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Outcome of parent-physician communication skills training for pediatric residents
Authors:Christoph Nikendei,Hans Martin BosseKatja Hoffmann,Andreas Mö  ltnerRabea Hancke,Corinna ConradSoeren Huwendiek,Georg F. HoffmannWolfgang Herzog,Jana Jü  ngerJobst-Hendrik Schultz
Affiliation:a Department of Psychosomatic and General Internal Medicine, University of Heidelberg Medical Hospital, Germany
b Department of General Pediatrics, Centre of Child and Adolescent Medicine Heidelberg, Germany
Abstract:

Objective

Communication skills represent an essential component of clinical competence. In the field of pediatrics, communication between physicians and patients’ parents is characterized by particular difficulties. To investigate the effects of a parent-physician communication skills training program on OSCE performance and self-efficacy in a group control design.

Methods

Parallel to their daily work in the outpatient department, intervention-group experienced clinicians in practice (n = 14) participated in a communication training with standardized parents. Control-group physicians (n = 14) did not receive any training beyond their daily work. Performance was assessed by independent video ratings of an OSCE. Both groups rated their self-efficacy prior to and following training.

Results

Regarding OSCE performance, the intervention group demonstrated superior skills in building relationships with parents (p < .024) and tended to perform better in exploring parents’ problems (p < .081). The communication training program led to significant improvement in self-efficacy with respect to the specific training objectives in the intervention group (p < .046).

Conclusion

Even in physicians with considerable experience, structured communication training with standardized parents leads to significant improvement in OSCE performance and self-efficacy.

Practise implications

Briefness and tight structure make the presented communication training program applicable even for experienced physicians in daily clinical practice.
Keywords:Postgraduate education   Communication training   Standardized patients   Self-efficacy   OSCE
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