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Enhancing Relationship-Centered Communication and Feedback in Emergency Medicine Through Applied Improvisation
Jordan Valentin1, Abbas Husain1, Brendan Freeman1
1Northwell Health & Staten Island University Hosptial, Department of Emergency Medicine, Staten Island, NY.
Summary
Applied improvisation effectively teaches relationship-centered communication (RCC) and feedback skills to emergency medicine (EM) learners. Participants reported high engagement and relevance, valuing the connection to patient care and feedback delivery.
Area of Science:
- Medical Education
- Communication Skills Training
- Applied Improvisation
Background:
- Improvisational techniques enhance relationship-centered communication (RCC) and feedback skills.
- The
- yes, and
- principle fosters affirmation, active listening, and psychological safety.
- Effective feedback is crucial in fast-paced emergency medicine (EM).
Purpose of the Study:
- To integrate improvisational exercises with structured feedback models and RCC principles for EM learners.
- To enhance learners' ability to define and apply the
- yes, and
- principle in communication and feedback.
- To improve skills in active listening, responsiveness, and delivering constructive feedback.
Main Methods:
- Curriculum designed using Kern's six-step approach, focusing on RCC and feedback skills.
- Incorporated facilitator discussions, video clips, and small-group improv exercises.
- Utilized a post-intervention survey with Likert scale and open-response questions for thematic analysis.
Main Results:
- Fifty-two learners participated, rating activity structure (96.1%), engagement (100%), and relevance (92.3%) highly.
- Thematic analysis revealed key themes: enjoyment/engagement, connection to patient care, applying improv to feedback, and openness to future application.
- Facilitator skill was rated highly (88.5%).
Conclusions:
- Applied improvisation is an effective method for practicing RCC and feedback skills in EM.
- High engagement, relevance, and facilitator impact demonstrate the curriculum's effectiveness.
- Connecting improv techniques to patient care and feedback delivery is highly valued by learners.
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