TY - JOUR
T1 - Gynecologic oncology providers endorse practice-changing impact of communication skills training
AU - Lefkowits, Carolyn
AU - Bevis, Kerri
AU - Carey, Elise C.
AU - Sheeder, Jeanelle
AU - Arnold, Robert M.
AU - Podgurski, Lisa
N1 - Funding Information:
Drs. Carey & Bevis report personal fees from the non-profit VitalTalk, outside the submitted work. Dr. Arnold is on the board of the non-profit VitalTalk and serves as the section editor for palliative care for UpToDate. This work was supported by a grant from the Milbank Foundation, Princeton NJ and through the Sara Jean Binakonsky Palliative Care Fund at UPMC Magee-Womens Hospital .
Funding Information:
Drs. Carey & Bevis report personal fees from the non-profit VitalTalk, outside the submitted work. Dr. Arnold is on the board of the non-profit VitalTalk and serves as the section editor for palliative care for UpToDate. This work was supported by a grant from the Milbank Foundation, Princeton NJ and through the Sara Jean Binakonsky Palliative Care Fund at UPMC Magee-Womens Hospital.
Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2019/6
Y1 - 2019/6
N2 - Objective: Effective communication improves patient outcomes and is crucial to good patient care. Communication skills training (CST) has been shown to improve communication skills in non-gynecologic oncology specialties. We sought to develop and test CST for gynecologic oncology (GO) providers. Methods: We developed and conducted a two-day CST workshop with an interprofessional group of 20 GO providers over two years. Participants were surveyed pre-workshop, immediately post-workshop and one month post-workshop regarding self-assessed preparedness to handle challenging communication tasks, workshop evaluation and impact on practice. McNemar's tests were used for pre-post comparisons. Results: Of 12 challenging communication tasks assessed, all participants reported improvement in at least one, with a median of 10. The proportion of participants feeling more than “somewhat prepared” improved significantly for all communication tasks assessed (p < 0.05); improvement was sustained one month later. One month post-workshop, 86% reported thinking about what they had been taught at least weekly and 93% reported encountering situations where they used their CST skills at least weekly. Rates of reported practice-changing impact were >75% for each communication skill. All participants rated the CST educational quality very good or excellent and strongly agreed it should be required of all GO clinicians. Conclusions: Participants felt the workshop provided high-quality, practice-changing education. As a result of the workshop, participants reported statistically significant, sustained improvement in preparedness to handle challenging communication tasks. CST for GO providers is feasible, with high rates of perceived effectiveness and impact on clinical practice. CST workshops should be integrated into GO training.
AB - Objective: Effective communication improves patient outcomes and is crucial to good patient care. Communication skills training (CST) has been shown to improve communication skills in non-gynecologic oncology specialties. We sought to develop and test CST for gynecologic oncology (GO) providers. Methods: We developed and conducted a two-day CST workshop with an interprofessional group of 20 GO providers over two years. Participants were surveyed pre-workshop, immediately post-workshop and one month post-workshop regarding self-assessed preparedness to handle challenging communication tasks, workshop evaluation and impact on practice. McNemar's tests were used for pre-post comparisons. Results: Of 12 challenging communication tasks assessed, all participants reported improvement in at least one, with a median of 10. The proportion of participants feeling more than “somewhat prepared” improved significantly for all communication tasks assessed (p < 0.05); improvement was sustained one month later. One month post-workshop, 86% reported thinking about what they had been taught at least weekly and 93% reported encountering situations where they used their CST skills at least weekly. Rates of reported practice-changing impact were >75% for each communication skill. All participants rated the CST educational quality very good or excellent and strongly agreed it should be required of all GO clinicians. Conclusions: Participants felt the workshop provided high-quality, practice-changing education. As a result of the workshop, participants reported statistically significant, sustained improvement in preparedness to handle challenging communication tasks. CST for GO providers is feasible, with high rates of perceived effectiveness and impact on clinical practice. CST workshops should be integrated into GO training.
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U2 - 10.1016/j.ygyno.2019.03.242
DO - 10.1016/j.ygyno.2019.03.242
M3 - Article
C2 - 30979590
AN - SCOPUS:85063982050
SN - 0090-8258
VL - 153
SP - 633
EP - 638
JO - Gynecologic Oncology
JF - Gynecologic Oncology
IS - 3
ER -