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The McMaster Advanced Communication Competencies Model for Psychiatry (MACC Model)
Natasha Snelgrove1, Marco Zaccagnini2, Jonathan Sherbino3
1McMaster University, Hamilton, Ontario, Canada. snelgrnm@mcmaster.ca.
Summary
This study explored how faculty conceptualize communication skill development in psychiatry residents, creating a model for training. The findings outline core abilities for residents to achieve independent practice.
Area of Science:
- Psychiatry Education
- Medical Communication Skills
- Physician Training
Background:
- Communication is a core physician competency, recognized by the CanMEDS framework in Canadian residency programs.
- Existing literature on communication skills training for residents is limited, particularly for psychiatry.
- This study addresses the gap in understanding faculty perspectives on psychiatry resident communication development.
Purpose of the Study:
- To explore faculty conceptualizations of communication skill development in psychiatry residents.
- To develop a model reflecting faculty perceptions of progressive communication competency acquisition.
- To inform the teaching and assessment of communication skills in psychiatry residency.
Main Methods:
- Constructivist grounded theory approach utilized.
- Purposive sampling of 14 faculty educators from a university-based psychiatry residency program.
- Semi-structured interviews and constant comparative analysis to identify themes.
Main Results:
- The McMaster Advanced Communication Competencies model emerged, with five underlying themes.
- Three foundational themes include relational abilities, specific psychiatric communication skills, and self-reflection.
- Residents develop personalized interviewing and patient-partnering skills for co-creating care plans.
Conclusions:
- A preliminary model for teaching and assessing psychiatry resident communication competencies is presented.
- The model defines essential communication abilities for progression to independent practice.
- Future research should validate and assess the transferability of this model.
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