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Updated: May 30, 2026

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Published on: May 22, 2026
Specific training program improves oncologists' palliative care communication skills in a randomized controlled
Tanja Goelz1, Alexander Wuensch, Sara Stubenrauch
1University Medical Center, Department of Internal Medicine I, Hematology and Oncology, Hugstetter Str. 55, 79106 Freiburg, Germany. tanja.goelz@uniklinik-freiburg.de
Concise communication skills training (CST) significantly improved oncologists' skills in discussing the transition to palliative care. This training enhanced communication and patient involvement, showing medium to large effect sizes.
Area of Science:
- Medical Education
- Oncology
- Palliative Care
Background:
- Effective communication is crucial for oncologists, especially during the sensitive transition to palliative care.
- Current communication skills training (CST) may not be sufficiently concise or individualized for busy clinicians.
Purpose of the Study:
- To evaluate the effectiveness of COM-ON-p, a concise and individualized CST program, in enhancing oncologists' communication skills.
- To assess improvements in skills related to palliative care transitions, global communication, and involving significant others.
Main Methods:
- Forty-one physicians were randomized into an intervention group (IG) or control group (CG).
- The IG underwent the 11-hour COM-ON-p training, including a workshop and coaching.
- Communication skills were assessed via video-recorded consultations before and after the intervention using a blinded rater checklist.
Main Results:
- The IG demonstrated significant improvements in palliative care transition skills, global communication, and involvement of significant others compared to the CG (P < .01).
- Effect sizes for the improvements were medium to large, indicating a substantial impact of the training.
Conclusions:
- Concise, individualized CST (COM-ON-p) effectively trains physicians to manage communication challenges during the transition to palliative care.
- Further research is needed to confirm the generalization and transfer of these improved skills into routine clinical practice.
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