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Exploring residents' communication learning process in the workplace: a five-phase model.

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Area of Science:

  • Medical Education
  • Communication Skills Training
  • General Practice Training

Background:

  • Competency-based education is gaining prominence in medical training.
  • Understanding the learning process of complex skills like communication is essential.
  • Skilled communication is a core competency for medical professionals.

Purpose of the Study:

  • To explore the learning process general practice residents undergo to become skilled communicators.
  • To detail the developmental stages of acquiring communication expertise in a workplace setting.

Main Methods:

  • A qualitative study involving twelve general practice residents.
  • Observation of residents during patient consultations.
  • In-depth post-consultation interviews.

Main Results:

  • A five-phase model of skill development was identified: Confrontation, Awareness, Exploration, Personalization, and Internalization.
  • Key conditions influencing learning included safety and cognitive/emotional space.
  • Personalization of new communication behaviors was a challenging and time-consuming phase.

Conclusions:

  • Awareness of the five developmental phases can inform medical education strategies.
  • Optimizing learning environments can enhance the development of skilled medical communication.
  • Improved communication skills training can lead to better patient care outcomes.