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A Multimodal Curriculum With Patient Feedback to Improve Medical Student Communication: Pilot Study
Nicole M Dubosh1, Matthew M Hall1, Victor Novack2
1Beth Israel Deaconess Medical Center/Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.
A new curriculum improved medical students' communication skills, as shown by higher patient ratings on the Communication Assessment Tool (CAT). Early exposure to this multimodal training, including patient feedback, proved effective.
Area of Science:
- Medical Education
- Health Communication
- Emergency Medicine Training
Background:
- Physician-patient communication is crucial but often lacks dedicated educational strategies.
- Effective communication skills are essential for quality patient care, particularly in emergency medicine.
Purpose of the Study:
- To develop and evaluate a multimodal curriculum for enhancing communication skills in fourth-year medical students.
- To assess the impact of direct patient feedback on communication skill development.
Main Methods:
- A prospective, randomized trial involving fourth-year medical students during an emergency medicine clerkship.
- Development of a multimodal curriculum including asynchronous video and direct patient feedback using the Communication Assessment Tool (CAT).
- Comparison of outcomes between an intervention group receiving early curriculum exposure and a control group receiving delayed exposure.
Main Results:
- No significant difference in maximum CAT scores between groups before the intervention.
- Students receiving early curriculum exposure achieved maximum CAT scores more frequently post-intervention (OR 1.65, p = 0.008).
- The intervention group demonstrated improved patient-reported communication ratings.
Conclusions:
- A multimodal curriculum incorporating direct patient feedback can effectively enhance medical students' communication skills.
- Early implementation of communication skills training leads to better patient-reported outcomes in emergency medicine clerkships.
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