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Communication skills training for critical care doctors in India is insufficient, with reactive methods used for over 20 years. This study highlights an urgent need to improve training to address communication barriers and reduce dilemmas.

Keywords:
Communication skillsEnd of lifeFaculty developmentFamily meeting checklistIntensive care unit communicationMedical interviewingViolence against doctors

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Area of Science:

  • Medical Education
  • Critical Care Medicine
  • Health Communication

Background:

  • Medical training programs emphasize communication skills, yet bedside teaching is often lacking.
  • Open critical care units in India often see primary specialists, not critical care doctors, leading communication.
  • Lack of clear communication is a frequent barrier, escalating with patient severity and causing anxiety.

Purpose of the Study:

  • To assess communication skill training levels among critical care doctors in India.
  • To identify gaps and potential improvements in communication training processes.
  • To address ethical, clinical, and legal dilemmas stemming from poor communication.

Main Methods:

  • A web-based questionnaire was distributed to 1,000 critical care doctors across India.
  • A modified educational experience and attitudes questionnaire assessed communication training.
  • Data from 193 complete responses were analyzed.

Main Results:

  • A significant disparity in perceived competence across essential communication aspects was observed.
  • Communication is recognized as a trainable skill, but training methods have been reactive for two decades.
  • The study indicates a persistent deficiency in effective communication training.

Conclusions:

  • There is an urgent need to enhance communication training for critical care doctors in India.
  • Improved training can mitigate ethical, clinical, and legal challenges.
  • Systematic and proactive training approaches are required to address current deficits.