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Pilot Study: Moving Towards a Scalable Intervention for Postgraduate Communication Skills Training.

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An e-module improved resident preparedness for serious illness communication skills (SICS) and advance care planning (ACP). This virtual training enhanced comfort and readiness for difficult conversations, offering a scalable solution for medical education.

Keywords:
advance care planningcommunicatione-moduleseducational designpostgraduate medical educationsimulation

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Area of Science:

  • Medical Education
  • Communication Skills Training
  • Digital Health

Background:

  • Serious illness communication skills (SICS) are crucial but inconsistently taught in postgraduate medical training.
  • Residents often feel unprepared for difficult conversations, including advance care planning (ACP).
  • A standardized approach to SICS teaching is needed to address this educational gap.

Purpose of the Study:

  • To develop and evaluate a novel e-module for teaching core SICS relevant to ACP.
  • To assess the impact of this e-module, used before skills practice, on resident comfort and preparedness for ACP.
  • To explore resident preferences for learning SICS.

Main Methods:

  • Family medicine residents participated in a study at an academic hospital.
  • A novel e-module replaced traditional didactic lectures on SICS for ACP.
  • Residents engaged in skill discussion and deliberate practice via role-play simulation with feedback.
  • Pre- and post-intervention attitudinal surveys were administered.

Main Results:

  • Residents preferred blended learning, including online and virtual methods for SICS.
  • Post-intervention, residents reported increased preparedness for ACP, delivering serious news, and discussing goals of care.
  • While interest in ACP discussions rose, residents noted feasibility challenges in busy clinics.

Conclusions:

  • Integrating brief e-modules with deliberate practice simulation enhances resident readiness for SICS.
  • This online, interactive training improves comfort and preparedness for advance care planning.
  • The e-module offers an evidence-informed, scalable tool for standardized SICS teaching.