Design, Dissemination, and Evaluation of an Advanced Communication Elective at Seven U.S. Medical Schools
Academic MedicinePublished 30 April 2013Open access
Larry Mauksch, Stuart Farber, H. Thomas Greer
Citations26
SJR quartileQ1
SJR score1.45
SNIP2.03
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Learner-centered methods such as peer observation and video review and editing may strengthen communication training and reinforce skills introduced earlier in medical education.
Abstract
Learner-centered methods such as peer observation and video review and editing may strengthen communication training and reinforce skills introduced earlier in medical education. The course design may counteract a "hidden curriculum" that devalues respectful interactions with trainees and patients. Future research should assess the impact of course elements on skill retention, attitudes for lifelong learning, and patients' health outcomes.
Keywords
MedicineHealth Professions
New England Journal of MedicineEarly Palliative Care for Patients with Metastatic Non–Small-Cell Lung Cancer
7,418 Citations2010Jennifer S. Temel, Joseph A. Greer +10 more
Among patients with metastatic non-small-cell lung cancer, early palliative care led to significant improvements in both quality of life and mood and, as compared with patients receiving standard care, patients received less aggressive care at the end of life but longer survival.
Studies in Higher EducationFormative assessment and self‐regulated learning: a model and seven principles of good feedback practice
5,482 Citations2006David Nicol, Debra Macfarlane‐Dick
PubMedEffective physician-patient communication and health outcomes: a review.
4,076 Citations1995Moira Stewart
The quality of communication both in the history-taking segment of the visit and during discussion of the management plan was found to influence patient health outcomes.
PubMedThe impact of patient-centered care on outcomes.
2,497 Citations2000Moira Stewart, Judith Belle Brown +5 more
Positive perceptions of patient-centered communication were associated with better recovery from their discomfort and concern, better emotional health 2 months later, and fewer diagnostic tests and referrals.
New England Journal of MedicineThe Next GME Accreditation System — Rationale and Benefits
1,595 Citations2012Thomas J. Nasca, Ingrid Philibert +2 more
The American Council of Graduate Medical Education is moving from accrediting residency programs every 5 years to a new system for the annual evaluation of trends in measures of performance.
Assessment & Evaluation in Higher EducationAligning assessment with long‐term learning
1,208 Citations2006David Boud, Nancy Falchikov
Assessment & Evaluation in Higher EducationPeer Learning and Assessment
1,021 Citations1999David Boud, Ruth Cohen +1 more
JAMAMindful Practice
997 Citations1999Ronald M. Epstein
Mindful practitioners attend in a nonjudgmental way to their own physical and mental processes during ordinary, everyday tasks, enabling physicians to listen attentively to patients' distress, recognize their own errors, refine their technical skills, make evidence-based decisions, and clarify their values so that they can act with compassion, technical competence, presence, and insight.
Academic MedicineEssential Elements of Communication in Medical Encounters
879 Citations2001Gregory Makoul
A coherent set of essential elements in physician—patient communication is delineated to facilitate the development, implementation, and evaluation of communication-oriented curricula in medical education and inform the development of specific standards in this domain.
Health AffairsWhy The Nation Needs A Policy Push On Patient-Centered Health Care
867 Citations2010Ronald M. Epstein, Kevin Fiscella +2 more
Policy makers need to look beyond such areas as health information technology to shape a coordinated and focused national policy in support of patient-centered care.
JAMAA Study of Patient Clues and Physician Responses in Primary Care and Surgical Settings
663 Citations2000Wendy Levinson
It is suggested that physicians in both primary care and surgery can improve their ability to respond to patient clues even in the context of their busy clinical practices.
Journal of General Internal MedicineGiving feedback in medical education
408 Citations1998Mariana G. Hewson, Margaret L. Little
Feedback techniques experienced by respondents substantiate literature-based recommended techniques for giving feedback effectively, and corrective feedback is regarded as helpful when delivered appropriately.
Medical TeacherMedical competence: The interplay between individual ability and the health care environment
344 Citations2010Olle ten Cate, Linda Snell +1 more
It is proposed that competence and competencies be approached in the context of the particular clinical environment, such that the assessment of competence is tied to a trainee's performance of essential clinical activities that define the profession.
The Joint Commission Journal on Quality and SafetyImplementing Practical Interventions to Support Chronic Illness Self-Management
343 Citations2003Russell E. Glasgow, Connie L. Davis +2 more
Self-management should be an integral part of primary care, an ongoing iterative process, and patient centered; use collaborative goal setting and decision making; and include problem solving, outreach, and systematic follow-up.
Journal of Continuing Education in the Health ProfessionsSelf-monitoring in clinical practice: A challenge for medical educators
332 Citations2008Ronald M. Epstein, Daniël J. Siegel +1 more
This article is a preliminary exploration into the intersection of educational assessment, cognitive neuroscience, and mindful practice, with the hope of promoting ways of improving clinicians' capacity to self-monitor during clinical practice, and, by extension, improve the quality of care that they deliver.
Medical EducationPhysician communication skills training: a review of theoretical backgrounds, objectives and skills
319 Citations2002Donald J. Cegala, Stefne Lenzmeier Broz
Competence in communication skills training for practising doctors and the importance of competent communication to the doctor–patient relationship and health care in general is highlighted.
Academic MedicineFaculty Development in Assessment: The Missing Link in Competency-Based Medical Education
306 Citations2011Eric S. Holmboe, Denham S. Ward +6 more
The authors outline the current challenges of medical education and provide suggestions on where faculty development efforts should be focused and how such an initiative might be accomplished.
American Journal of EvaluationRevisiting the Retrospective Pretest
298 Citations2005Laura Hill, Drew Betz
Results supported the hypothesis that items on which parents were asked to endorse socially desirable parenting behaviors resulted in greater discrepancies between prospective and retrospective ratings, and concluded that replacing traditional with retrospective pretests does not eliminate bias.
Archives of Internal MedicineRelationship, Communication, and Efficiency in the Medical Encounter<subtitle>Creating a Clinical Model From a Literature Review</subtitle>
279 Citations2008Larry Mauksch
A model blending the quality-enhancing and time management features of selected communication and relationship skills is offered: rapport building, up-front agenda setting, and acknowledging social or emotional clues.
PubMedAssessing communication competence: a review of current tools.
254 Citations2005Julie M Schirmer, Larry Mauksch +6 more
The process successfully reviewed and provided a framework for assessing communication skills instruments and a need to expand the study, including use of a larger cohort of reviewers to provide more validity to the results and minimize potential biases.
Academic MedicineRole Modeling Humanistic Behavior: Learning Bedside Manner from the Experts
244 Citations2006Peter Weissmann, William T. Branch +3 more
Role modeling is the primary method by which excellent clinical teachers try to teach medical residents humanistic aspects of medical care and common themes are shared and could be used for the future development of clinical faculty.
Medical EducationA reflective analysis of medical education research on self‐regulation in learning and practice
236 Citations2011Ryan Brydges, Deborah L. Butler
Journal of General Internal MedicineMedical students’ views on peer assessment of professionalism
136 Citations2005Louise Arnold, Carolyn K. Shue +3 more
The study lays a foundation for creating acceptable peer assessment systems among students by soliciting their views by identifying factors that, according to students themselves, will encourage or discourage participation in peer assessment.
The Annals of Family MedicineSuffering, Meaning, and Healing: Challenges of Contemporary Medicine
105 Citations2009Thomas R. Egnew
This essay explores the thesis that changes in contemporary society have transformed the work of doctoring and challenge doctors to be physician-healers, indispensable if contemporary medicine is to maintain its tradition as a healing profession.
Health AffairsAmerican Medical Home Runs
103 Citations2009Arnold Milstein, Elizabeth Gilbertson
If the ingredients and accomplishments of these four primary care sites spread, under- and uninsured lower-income Americans could be fully covered in the foreseeable future without increased health spending or lower quality of care.
Patient Education and CounselingAudio-visual recording of patient–GP consultations for research purposes: A literature review on recruiting rates and strategies
100 Citations2008Markus Themessl‐Huber, Gerry Humphris +4 more
Researchers should consider the impact of diverse sampling and recruitment strategies on participation levels and increase reporting of ethical and recruitment processes in order to facilitate future reviews and meta-analyses.
The Annals of Family MedicineRatings of Physician Communication by Real and Standardized Patients
95 Citations2007Kevin Fiscella, Peter Franks +3 more
Real patient and standardized patient ratings of physician communication style differ substantially and appear to provide different information about physicians’ communication style.
Academic MedicineLessons Learned from A Peer Review of Bedside Teaching
68 Citations2004Thomas J. Beckman
While evaluating bedside teaching by attending physicians on the Mayo Clinic's general internal medicine hospital services, the author learned that peer review enhances an understanding of teaching for both observers and subjects of peer review.
Journal of General Internal MedicineNot the same everywhere
66 Citations2006Paul Haidet, P. Adam Kelly +12 more
Further multiinstitutional study of hidden curricula is needed to further establish the degree of variability that exists, and to assist educators in making informed choices about how to intervene at their own schools.
PubMedTeaching medical communication skills: a call for greater uniformity.
60 Citations2002David Buyck, Forrest Lang
It is demonstrated that faculty who teach communications vary widely in the issues that they identify and about which they chose to teach.
Academic MedicineTeaching Inpatient Communication Skills to Medical Students: An Innovative Strategy
59 Citations2005David P. Losh, Larry Mauksch +5 more
The development of communication benchmarks illustrated with short videotaped scenarios contrasting “OK” with “better” communication skills is a useful technique that is transferable to other institutions.
Academic MedicineIntegrating Communication Training into a Required Family Medicine Clerkship
52 Citations2004Thomas R. Egnew, Larry Mauksch +2 more
The authors describe the implementation of a novel curriculum to teach patient-centered communication skills during a required third-year, six-week family medicine clerkship in a five-state region.
Journal of General Internal MedicineEffectiveness of Intensive Physician Training in Upfront Agenda Setting
49 Citations2011Douglas M. Brock, Larry Mauksch +4 more
Collaborative upfront agenda setting did not increase visit length or the number of problems addressed per visit but may reduce the likelihood of “oh by the way” concerns surfacing late in the encounter.
Academic MedicineTeachers as Learners: The Effect of Bedside Teaching on the Clinical Skills of Clinician–Teachers
49 Citations2011Marjorie D. Wenrich, Molly Blackley Jackson +4 more
PubMedRole modeling the doctor-patient relationship in the clinical curriculum.
46 Citations2011Thomas R. Egnew, Hamish Wilson
Student and faculty perceptions of student learning about relationship skills in hospital and ambulatory settings and role models who transparently shared their personal experiences of doctoring were found to be more effective in helping students learn relationship skills.
PubMedSequenced questioning to elicit the patient's perspective on illness: effects on information disclosure, patient satisfaction, and time expenditure.
45 Citations2002Forrest Lang, Michael Floyd +2 more
Use of sequenced questions to elicit the PPI results in significant sharing of new information and increased patient satisfaction and requires only a modest investment of time.
Academic MedicineFaculty Development in Communication Skills Instruction
38 Citations2000Forrest Lang, Kevin D. Everett +2 more
East Tennessee State University's multifaceted faculty development program in teaching communication skills has helped to identify new strategies for effectively facilitating small-group teaching of communication skills.
Medical TeacherPersonal viewApplying adult learning principles to medical education in the United States
34 Citations2004Alex Stagnaro‐Green
The educational and societal factors that have functioned as a catalyst for innovations in medical education are discussed, and the major initiatives which have been undertaken are reviewed.
Journal of Ambulatory Care ManagementActivation of Patients for Successful Self-Management
30 Citations2009Laurel Simmons, Neil J. Baker +3 more
Self-management requires practice redesign to reliably deliver optimal care to all patients and applying basic principles and using simple tools can enable patients to take a more active role in improving their health.
Annals of Internal MedicineMusic Lessons: What Musicians Can Teach Doctors (and Other Health Professionals)
30 Citations2011Frank Davidoff
Ten features of the professionalization of musicians offer lessons on how the clinical practice of medicine might be learned, taught, and performed more effectively.
Patient Education and CounselingIdentifying transparency in physician communication
27 Citations2010Lynne Robins, Saskia Witteborn +4 more
Without much communicative effort, physicians who proactively communicated that an examination was over, that they were leaving the exam room briefly so patients could dress provided information that appeared to address patient uncertainty and demonstrated empathy and respect.
PubMedInterdisciplinary direct observation: impact on precepting, residents, and faculty.
20 Citations2012Valerie Ross, Larry Mauksch +2 more
The IDOPM addresses many core skills that are overlooked in traditional precepting encounters, and may strengthen faculty ability to provide formative competency assessment in preparing residents to work in the complex world of primary care.