| Discussing prognosis in an oncology setting: initial evaluation of a communication skills training module. | |
| | |
MedLine Citation:
|
PMID: 19441006 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Although cancer patients from Western countries have high needs for prognostic information, the frequency of such discussions in oncology consultations is variable. Prognosis is a difficult discussion area for both physicians and patients. Physician focused Communication Skills Training (CST) has been suggested as a means to aid these discussions. We developed and tested a CST module about discussing prognosis. Training consisted of didactic teaching, exemplary video and role-play sessions. The study aim was to develop the module and evaluate the effectiveness of the training. METHOD: One hundred and forty-two clinicians from Memorial Sloan-Kettering Cancer Center and the New York City area voluntarily participated in the training module over a two-year period. The module was based on current literature and followed the Comskil model previously utilized for other doctor-patient CSTs. Participants completed pre and post surveys to evaluate their own confidence as well as the helpfulness of the module. RESULTS: Based on a retrospective pre-post measure, participants reported an increase in their confidence about discussing prognosis (t(141)=-9.331, p<0.001). At least 92% of participants reported their satisfaction with components of the module by either agreeing or strongly agreeing with 5/6 different statements included in their evaluation forms. CONCLUSIONS: This short training program demonstrated success in improving physician confidence to discuss prognosis and self-efficacy. This result, coupled with the participant's intent to utilize new skills in clinical encounters, suggests that this is a useful module. Future research will target changes in patient outcomes as a result of the physician training. |
| | |
Authors:
|
Richard Brown; Carma L Bylund; Julia Eddington; Jennifer A Gueguen; David W Kissane |
Related Documents
:
|
14086 - The impact of a physician assistant in diagnostic radiology [pa-dr] on the delivery of ... 8135136 - Bringing the special perspective of the family physician to the teaching of clinical et... 8529186 - Physician-assessment and physician-enhancement programs in canada. 10476016 - Teaching clinically experienced physicians communication skills. a review of evaluation... 18792466 - Symposium on training programs in pathology (vii european congress of pathology, valenc... 7180616 - Alcohol and taste-mediated learning. |
Publication Detail:
|
Type: Evaluation Studies; Journal Article |
Journal Detail:
|
Title: Psycho-oncology Volume: 19 ISSN: 1099-1611 ISO Abbreviation: Psychooncology Publication Date: 2010 Apr |
Date Detail:
|
Created Date: 2010-04-07 Completed Date: 2010-06-28 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9214524 Medline TA: Psychooncology Country: England |
Other Details:
|
Languages: eng Pagination: 408-14 Citation Subset: IM |
Copyright Information:
|
Copyright 2009 John Wiley & Sons, Ltd. |
Affiliation:
|
Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA. brownr@mskcc.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Clinical Competence* Humans Medical Oncology / education* Neoplasms / diagnosis*, psychology New York City Physician-Patient Relations* Prognosis Verbal Behavior |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Adsorption, desorption and dissipation of metolachlor in surface and subsurface soils.
Next Document: Tyrosinase inhibitory constituents from the stems of Maackia fauriei.