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Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty
Maren E Olson1,2, Emily Borman-Shoap2, Karen Mathias3
1Department of Medical Education, Children's Hospitals and Clinics of Minnesota, 347 North Smith Ave, Mailstop 70-103, Saint Paul, MN 55102, USA.
Diagnosis (Berlin, Germany)
|October 28, 2018
Summary
Pediatric residents improved communication skills regarding diagnostic uncertainty after a simulation-based curriculum. This training helps advanced learners discuss uncertainty with patients and families, enhancing patient care.
Area of Science:
- Medical Education
- Patient Communication
- Diagnostic Uncertainty
Background:
- Clinical uncertainty is common in pediatrics and requires advanced learners to acknowledge and communicate it.
- Failure to address uncertainty can negatively impact patient care.
- A gap exists in structured curricula for teaching communication about diagnostic uncertainty.
Purpose of the Study:
- To describe an educational intervention to improve pediatric residents' ability to communicate diagnostic uncertainty.
- To assess the effectiveness of a simulation-based approach in enhancing these skills.
Main Methods:
- A two-phase simulation-based intervention was implemented for second-year pediatric residents.
- Residents participated in simulated cases and debriefings, with performance assessed using standardized metrics.
- Learner perceptions of the educational intervention were also collected.
Main Results:
- Residents showed significant improvement in communicating diagnostic uncertainty post-intervention (mean score 3.84 vs. 3.28, p<0.001).
- Residents perceived the simulation-based training as relevant, challenging, and positive.
- The intervention effectively enhanced residents' skills in discussing uncertainty with patients and families.
Conclusions:
- A simulation-based educational intervention effectively improved pediatric residents' communication skills regarding diagnostic uncertainty.
- Further research is needed to evaluate the long-term impact and real-world application of these skills.
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