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Disentangling communication challenges in trainees' learning journeys: A longitudinal study in the general practice

Michelle Verheijden1,2, Esther Giroldi1,2, Juliëtte Anna Beuken2

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Communication challenges in medical training can trigger learning and skill development. Educators should foster safe environments and guided self-monitoring to help trainees navigate these crucial learning opportunities.

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Area of Science:

  • Medical Education
  • Communication Skills Training
  • Qualitative Research

Background:

  • Skilled communication in clinical settings requires adaptation and monitoring.
  • Communication challenges are known triggers for learning, but their specific nature is unclear.
  • Understanding these triggers can enhance communication training and educator coaching.

Purpose of the Study:

  • To explore the nature of communication challenges that act as triggers for learning skilled communication.
  • To improve the understanding of how medical trainees develop communication expertise.
  • To guide educators in providing targeted coaching for communication skill development.

Main Methods:

  • Longitudinal qualitative study employing a phenomenological approach.
  • Data collected via clinical observations, interviews, and audio-diaries from general practitioner trainees (first- and third-year).
  • Thematic content analysis and data triangulation, followed by narrative crafting to illustrate communication challenges.

Main Results:

  • First-year trainees focused on patient-centered communication effectiveness.
  • Third-year trainees demonstrated a meta-perspective, utilizing self-monitoring for personalized communication styles and collaborative work.
  • Trainees' learning was driven by curiosity to understand patient contexts and adapt communication accordingly.

Conclusions:

  • Communication challenges in the workplace are identified as triggers for developing skilled communication.
  • A safe learning environment and scaffolded educator guidance are essential for learners to recognize and share challenges.
  • Fostering self-monitoring skills is key to supporting trainees' communication development journey.