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Teaching communication skills: a skills-based approach.

Peggy J Wagner1, Linda Lentz, Sandra D M Heslop

  • 1Department of Family Medicine, Medical College of Georgia, Augusta 30912, USA.

Academic Medicine : Journal of the Association of American Medical Colleges
|November 15, 2002
PubMed
Summary

Structured training activities enhanced patient-physician communication skills for medical students. Students reported increased confidence and understanding of their roles, leading to better patient care and outcomes.

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Area of Science:

  • Medical Education
  • Health Communication
  • Clinical Skills Training

Background:

  • Effective patient-physician communication is crucial for enhancing patient satisfaction, treatment adherence, and medical outcomes.
  • Core communication and behavioral-change interview skills are fundamental components of medical training.

Purpose of the Study:

  • To design structured training activities emphasizing key aspects of patient-physician communication.
  • To improve medical students' basic communication and behavioral-change interview skills.

Main Methods:

  • Implementation of four interactive lab sessions within the Essentials of Clinical Medicine Course.
  • Utilized video-based activities, role-playing with standardized patients (SPs), and facilitator feedback.
  • Incorporated physician-supervised interviews and small-group sessions focusing on behavioral change and difficult conversations.

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Main Results:

  • Students reported increased understanding of physician roles and the importance of patient connection.
  • Students expressed higher confidence in interviewing skills before interacting with actual patients.
  • Clinical preceptors noted increased student preparedness following the structured learning experience.

Conclusions:

  • Communication labs were well-received by students, who requested further training.
  • The program successfully enhanced students' communication and interviewing abilities.
  • Future plans include expanding training to address complex patient interactions and end-of-life issues.