Communication in medical education T. Pottecher, T. Pelaccia, B. Ludes, J. Sibilia Ped. Res. Lab. University of Medicine Strasbourg

Communication in medical practice Paramount importance on a daily basis –With patients and relatives –Within the medical team Mandatory for medical teachers –At the bedside –To give a lecture No formal teaching in medical curriculum

State of practice in medical universities Tools for communication’s assessments Results

Survey of «old » residents in anesthesia Training in communication : 21 % –1/3 : simulated patient –½ : « osmosis » with senior –1/6 : lectures Needing additional training : 88 % Prochilo C. SFAR 2O11

State of practice in medical faculties Tools for communication’s assessments Results

Communication skills checklist (partial) OSCE : Objective structured clinical examination Assessment of patient’s problem and situation Appropriate questionningAsked 1 question at a time Understanding patient’s beliefsAsked SP views about illness Accuracy of understandingSummarized SP story Patient Education and Counseling Elicits patient’s perspectivesAsked SP views of need of action Provides clear instructionsInformation in segments smal enough to be absorbed Assesses patient’s understandingAscertained what SP understood

Clinical cases for simulated patients

Feedback Giving feedback : core element in medical education But : thin evidence base to guide medical educators Algorithm for giving feedback ? self-feeling mini-cex Thomas JD.Giving feedback. J. Palliat Med 2011 Feb;14(2):233-9

State of practice in medical faculties Tools for communication’s assessments Results

Survey of «old » residents in anesthesia Training in communication : 21 percent –1/3 : simulated patient –½ : « osmosis » with senior –1/6 : lectures Needing complementary training : 88 percent Comfortable for communication –81% if previous training –60 % without previous training Prochilo C. SFAR 2O11

Results OSCE improves also time management

Patient Educ Couns.Patient Educ Couns Jun;37(2):191-5.

Do you teach medical communication…. If yes : How? If no : Why?