Learning by (video) example: a randomized study of communication skills training for end-of-life and error disclosure family care conferences

Connie C. Schmitz, Jonathan P. Braman, Norman Turner, Stephanie Heller, David M. Radosevich, Yelena Yan, Jane Miller, Jeffrey G. Chipman

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)996-1004
Number of pages9
JournalAmerican journal of surgery
Volume212
Issue number5
DOIs
StatePublished - Nov 1 2016

Keywords

  • End of life
  • Family care conference
  • Medical error
  • OSCE
  • Online education
  • Surgery resident

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