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Related Concept Videos

Barriers to Effective Communication II01:21

Barriers to Effective Communication II

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
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Semantic barriers:
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Barriers to Effective Communication I01:30

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A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Effective communication is the foundation of a good organization. Communication is the lifeblood of an organization that connects the group with messages. In an organization, communication occurs in upward, downward, and horizontal lines. Downward communication travels from the administrative and senior levels to the staff through official channels such as manuals, rules and regulations, and organizational charts. Staff members initiate upward communication, which is addressed to executives and...
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"Mastering the Difficult Conversation" Communications Course: Utilizing OSCEs and Workshops to Prepare Learners for

John R Hayes1, Tavinder Ark2, Leslie Ruffalo3

  • 1Medical College of Wisconsin, Department of Community and Family Medicine, Wauwatosa, WI.

Primer (Leawood, Kan.)
|July 29, 2025
PubMed
Summary

Medical education often lacks training in difficult patient conversations. An online elective improved senior medical students' communication skills through interactive workshops and Objective Structured Clinical Examinations (OSCEs), enhancing preparedness for challenging discussions.

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Area of Science:

  • Medical Education
  • Communication Skills Training

Background:

  • Physicians require enhanced skills for difficult conversations, including health literacy, behavior change, and end-of-life care.
  • Traditional medical curricula often provide insufficient preparation for these essential communication challenges.

Purpose of the Study:

  • To analyze the effectiveness of the "Mastering the Difficult Conversations" online elective for senior medical students.
  • To assess the impact of structured communication training on physician preparedness for challenging patient interactions.

Main Methods:

  • A 4-week online elective featured interactive workshops and Objective Structured Clinical Examinations (OSCEs).
  • Course themes included health literacy, managing agitated patients, behavior change, and delivering bad news.
  • Qualitative (reflection papers) and quantitative (standardized assessments) data were analyzed from 35 students over 4 years.

Main Results:

  • Analysis of reflection papers revealed key themes: goals, empathy, lessons learned, strengths, and positive feedback.
  • Anonymous evaluations indicated high student satisfaction and successful achievement of course objectives.
  • The online format, utilizing Zoom-based OSCEs, was rated favorably and demonstrated viability for remote education.

Conclusions:

  • A structured communication program incorporating interactive discussions and formative OSCEs significantly improves medical students' readiness for difficult patient encounters.
  • The online, Zoom-based delivery model is an effective and replicable educational tool for communication skills development.
  • Expanding structured communication curricula is crucial for improving patient outcomes and physician well-being.