A complex communication skills training program for physicians providing advanced cancer care - content development...

Area of Science:

• Palliative Care
• Oncology
• Medical Education

Background:

• Integrated oncology and palliative care is recommended for advanced cancer patients.
• Effective communication skills are crucial for patient-centered care but require structured training.
• Organizational, professional, and individual barriers can hinder implementation of such training.

Purpose of the Study:

• To describe the development, implementation, and evaluation of an educational program focused on communication skills.
• To test the effect of early integration of oncology and palliative care within a Norwegian cluster-randomized controlled trial.

Main Methods:

• A multi-professional faculty developed and implemented the PALLiON program using a 5-step approach.
• The program was part of a Norwegian cluster-randomized controlled trial.
• It included lectures, discussion groups, skills training, and coaching, implemented across six hospitals.

Main Results:

• The PALLiON program is a multi-faceted, evidence-based, learner-centered educational initiative.
• It specifically targets physicians' communication skills in integrated care settings.
• Participant evaluation showed positive reception of group discussions and skills training.

Conclusions:

• Key lessons for future implementation include engaging experienced faculty, being evidence-based and learner-centered, and strategic teaching method selection.
• Anticipating resistance, securing management support, and thorough assessment are vital for success.
• Reflections offer guidance for developing and implementing similar communication skills programs.