Evaluation of a Patient Communication Skills Training Program for Medical Physicists

Int J Radiat Oncol Biol Phys. 2020 Dec 1;108(5):1284-1291. doi: 10.1016/j.ijrobp.2020.07.028. Epub 2020 Jul 23.

Abstract

Purpose: To evaluate the efficacy of a training program designed to teach medical physicists how to communicate with patients effectively in the clinical environment.

Methods and materials: The training program was offered 3 times between 2016 and 2019. Participants were asked to rank their level of confidence in 5 categories relevant to patient communication on a 5-point Likert scale at 3 separate time points over the course of the training program. Participants were also asked to provide written responses to 5 common questions from patients at 2 separate time points, and these responses were numerically scored using the Constant Comparative Method. Competency in patient communication was assessed during simulated patient consults using a 9-element clinical competency assessment form. Changes in participants' stated level of confidence over the course of the training program and differences between faculty and residents were analyzed using the Student t test, and participants' scored responses to common questions were analyzed using analysis of variance.

Results: Fifteen medical physicists participated in the training program: 6 resident physicists (4 first year and 2 second year) and 9 faculty physicists. Mean participant-stated level of confidence increased significantly across all categories (P < .05) between the first and second training intervention and between the second and third training intervention. There was no significant difference in mean participant-stated level of confidence between faculty and resident medical physicists. We observed statistically significant improvements in scored responses to common patient questions between the 2 assessment time points (P < .05). Of the 15 participants, 14 met competency assessment goals during simulated patient consults.

Conclusions: The patient communication skills training program increases medical physicists' level of confidence across 5 patient communication categories and improves their responses to common questions from patients. In addition, the program can discern differences in communication competency between physicists.

MeSH terms

  • Attitude of Health Personnel*
  • Clinical Competence
  • Communication*
  • Competency-Based Education / methods
  • Faculty
  • Health Physics / education*
  • Humans
  • Internship and Residency
  • Mentors
  • Patient Simulation
  • Professional-Patient Relations*
  • Program Evaluation
  • Radiation Oncology / education
  • Self Concept
  • Simulation Training / methods