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Adolescent interviewing skills: effect of feedback.

Genna Bourget1, Nadim Joukhadar1, Sarah Manos1,2

  • 1Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

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Summary

Structured feedback significantly improved postgraduate residents' adolescent communication skills. A single standardized patient encounter with feedback enhanced resident performance in interviews with adolescent patients.

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Area of Science:

  • Medical Education
  • Communication Skills Training
  • Adolescent Medicine

Background:

  • Communicating effectively with adolescent patients presents unique challenges.
  • Postgraduate Year-1 (PGY1) residents require specialized training in adolescent-specific communication.
  • Standardized patient (SP) encounters are utilized to assess clinical skills.

Purpose of the Study:

  • To evaluate the impact of structured feedback after an SP encounter on PGY1 residents' adolescent communication skills.
  • To determine if feedback enhances the ability of residents to interact with adolescent patients and their mothers.

Main Methods:

  • A prospective, double-blind, randomized controlled study design was implemented.
  • PGY1 residents participated in a 30-minute interview with an SP adolescent-mother pair.
  • Residents were randomized into a feedback group or a no-feedback control group, with post-intervention assessments.

Main Results:

  • Thirty-eight residents completed the study; initial interviews showed no significant difference between groups.
  • The feedback group demonstrated significant improvements in both total-item and global scores in the second interview (p < 0.05).
  • The no-feedback group showed no significant improvement in communication skills scores.

Conclusions:

  • Structured feedback following a single SP encounter significantly enhances PGY1 residents' adolescent-specific communication skills.
  • This intervention appears effective in improving resident performance in adolescent interviews.
  • Targeted feedback is a valuable tool for developing crucial communication competencies in medical trainees.