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Study protocol for a multicenter randomized controlled trial on simulation-based communication training for pediatric

Paul Padovani1,2, Quentin Hauet3,4, Bruno Lefort5,6

  • 1Department of Pediatric Cardiology and Pediatric Cardiac Surgery, Nantes Université, CHU Nantes, FHU PRECICARE, Nantes, F-44000, France. padovanipaul17@gmail.com.

BMC Medical Education
|November 7, 2024
PubMed
Summary

This study introduces simulation-based training to enhance communication skills for pediatric cardiology trainees. Involving parents in training aims to improve patient-centered care for children with congenital heart disease.

Keywords:
Breaking bad newsCommunication skillsCongenital heart diseaseEmpathyMedical educationPatient-centered carePediatric cardiologyPhysician-patient communicationSimulation-based training

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Area of Science:

  • Medical Education
  • Pediatric Cardiology
  • Communication Skills Training

Background:

  • Effective physician-patient communication is vital for compassionate healthcare, especially when delivering difficult diagnoses like congenital heart disease.
  • Medical practitioners encounter challenges in communicating complex medical information, leading to gaps in patient understanding and care.
  • This study addresses the need for improved communication strategies in pediatric cardiology, particularly for trainees.

Purpose of the Study:

  • To introduce and evaluate a simulation-based training protocol designed to enhance the communication skills of pediatric cardiology trainees.
  • To foster humanistic, patient-centered care through targeted communication training in standard medical practice.
  • To explore the efficacy of simulation in improving communication during diagnostic counseling for congenital heart disease.

Main Methods:

  • A multicenter, open-label randomized controlled trial involving pediatric cardiology trainees across 10 French universities.
  • The SIMUL-CHD intervention utilizes simulation with standardized patients to train communication skills, with patients and caregivers recruited via the "Petit Cœur de Beurre" association.
  • The primary outcome is physician communication quality, assessed by a blinded evaluation committee reviewing video recordings; secondary outcomes include empathy and anxiety levels in trainees.

Main Results:

  • The study is designed to measure the impact of simulation-based training on physician communication skills.
  • It will compare baseline and post-intervention scores to quantify improvements in communication, empathy, and anxiety.
  • Results will indicate the effectiveness of the SIMUL-CHD intervention compared to theory-based training.

Conclusions:

  • Simulation-based training shows potential for teaching non-technical skills like communication in pediatric cardiology, an area previously unexplored.
  • The unique inclusion of experienced parents in the training offers valuable insights into the emotional and practical challenges faced by families.
  • This approach can enhance the delivery of compassionate and patient-centered care in pediatric cardiology settings.