. JAMA 1983;250(6):771-81.

Moorhead R, Maguire P, Thoo SL. Giving feedback to learners in the practice. Aust Fam Physician 2004;33(9):691-5.

Richardson BK. Feedback. Acad Emerg Med 2004;11(12):e1-5.

Brinkman WB, Geraghty SR, Lanphear BP, et al. Effect of Multisource Feedback on Resident Communication Skills and Professionalism: a randomized controlled trial. Arch Pediatr Adolesc Med 2007;161(1):44-49.

Chou CL, Masters DE, Chang A, et al. Effects of longitudinal small-group learning on delivery and receipt of communication skills feedback. Med Educ 2013;47(11):1073-9.

Wensing M, Vingerhoets E, Grol R. Feedback based on patient evaluations: a tool for quality improvement? Patient Educ Couns 2003;51(2):149-53.

Vingerhoets E, Wensing M, Grol R. Feedback of patients’ evaluations of general practice care: a randomised trial. Qual Health Care 2001;10(4):224-8.

Kurtz SM, Silverman JD. The Calgary-Cambridge Referenced Observation Guides: an aid to defining the curriculum and organizing the teaching in communication training programmes. Med Educ 1996;30(2):83-9.

Greco M, Brownlea A, McGovem J. Impact of patient feedback on the interpersonal skills of general practice registrars: results of a longitudinal study. Med Educ 2001;35(8):748-56.

How to Cite
1.
Labaf A, Jamali K, Jalili M, Baradaran HR, Eizadi P. Effect of Repetitive Feedback on Residents’ Communication Skills Improvement. Acta Med Iran. 52(7):557-561.
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